HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-23-2020
COUNTY
F -i .O R .1 D A
Planning and Development services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
PERMITTYPE:A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential X
Address: 211 RIVERWALK APT 6
Property Tax ID #: 1425-566-0006-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1) 3 TON TRANE AIC 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: Sq. Ft. of First Floor:
Cost of Construction: $ 6,73920 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MARGUERITE PRASKAVICH
Name: JAMES F. GRIMES
Address: 211 RIVER WALK APT 6
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE Stater!.
Zip Code: 34949 Fax:
Phone No. 772-579-8383
Address. 3054 N US HWY 1
City: FORT PIERCE State: FL
Zip Code: 34946 Fax: 772-4618722
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.
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone
EEE SIMPLE TITLE FOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State;
Zip: Phone
BONDING COMPANY: _Not Applicable
Etlama•
Address:
r;r„-
Zip: Phone:
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. Luc"le Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict with any applicable Home Owners Association rules, bylaws or antt covenants that may restr�ct�orprohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
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
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUSS` 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 SIEFORE RECORDING YOUR (NOTICE OF COMMENCEMENT-"
OS*4 store of Owner{ Lessee/Contractor as Agent for fawner Si ature of Contractor/License Holder
FLORIDA STATE OF FLORIDA
STATE OF FLORID
COUNTY OF 5� � � COUNTYOF
The fnraning instrument w;m acknowledged before me The forgoing instr�iT�,g nt was acknowledged 6 ore me
this lZday ofQ�4G zoQbY thisday of 1�'t0.'� Y
Q �
Name of person makingstatement,
Name of person making statement.
Personally Known, Produced Identification Personally Known ^OR Produced identification
Type of Identification Type of Identification
Produced
Produced
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Signature ofi Notary Public- State of Florida)
„p:ey (S&gANMONTENEGRO
Commission No. MY GOMMISSIt]N N GG 08f
EXPIRES: Apfil' M21
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REVIEWS FRONT " +
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DATE
RECEIVED
DATE
COMPLET
of Notary Public- State of Florida)
on No.
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REVIEW I 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 Ratings
AHRI Certified Reference Number: 7947764 Date: 03-11-2019 Model Status: Active
AHRI Type: RCU-A-CB
Series : XR17
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR7036A1
Indoor Unit Model Number (Evaporator and/or Air Handier) : TEM6AOC36H31+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 210/240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning S, 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 : 36200
SEER: 17.00
EER (A2) - Single or High Stage (95F) : 13.00
f"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
selking or offering for sale.
Ratings that are accompanied by WAS indicate an involuntary re -rate. The new publishedrating is shown along with the previous (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.ahr1d4ectory.org.
TERMS AND CONDITIONS
This Certificate and its Contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and
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confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;
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entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual,
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personal and confidential reference, AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be veelfied 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.
U2019Air-Conditioning, Heating, and Refrigeration Institute FERTIFICATE NO.: 13196805386"64787