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HomeMy WebLinkAboutBNuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10-30-2019 Permit Number: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Building Permit Application PERMITTYPE:A/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address: 6502 FLORA WAY Property Tax ID #: 1301-607-0212-000-9 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Commercial Residential X Lot No. Block No. LIKE FOR LIKE REPLACEMENT OF (1) 3.5 TON TRANE A/C SYSTEM, 16 SEER WITH 10 KW ELECTRIC HEAT. CONNECT TO EXISTING DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC- NEW REFRIGERANT LINES AND DRAIN. 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: $ 6,700.00 Utilities: —Sewer —,Septic Building Height: OWNERAESSEE: CONTRACTOR: Name BRUCE BRAMBLE Name: JAMES F. GRIMES Address: 6502 FLORA WAY Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE Stater Address: 3054 N US HWY 1 Zip Code: 34951 Fax: City: FORT PIERCE State: FL Phone No. 772-473-2152 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 E-Mail ROBE RTGRIMESAC@AOL.COM from the Owner listed above) State or County License 4426 if vAnp of rnntirnrtinn is ItIMAn .. orr�nr reti . - _---- -- —• ••, .- .•�...v.... ra. r.v �. a.c v� a.v���111C11a.C111C111 !b iegU freo• If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. F [i �Livfi NT�� �`NTI1Ql�ilrl 1.AVV INif�T�l DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: � Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: 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. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, l do hereby agree that i will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, wails, signs, screen rooms and accessory uses to another non-residential use "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAY#NG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.' del Ic - 5' ature of owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF S The fir wing instri f'nt wac acknowledge before me this�day c V G by 7ture of CantractorJLicense Holder STATE OF FLORIDA COUNTY OF The for oing instru men was acknowledge before me this 5Q day of Name of person making statement. I Name of person making statement. Personally Known, OR Produced Identification Type of identification Produced re of Notary Commission No. REVIEWS I FRONT COUNTER DATE RECEIVED COMPLETED State of Florida) < ,n (S&4AN MGNTENEGRO My COMMISSION # GG 08E UfPIRES: 021. 2021 REVIEW l REVIEW Personally Known )< ,__ OR Produced Identification Type of identification Produced nature of Notary Public- State of Florida) U tmmission No. : :Pr SU(��OWd NTENEGRO MYCOMMigaIGN s CG 089099 S VEGETATI REVIW 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: 8703699 Date : 03-01--2019 Model Status: Active AHRI Type: RCU-A-CB Series : XR16 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6042JI Indoor Unit Model Number (Evaporator andlorAir Handler) : TEM4AOC42S41+TDR Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, Mu, 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 TRANS 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 (9517), btuh : 41000 SEER: 16.00 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' Modef Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratin s that are accom anied by WAS indicate an involunta re -rate. The new Dublished ratinci is shown alonc with the orevious 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.ahridifectory.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, personal and confidential reference. AIR-CONDITIONFNG, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridifectory.org, click on "Verify Certificate" link and enter the AHR] Certified Reference Number and the date on which the certificate was issued, we make ffe be.ttef— which is listed above, and the Certificate No., which is listed at bottom right. ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO,: 131959228876420661