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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11-5-19 Permit Number: s Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fart Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMITTYPE:A/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address: 4200 N HWY A1A #1215 Property Tax ID #: 1423-501-0191-000-5 Site Plan Name: Project Name: Lot No. Block No. DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE REPLACEMENT OF (1) 2.5 TON TRANE A/C SYSTEM, 14 SEER WITH 8 KW ELECTRIC HEAT. CONNECT TO EXISTING REFRIGERANT LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC. CONSTRUCTION INFORMATION: I Additional work to be performed under this permit —check all that apply: AMechanical — Gas Tank ^ Gas Piping _ Shutters _ Electric _ Plumbing — Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 4,795.00 Generator Sq. Ft. of First Floor: Windows/Doors Roof Pitch Utilities: Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name JERRI TURNER-JACYNO Name: JAMES F. GRIMES Address:4200 N HWY A1A #1215 Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State: EL Zip Code: 34949 Fax: Phone No. 407-718-4020 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 li value of consLrucxion is ,1L:vUU or more, a 14MUMDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. $fI'LEMENAI:N��� z>�4W�iORAT�7N. T q i-„c-! T'A .=Lei. .'.:l-^s. i. .rE_-Y{ Y 7:`, .5f' An ~ z F Y r ♦_ _ DESIGNER/ENGINEER: Not Applicable MORTGAGE` COMPANY:.. Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLIER: 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 prlor 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, I 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, walls, 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 (PAYING TWICE FOR IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POST® ON TIME JOB SITE 13EFFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT-" S' ' ature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA t COUNTY OF 5 cc e— The fnrvning instrurqPnt inne acknowledged before me this 5 +day of 20 �.q by Si ature of Contractor/License Holder STATE OF FLORIDA - COUNTY OF < = The for oing instrument was acknowledg`Abefore me this day of �N oy 2011 by Name of person making statement_ I Name of person making statement. Personally Known,�<_OR Produced Identification Type of Identification Produced Signature of Notary Public- State of Florida j 4 Commission No. ati �; {S&gANMONTENEGRO MY COMMISSION # GG 089 EXPIRES: ADT ] y. 2021 REVIEWS CO FRONT '--TMNTNU--T5©NTER REVIEW EVIEW RECEIVED COMPLETED Personally Known )!� OR Produced Identification Type of Identification Produced of Notary Public- State of Florida) No. MY Ct?MM16SION # GCS 069099 '"PANS VEGETATI — REVIEW I REVIEW I REVIEW I REVIEW i�■�I CERTIFIED° www.ahridirecfory.orgCertificate of Product Ratings AHRI Certified Reference Number: 202409881 Date : 11-05-2019 Model Status : Active AHRI Type: RCU-A-CB Series: XR14 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4- TR403OL1 Indoor Unit Model Number (Evaporator and/or Air Handler) : GMV2APB32 Region : Southeast and North (AL , AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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 (95F), btuh : 27200 SEER: 14.50 EER (A2) - Single or High Stage (95F) : 11.50 1 "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 sei#ing or offering for sale. Ratio s that are actor anied by WAS indicate an involunta re -rate. The new oublishod ratio fs shown alonq with the orowfous i.e. WAS ratio . 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.ahridirectoTy.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-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www,ahridirectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued. we make lire better", which is listed above, and the Certificate No., which is listed at bottom right. ©2019Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO_- 132174276747195497