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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11/5/2019 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 PERMIT TYPE: A/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address: 7583 S OCEAN DR Property Tax ID #: 3522-231-0002-100-7 Site Plan Name: Project Name, DETAILED DESCRIPTION OF WORK: Commercial X Residential Lot No._ Block No. LIKE FOR LIKE REPLACEMENT OF (1) 5 TON TRANS A/C SYSTEM, 15 SEER WITH 10 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: $ 7,495.00 Utilities: —Sewer —Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name SLC FT PIERCE FIRE DISTRICT Name: JAMES F. GRIMES Address: 7583 S OCEAN DR. Company.. GRIMES HEATING AND AIR CONDITIONING Address:3054 N US HWY 1 City: JENSEN BEACH State:FL. Zip Code: 34957 Fax: Phone No. 772-216-6510 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. Not Name: Address: City: State: ZIP: Phone FEE SIMPLE TITLE HOLDER; Not Applicable Name: Address: City: Zip: _ Phone: IVIORTGAGE COMPANY: ___ Not Applicable Name: Address: State: City: Zip: _ � Phone: BONDING COMPANY: —Not Applicable Name: Address: City: Zip: . Phone: indicated OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as I certify that no work or installation has commenced prior to the 'issuance of a permit- ermit will authorize ws or and covenants that build tbor prhiiib structure uh w Lucie n c n, ict wit no repr lit bleiHome owners Association rules, y which is in conflict with any app structure. Please consult with your Horne owners Association and review your deed for any restrictions which MaY a erform the work pply [n consideration of the granting of this requested permit, I do hereby agree that l will, in all respects, p in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amnd� a room additions, The following building permit applications are exempt from undergoing a full concurrency uses to another non residential use accessory structures, swimming pools, fences, wails, signs, screen rooms and accessory OF COMMENCEMENT MAY RESULT IN YOUR PAYING "WARNING TO OWNER_ YOUR FAILURE TO REC Ia �FEIiIY�ATICE NOTICE OF COMMENCEMENT MUST BE RECORDED AND TWICE FOR IMPROVEMENTS TO YOUEND TO OBTAIN POSTED ON THE JOB SITE BEFORE T BE ORE IEC FIRST NSPEC IIO YOUR DT�E OF COMMENCEMENT-" ,CONSUL WITH YOUR LENDER OR AN ATTORN S•' ature of Owner/ Lessee/Contractor as Agent for owner STATE OF FLORIDA COUNTY OF The t wing instri nt wa1 acknowledge before me this day of �� � by Si ature of Contractor/License Holder STATE OF FLORIDA COUNTY OF The forgoing rostrum nt was acknowledged before me this day of � o t _ _� ZG by Name of person making statement. Name of person malting statement. Personally Known OR Produced identification Type of Identification Produced ignature of N�ublic- State of Floricla I (] � (S AN Ma�-' NTENEGRa Commission No. My COMMISSioN # GG 089 EXPIRES: rj12.2021 wry PU 1c wtv REVIEWS FRONT COUNTER REVIEW REVIEW RECEIVED DATE COMPLETED Personally Known '�C —oR Produced identification Type of identification Produced _ of Notary Public- State of Florida J mmission No. 4kANS VEGETATI REVIEW REVIEW SIJ���I�N?i»N��3R0 ,MY OwMISSION g GO n Bar4kd Thru litr ry Nl)k UiSde REVIEW I REVIEW ,ru1:�1 CERTIFIED° www.ahridirectory.orq-Certificate of Product Ratin2,s AHRI Certified Reference Number: 7944313 Date: 03-04-2019 Model Status : Active AHRI Type: RCU-A-CB Series: XR16 Outdoor Unit Brand Name : TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6061C1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4AOC6OS51+TDR Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, ]A, 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 : 56000 SEER: 15.00 EFR (A2) - Single or High Stage (95F) : 12.50 r Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND sailing 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. Ratings that are accom anted by WAS indicate an involuntary re rate. The new published ratin is shown along with the previous i.e. WAS rating. 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 al! liability for damages of any kind arising out of the use or performance of the product(s), orthe unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ah rld irecto ry.org. TERMS AND CONDITIONS As 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 The information for the model cited on this certificate can be verified at www,ahridirectory.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. 'CERTIFICATE NO.: 131961793058247916 ©2Q19Air-Conditioning, Heating, and Refrigeration Institute