HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-3-20 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
PERMIT TYPE: A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 5504 SEAGRAPE DR.
Property Tax ID #: 3402-609-0068-000-6
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial Residential X
Lot No.
Block No.
LIKE FOR LIKE REPLACEMENT OF (1) 4 TON TRANS A/C SYSTEM, 17 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: 5q. Ft. of First Floor:
Cost of Construction: $ 5,825.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
Name PAUL AND THELMA DENISON
CONTRACTOR:
Name: JAMES F. GRIMES
Company: GRIMES HEATING AND AIR CONDITIONING
Address: 5504 SEAGRAPE DR
Address: 3054 N US HWY 1
City: FORT PIERCE State: L
Zip Code: 34982 Fax:
Phone No. 772-528-2454
E-Mail: NA
City: FORT PIERCE State: FL
Zip Code: 34946 Fax: 772-461-8722
Phone No 772-461-8711
E-Mail ROBERTGRIMESAC@AOL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
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
State or County License 4426
Commencement is required.
is required.
UC]t�%tvrn/GlrVavr..... �—
Name:
Address: State:
City: Phone
Zip:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip:
MORTGAGE COMPANY: Not Applicable
Name:
Address- State:
City: phone:
rip: __.
BONDING COMPANY: Not Applicable
Name:
Address:
city.
Zip:—Phon,
bmade to obtain a permitto do the work and
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permitvili authorize thep-
ect
lienta Home Owners granting
a permit
rules, bylaws or and covenants that may restrict or prohibit such
w Lucie Count makes no representation that is grantiAS ng a and review b your deed for any best fictions which er to build emay ,apply- structure
which is in conflict with any applicable perform the work
structure. Please consult with your Home Owners Association
In consideration of the approved of this plans, the Florida Building Codes equested permit, I do dand St. Lucie agree County, in ali respects, Amendments.
in accordance with the app encV review: room additions,
The following building permit applications are exempt #ram undergoing a full accessconcuory
us
ial use
accessory structures, swimming pools, fences, walls, signs, screen ro � � Q �C another EMENT MAY ESVtT INtYOUR
PAYING
RDED
ND
"WARNING TO OWNFJR. YOUR FAILURE TO RECORD A ROPERTY. A NOTICE OF TO OBTAIN MU FINANCING, CONSULT
TWICE FOR IMPROVEMENTS To RE YOUR
FIRST INSPECTION. IF YOU IINTEN CEMENT AIN A CINRELG
POSTED ON THE JOB SITE BEFORE
WITH YOUR LENDER OR AN ATTORNEY 1BEFDI2E RECORDING YOUR NOTICE OFCOMII9ENCEMEN3_
S ature of Owner/ LesseeJContractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The fnraning instrumPilt wa` acknowledged �� by re me
this � day of
Name o#person making statement.
personally Known OR Produced Identification
Type of identification
Produced
Notate ry public- State of
,o ; Pu MyAN MIsON GG INONTENF-GR�
Commission No. _
KYpiprR- A6iii 2,2021
REVIEWS I FRONT LUtvr+u%a REVIEW
COUNTER REVIEW
Si ature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instru ment was acknowl ZBge�y re me
this , day of
oaa f- ► c
Name of person making statement.
Personally Known % OR Produced identification
-type of Identification
Produced
of Notary Public- State of Florida i u
n No.=•'�:k`F-,, su(���wT�ht;uR0
MY C()MMI,9aI0N 9 CIO 089N9
lliru Noy' Pt t3idefwidet5
;,qNS VEGETATI REVII W REVIEW
REVIEW REVIEW
CEO
Certificate of Product Rati
S
AHRI Certified Reference Number: 202274125 Date: 03--26-2019 Model Status : Active
AHRI Type: RCU-A-CB
Series: XR17
Outdoor Unit Brand Name : TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR7048B1
Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM6A0C48H41+TDR+UFIHRZ
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 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 : 48000
SEER : 17.00
EER (A2) - Single or High Stage (959 : 13.00
now
ls
are
"Active" Model Statusy are those that an AHRI Certification Program Stopped' Model StatusParticipant
are those that anAHRI Certiucing pcation Program selling or Participang for lnt isOnn longer producing that
BUT being
sgstill
marketed but are not yet being produced.°Prnduccion
selling or offering far sale.
Ratin s that are accom anied b WAS indicate an involuntary re -rate. The new ublished ratin is shown aloe with the previous i.e. WAS rattn .
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 shalt 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, to 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 we make life better -
The information for the model cited on this certificate can be verified at www.ahridlrectnry.org, click on "Verify Certificate" link
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.: 131980834375155069
02019Air-Conditioning, Heating, and Refrigeration Institute