HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-23-2020
V
COUNTY
F L O R I D A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1.553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
PERMITTYPE:A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 3200 N HWY AIA #908
Property Tax ID #: 1425-600-0084-000-2
Site Pian Name:
Project Name:
Commercial Residential X
Lot No.
Block No.
[DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1) 2 TON TRANE A1C SYSTEM, 14 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 i Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 5,500.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER%LESSEE:
CONTRACTOR:
Name EDITH KARSKY
Name: JAMES F. GRIMES
Address: 3200 N HWY Al #908
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34949 Fax:
Phone No. 860-306-4641
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 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:
f1ty:
Zip: Pho
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone
Not Applicable MORTGAGE COMPANY: _ blot Applicable
Name:
State
Not Applicable
Address:
City: State:
Zip: ^ Phone:
BONDING COMPANY: —Not Applicable
Address_
r•;+,,.
Zip: Pho
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit -
St. Lucie Countyy_makes no representation lla�' v granting
Assoclatdonk rulesill al�ylaws or and caUenantder s that maydCestnctthe bor prct ohibit such
which is in leas c with any app y apply.
structure. Please consult with your Home Owners Association and review your deed for any restrictions which ma a i .
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, walls, 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 PAYING
VICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WIYRi YOUR L ENi3ERt ®R2 AM ATTORNEY BEFORE RECORDING YOI<JR NafDTIiCE OF COMMENCEMENT-"
S' ature of Owner/ Lessee/Contractor as Agent far Owner
STATE OF FLORIDA r
COUNTY OF S rt
The'tnrrming instrum—t wis acknowledged before me
thisZ.,day of � .dUr 20 by
Name of person making statement.
Personally Known 2s OR Produced Identification
Type of Identification
Produced
Signature of Notary Public- State of Florida } U
,c, (SghgAN MONTENEGRO
Commission No. My COMMISSION 4 GG OM
= :
EXPIRES: tit 2 2021
tary �
REVIEWS FRONT
COUNTER REVIEW REVIEW
DATE
DECEIVED
BATE
COMP LET
�Sjature of Contractor/License Holder
STATE OF FLORIDA 4
COUNTY OF�
The for oing instrum nt was acknowledged before me
this ja day of -. ZBZ.Oby
aIe
i ame of person making statement.
Personally Known )< OR Produced Identification
Type of Identification
Produced
re of Notary Public- state of Florida j
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L a ' MYCOMkIl:51(7rE# 069H9
Band�111tru I�:(ary P�:�li� Un�rivrrtery
i --BANS# VEGE T ATI REV1F1r"J REVIEW
REVIEW i REVIEW
Certificate of Product Ratings
AHRI Certified Reference Number: 203459901 Date : 03-23-2020 Model Status : Active
AHRI Type: RCU-A-CB
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR4025L1
Indoor Unit Brand Name: TRANE
Indoor Unit Model Number (Evaporator and/or Air Handler). TMM4BOA24S21SAA
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 (95F), btuh : 23600
SEER: 14.00
FER (A2) - Single or High Stage (95F) : 12.20
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 now published ratio is shown al= with the previous (i.e. WAS) raftno.
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 tnto 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 far the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we make life bener-
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. 432294339277599816
02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: