HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11-6-19 Permit Number:
i
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 -GUT
PROPOSED IMPROVEMENT LOCATION:
Address: 6686 PICANTE CIR
Property Tax ID #: 1306-500-0214-000-0
Site Plan Name:
Project Name:
Commercial Residential X
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1) 3 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 _ 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: $ 5,742.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name BRIAN VAN NEST
Name: JAMES F. GRIMES
Address: 6686 PICANTE CIR
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: l
Address: 3054 N US HWY 1
Zip Code: 34951 Fax:
City: FORT PIERCE State: FL
Phone No. 770-546-4629
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 value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
Name:
Address: City: State:
Zip: ^^ Phone
FEE SIMPLE TITLE HOLDER; ^ Not Applicable
Name:
Address:
City:
Zi Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
State:
City:
Zip: _— Phone:
BONDING COMPANY:
Name:
Address:
City.
Zip: � phone.
__Not Applicable
p ----
ation is hereby made to obtain a permit to do the work and in
OWNER/ CONTRACTOR AFFIDVIT: Appstallation as indicated.
lic
I certify that no work or installation has commenced prior to the issuance of a permit,
entaHome Owners Association rules, bylaws ar and covenants that may restrict or prohibit such
5t. Lucie Cauntyr makes no representation that is granting a permit will authorize the comet hoiden to build the subject structure
which is in conflict with any applicable
structure. Please consult with your Homeowners Association and review Your steed for any restrictionerform the wos which may rk
apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, p
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 concurrencyereview:
roo r nonadditions,
ntial use
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory
YRESULT IN YOUR PAYING ICE OF COMMENCEMENT ND
"WARNING TO OWNER: YYOURFA►ILU YOUR PROPERTY. A NOTICE OF CC"MENC MENITMUST BE RECORECORDEDA
TWICE FOR IMPROVEMENTS TO
POSTED ON THE JOB SITE BEFORE THE FORE � NI
FIRSTINSPECTIRECOON. IF G YOUR NOTICE OTIC aF ChMM CEMENT."END TO OBTAIN FINANCING, CONSULT
WITHY®UR LENOEI� OR AN ATTORNEY
C
�SAature ��OfOwn�erlLess�eejContiractor s Agent for Owner
STATE OF FLORIDA
COUNTY OF 5
The fnrvning lnstru nt wac acknowledged before me
this _,Vday of 204 9 by
011
S ,azure of Contractor/License Holder
STATE OF FLORIDA R
COUNTY OF_ Z—
The f rgoing 'instruipint was acknowled e d before me
this day of 1A
by
Name of person making statement -
Name of person making statement. d d identification
Personally Known _OR Produced lderitiflution
Type of Identification
Produced
Signature of Notary Public- State of Florida I
a: eG (S AN MONTENEGRO
Commission No. My COMMISSION # GO DU
ra EXPIRES: 612.2021
i lary IC nduy
REVIEWS FRONT
COUNTER REVIEW REVIEW
RECEIVED
DATE
COMPLET
Personally Known °_OR Pro uce
Type of identification
Produced
Iature of (Votary Public- State of Florida) �►
No.Su003JDNTENEGR0 —
mission hey COMMI;SIbN # CMG 089099
•=;E ..:. - P.arxlc� Tltns Na ry Pi:�iC llndetwr�iets
'"FLANS VEGETATI REVIEW REVIEW
REVIEW REVIEW
Certificate of Product Ratings
AHRI Certified Reference Number: 201763703 Date : 03-06-2019 Model Status: Active
AHRI Type: RCU-A-CB
Series: XR16
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6036J1
Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4AOB36S31 +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, MID, MS,
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, Rl, 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 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 : 33400
SEER: 15.00
EER (A2) - Single or High Stage (95F) : 12.50
fi"Active" Model Status are those that an AHRI Certification Program Participant is currenity 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.
Ratin s that are accom anied b WAS indicate an involunta re -rate. The new ublished ratin is shown alon with the revious i.e. WAS rafin .
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 productts) 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.abridirectory.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; A. `. IL1
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.ahvidirectory.org, click an "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. 131963822825735307
02019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE N�..