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ROUNDTREE PERMIT APP - 2105 N 42ND STREET
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 2-4-2020 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: 2105 N 42ND STREET Property Tax ID #: 1431-802-0041-000-8 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Commercial _ Residential X Lot No. Block No. LIKE FOR LIKE REPLACEMENT OF (1) 2.5 TON TRANE A/C SYSTEM, 15.5 SEER WITH 5 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: $ 5,112.00 Utilities: _Sewer Septic Building Height: OWNERAESSEE: CONTRACTOR: Name CELESTINE ROLINDTREE Name: JAMES F. GRIMES Address: 2105 N 42ND STREET Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State: F%_ Address: 3054 N US HWY 1 Zip Code: 34946 Fax: City: FORT PIERCE State: FL Phone No. 772-466-1824 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 5z5uu or more, a KtLUKUMJ IVV[IGC VI %_Ununcn%.c111cnL o —4-1— If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. "sI�I1tlLIdt4li1.1`?`ilT1�klE�1\1VIt�-F L]ESIGNER/ENGINEER: _ Not Applicable ,MORTGAGE COMPANY: _ Not Applicable Barrie: fume: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER; Not Applicable BONDING COMPANY: _Not Applicable Name: Dame: Address: Add ress: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made I certify that no work or installation has commenced prior to the to obtain a permit to do the work and installation as indicated. issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure structure. Pleaslecconsult with your Home OwnersAssoc ation a d rev ew bylaws ur deed for any re tr et ons which may appky lilt such In consideration of the granting of this requested permit, I do hereby agree that l 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 OWNE18: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR BAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDE13 AND POSTED ON THE JOB SITE BEFORE TIME FIRST INSPECTION. IF YOU INTEND TO OBTAIN RNANCINC, CONSULT _rrm vfm in ® r-ninr-i2 nR AN ATTORNEY 13EFORE REcoRDINC YOUR NOTICE OF COMMENCIEMENTf S' Aature of Owner/ Lessee/Contractor as Agent far owner STATE OF FLORIDA t COUNTY OF : 'T �c The 'n—ing Instrument was acknowledged before me this IL day offf G' 11&gLJ 207,0 by pus T_7 Name of person making statement. Personally Known__OR Produced Identification Type of Identification Produced )siAat7e�ofCotntractor/License Holder STATE OF FLORIDA COUNTY OF _ 'e e- The fing instrument was acknowledges[ before me qr w this day of Fe 6 ru a rV, 20 Z—Oby -T�aras 17- 6-1 Name of person making statement. Personally Known_ OR Produced Identification Type of identification Produced ignature of Notary Public- State of Florida } nature of Notary Public- State of Florida) ti ,�, { AlON3ENi GRO mmission No :::P F ,, Su(sa TEN;3R0 Commission No.= Y COMMISSION rr GG }4Si19 _ My C0.MMISdIO�� # C6 U890J9 zv EXP1RE5: 02.2021 = ' oF:t Lary r rd ml = Son i! fhNf ryPubkK Wecw elt REVIEWS FRONT — NS VEGETATI - COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW RECEIVED DATE Certificate of Product Ratings AHRI Certified Reference Number : 8676077 Date : 03-20-2019 Model Status : Active AHRI Type: RCU-A-CB Series: XR16 Outdoor Unit Brand Name : TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR603OJ1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4AOB3OS31+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 t, 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 : 28800 SEER: 15.50 EER (A2) -Single or High Stage (95F) : 13.00 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 'Fr still selling or offering for sale. Ratings that are accompanied by WAS indicate an invoiuntary re -rate. The new published ratina is shown alono with the previous fi_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. TIR, NETTING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE 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. ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: �s�s�s7sas�az4�ez