HomeMy WebLinkAboutBRUSH PERMIT APP - 5061 N HWY A1A #101All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10121 /2019
COUNTY
i L t7 it I. D A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
PERMITTYPE:A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 5061 N HWY Al #101
Property Tax ID #: 1414-601-0001-000-6
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial Residential X
Lot No.
Block No.
LIKE FOR LIKE REPLACEMENT OF (1) 3 TON TRANE A/C SYSTEM, 17 SEER WITH 8 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
Total Sq. Ft of Construction:
Cost of Construction. $ 7,438.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building height:
OWNER/LESSEE:
CONTRACTOR:
Name ALAN BRUSH
Name: JAMES F. GRIMES
Address: 5061 N HWY A1A #101
Company.. GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: r—L
Zip Code: 34949 Fax:
Phone No. 561-441-1507
Address: 3054 N US HWY 1
City: FORT PIERCE State: FL
Zip Code: 34946 Fax; 772-461-8722
Phone No 772-461-8711
E-Mail: NA
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail ROBERTGRIMESAC@4OL.COM
State or County License 4426
if value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
Not
Name:
Address: State:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER; _ ^ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Not Applicable
Fume-
Address:
State:
City:
Zip: . Phone
BONDING COMPANY:
Not Applicable
Name:
Address:
City:
Zip: ���_.Phone:
d
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicate -
i certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation
entation thaicable Home Q�vsvners Asgac ati n �r'mill
esa�yiao+nr+s or anXcove ants that maydres�riicutbor prohibit such
which is .conflict with any app
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In accordance
with the approved plansof this , Florida Building Codes ermit, I do dreby agree and St. Luce Counity Amendments,
tsperform the work
in accordance pP
The following building permit applications are exempt from undergoing a full concurrency review. room additions,
accessory structures, swimming pools, fences, walls, signs, screen roams and accessory uses to another non-residential use
CE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTNOTICE OF COMMENCEMENT MUST BERECORDED AND
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY- A
ECTION. IF YOU TEND TO 013TAIN POSTED ON THE JOB SITE BEFORE THE
BEFORE RECORDING YOUR NOITNIC OF COMMENCEMENT�CIMG, CONSULT
WITH YOUR LENDER OR AN A
s' ature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA t�
COUNTY OF
The fnruning instru Pnt'vuac acknowledged before me
this U day of 20� 9 by
C
si ature of Contractor/License Holder
STATE OF FLORIDA
,,, T� LIz�s e - —
COUNTY OF__.^_
The forgoing instru ent was acknowle20j3 byre me
this -2-L day of
king statement.
Name of person making statement -
Name of person ma
Personally Known -OR Produced Identification
Type of Identification
Produced
ignature of Notary Public- State of Florida
AN MONTCNEGRD
Commission No. °' %t MY GOMMisS1ON n GG 089
EXPIRES: tit" 2021
-OFF �� iHiy IC ndev
REVIEWS FRONT REVIEW
COUNTER REVIEW
RE(
DA
Personalty known ) OR Produced identification
Type of identification
Produced _
of Notary Public -State of Florida )
mission No. .�: MYC6MMiSSj0 9 Gp 0NN9
pJr rtic.+T1N NCJarY p,* Undetwff s
"CLANS VEGETATE REVIEW REVIEW
REVIEW REVIEW
This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
Certificate of Product Ratings
AHRI Certified Reference Number: 7947764 Date: 03-11-2019 Model Status: Active
AHRI Type: RCU-A-CB
Series: XR17
Outdoor Unit Brand Name : TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR7036AI
Indoor Unit Model Number (Evaporator andlor Air Handler) : TEM6AOC36H31+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 ANSIIAHRI 2101240 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 (95F), btuh : 36200
SEER: 17.00
EER (A2) - Single or High Stage (95F) : 13.00
t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being
marketed but are not yet being produced."Production Stopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Rating s that are accom anied b WAS indicate an involunta re -rate. The new ublished ratin is shown alon with the Previous i.e. WAS ratin .
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 for,
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.a h rid I recta ry.org.
TERMS AND CONDITIONS
Am
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, persanai and
confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;ammm
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
The information for the model cited on this certificate can be verified at www.a hridirectory.org, click on 'Verify Certificate" link we make life better"
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which is listed above, and the Certificate No., which is listed at bottom right 131968o5386G464787
02019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: