HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11-5-19 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 Commercial Residential X
PERMITTYPE:A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 2711 N HIGHWAY A1A APT. H
Property Tax ID #: 1425-701-0167-190-6
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No._
Block No.
LIKE FOR LIKE REPLACEMENT OF (1) 2 TON TRANE A/C SYSTEM, 15 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 T 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: $ 4,710.00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name RITA NAJAM Name: JAMES F. GRIMES
Address. 2711 N HIGHWAY A1A APT. H Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL Address: 3054 N US HWY 1
Zip Code: 34949 Fax: City: FORT PIERCE State: FL
Phone No. 305-766-6784 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 ROBERTGRIMESAC ,AOL.COM
from the Owner listed above) State or County License 4426
If wnh.'% of rnncir�fi.,.. F� c�enn _
---------- - -r--- - -• •., - •..........,4... 1--c vi %,vm mil:efilen[ is requires.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
__ _Not Applicable
MORTGAGE COMPANY:
T 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_
_ 1
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OWNER/ CONTRACTOR AFFIDVIT: Application is hereby maae io oaLau1 a fJ& P"3< <U uu--
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 guild the subject structure
stlructure. Pleasle c nsult w with your Hlome owners Associat on andrreviewylaws your deed for any restrictions whichr aor pply �h°t such
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, 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 PALING
TWICE FOR IMpROYEMEENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTi®N. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
i'17TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
C
5 ' - ature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forcniing instn{{p�ant was acknowledged before me
this 7day of N OV ZG .1 by
C
Si ature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The for wing instru nt was acknowledged before me
this day of DV ZQ.q by
Name of person making statement. Name of person making statement_
Personally Known OR Produced Identification
Type of identification
Produced
ature of Notary Public- State of Florida )
Commission No.
REVIEWS I FRONT
COUNTER
VIA
ATE
Personally Known '— OR Produced Identification
Type of ldentif-ication
Produced
of NotaryPublic- State of Florida j
lSAJ MONTENEGRO I d8mmis5ion No.
MY coMMi85i0N R GG 08909
rXPkRES-ADsi 2.2021
VEGETATI
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REVIEW I REVIEW
Certificate of Product Ratinas
AHRI Certified Reference Number: 7548343 Date: 04-22-2019 Model Status: Active
AHRI Type: RCU-A-CB
Series: XR14
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR40251-1
Indoor Unit Model Number (Evaporator andlor Air Handler) : TEM4AOB24S21+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 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 : 24200
SEER: 15.00
EER (A2) - Single or High Stage (95F) : 12.50
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,
Ratings that are accompanied_by_WAS. indicate an involuntary re -rate. The new published rating 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 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, ■ -
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & RIEFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link „-e 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 ' ` —
C2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132004341656412693