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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10-11-2019 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 6555 YEDRA AVE
Property Tax ID #: 1306-501-0975-000-5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial Residential X
Lot No.
Block No.
LIKE FOR LIKE REPLACEMENT OF (1) 2.5 TON TRANE A1C SYSTEM, 15.5 SEER WITH 5 KW ELECTRIC HEAT.
CONNECT TO EXISTING REFRIGERANT LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5,725.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROBERT NELSON
Name: JAMES F. GRIMES
Address: 6555 YEDRA AVE
Company; GRIMES HEATING AND AIR CONDITIONING
Address: 3054 N US HWY 1
City: FORT PIERCE State:FL
Zip Code: 34951 Fax;
Phone No. 772-882-9160
City: FORT PIERCE State: FL
Zip Code: 34946 Fax: 772-461-8722
E -Mail: NA
Phone No 772-461-8711
Fill in fee simple Title Holder on, next page { if different
from the Owner listed above)
E -Mail ROBERTGRIMESAC@AOL.COM
State or County License 4426
If value of construction Is $2500 or more, a RECORDED Notice of
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement
Commencement is required.
is required.
NEER: Not
Name:
Address: State:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address: State:
City:
Zip: _ Phone:
BONDING COMPANY: /Not Applicable
Dame:
Address:
City:
Zip: _ Phone:
OWNER/ CONTRACTOR E4FFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated_
i certify that no Work or installation has commenced prior to the issuance of a permit.
im makes
an applicable Home owners Association ruies, bylaws or and covenants that may restrict or prohibit such
5t. Lucie Count makes noyepresentationtbat is granting a permit Will authorize the ermit holder to build the subject structure
wit
which is . c ffll
structure. Please Consult with your Home Owners Association and review your deed far any resptrictionerform he Warkwhich may lY
In accordance
wraith the granting
plans, the Florida Building Codes and St Lucie County Amendments.
in accordance P
The following building permit applications are exempt from undergoing a full Concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR IOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
F TO ©I'�ERIAYNA NOTICE OF COMMENCEMENT MST BE RECORDED AND
TWICE FOR IMPROVEMENTS To YOUR PNIF YOU
POSTED ON THE JOB SITE BEFORE THE
FIRST=ORE I CORDING YOUR NOT�C OF COMM OBTAIN
EMEN'fNCING, CONSULT
warn YnUR LENDER OR AN ATTORNEY
�s`ature A�ofer/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA t�
COUNTY OF
The fnraning instrumpnt wac acknowledgebefore me
this +� , .day of 20�i by
Si store of Contractor
/License Holder
STATE OF FLORIDA !
COUNTY OF
The for ging instrument Was acknowledO�bef re me
this T day of 4'�by
Name of person making statement.
Name of person making statement.
Personally Known—OR Produced Identification
Type of identification
Produced
S"ignature of Notary Public- State of Flworid� a
(5AN MONTENEGRO
Commission No. ° MyCOMMiSSION nGG 689
EXPIRES: rI! 2 ?02i
oeF;;- 1 1�1}' blk.11Sl4eN
REVIEWS FRONT
COUNTER REVIEW REVIEW
DATE
DATE
COMPLETED
Personally known * OR Produced Identification
Type of identification
Produced----------
Notary
roduced
Notary Public- State of Florida
V
No. PG' Ut . QDNTENEGRO
n T
MY COMMISSION # CG 089099
c
rhm Nu rsj i'U.bi�! 1)MeFiY/01€ -
wft'p,NSi VEGETATI REVIEW REVIEW
REVIEW 4 REVIEW
www.ai�ridirectory.arg
Certificate of Product Ratings
AHRI Certified Reference Number: 8676077 Date: 03-20-2019 Model Status : Active
AHRI Type: RCU-A-CB
Series: XR16
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6030J1
Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4AOB3OS31+TDR
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS,
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S.
Territories)
Region Note: Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions
until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in region(s) for
which they meet the regional efficiency requirement.
The manufacturer of this TRANE product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (9517), btuh : 28800
SEER: 15.50
EER (A2) - Single or High Stage (95F) : 13.00
r sale;
new mode�s
are being
marketed
Model Status are those duced AHRIPductioification n Stopped" Mram ode4Participant Status are'those that an AHRI Certiy producing ficatiolng or offering n Program Participant pant isCno longer producing BUT is still
marketed but are not yet being p
seliing or offering for sale.
Ratin s that are accom anied b WAS indicate an involunta re -rate- The new uhlished ratingis shown alon with the revious i.e. WAS ratan .
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility
the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the
directory at www.ahridirectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and
confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AIR-CONDITIONING, HEATING,
personal and confidential reference. & REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
verified at www.ahridirectory.org, click on "Verify Certificate" link make life better -
The information for the model cited on this certificate can be
and enter the AHRI Certified Reference Number and the date on which the certificate was issued, J
which is listed above, and the Certificate No., which is listed at bottom right. CERTIFICATE NO.: 131975784314247182
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