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HomeMy WebLinkAboutBuilding Permiot ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1/24/2020 Permit Number: J 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 PERMIT TYPE:A/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address. 7032 WILLOW PINE WAY Property Tax ID #: 3322-621-0054-000-8 Site Plan Name: Project Name: Commercial Residential X Lot No._ Block No. I DETAILED DESCRIPTION OF WORK: I LIKE FOR LIKE REPLACEMENT OF (1) 3 TON TRANE A/C SYSTEM, 17 SEER WITH 8 KW ELECTRIC HEAT. CONNECT TO EXISTING REFRIGERANT LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC. I CONSTRUCTION INFORMATION: I Additional work to be performed under this permit —check all that apply: ,)(Mechanical _ Gas Tank __.. Gas Piping _ Shutters — Electric _ Plumbing Total Sq. Ft of Construction: Cost of Construction: S 5,035.00 Sprinklers ___. Generator Sq. Ft. of First Floor: Windows/Doors Roof Pitch Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name WILLIAM KERN Name- JAMES F. GRIMES Address: 7032 WILLOW PINE WAY Company: GRIMES HEATING AND AIR CONDITIONING City: PORT SAINT LUCIE State: f,. Zip Code: 34986 Fax: Phone No. 269-762-2408 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@AOL.COM State or County License4426 it vague ur construction is �,tsuu or more, a Ktc:UKULu Notice ar commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Not Appl !Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER, Not Applicable Name: Address: Citv: Zip: Phone: — MORTGAGE COMPANY: Name: Address: City: Zip: Phone: Not Applicable State: BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the worst and installation as inaicarea_ 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 structure. ture. Pleasle consult w with your Home OwHome ners Assoc Association iandrreviewyyour dews ored facovenants any restrict that whirestrict h a oapply- In prohibit such Y consideration of the granting of this requested permit, I do hereby agree that 1 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 OWNEW. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR LAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMM04CEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT_" 5 attire of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA t COUNTY OF S u g.. The f--ruing instrument wa acknowledged before me this'1LJ.day of -_T V., 20ZQ by Name of person making statement. Personally Kn(iwn''^^�OR Produced Identification Type of Identification Produced Signature of Notary Public- State of Florida } Commission No. ;, °: (SCAN MONTENEGRO t MY COMMISSION n GG OU ,tea` EXPIRES: ril 2, 2QZi oc...� 1911 Fu V rl m REVIEWS FRONT COUNTER REVIEW REVIEW DATE RECEIVED DATE Sa ature of Contractor/License Holder STAVE OF FLORIDA 4 COUNTY OF_ S-7--- LGt4e _ The forgoing instrument was acknowledged before me Z this day of :;:�)N 2610by Name of person making statement. Personally Known )< OR Produced identification Type of identification Produced of Notary Public- State of Florida ) on No. ;" PiF •,, SUaail�NiENeGRO _ _ _-. MY CO?rll�ilSi?IdN � CMG 089Q99 �34c nru Nobry Nt4" UndeNff'Ws 'CLANS I VEGEfATI REVIEW REVIEW REVIEW REVIEW This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Certificate of Product Ratinas AHRI Certified Reference Number: 8676079 Date: 03-01-2019 Model Status: Active AHRI Type: RCU-A-CB Series: XR16 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TIR6036J1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4AOC42S41+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, Perfonnance 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 : 36400 SEER: 17.00 EER (A2) - Single or High Stage (95F) : 14.00 t"Active" Model Status are those that an AHRI Certification Program Particpant is currently producing AND selling of 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 nied by WAS indicate an involuntary re -rate. The new published rating is shown along with the Drevious 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 & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridlrectory.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. 131959243422026158 ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: