HomeMy WebLinkAboutHAZELLIEF PERMIT APP - 8202 PENNY LANEAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-24-2020 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
PERMITTYPE:A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 8202 PENNY LANE
Commercial Residential X
Property Tax ID #: 1301-608-0170-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
[DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1) 2.5 TON TRANE A1C SYSTEM, 15 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: $ 4,471.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name JANETTE HAZELLIEF Name: JAMES F. GRIMES
Address: 8202 PENNY LANE Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL. Address: 3054 N US HWY 1
Zip Cade: 34951 Fax: City: FORT PIERCE State: FL
Phone No. 772-461-0703 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 $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: Not Applicable
Name:
Address.
City: State:
Zip: - Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address: state:
City:
Zip: . Phone:
BONDING COMPANY: __Not Applicable
Name:
Address:
City:
Zip:
A.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicate
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 build the subject structure
which is in coniconsultny appli able oOwpe s Assoc afi is nd reg rules, b your deed far araY reStrthat ns which aor
aprohibit
p y ibit such
structure' Pleaseagree that t will, in all respects, perform the work
In consideration of the granting of this requested permit, I do hereby
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,
swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residentiai use
accessory structures,MAY RESULT IN YOUR PAYING
CE OF
"Wl®Iifl11119C TO OWNER'OUit FAILUREYOUR Pit®1'ERTYOTI
.A NOTICE OFMMENCEMENT COMMENC COMMENCEMENT MUST BE RECORDED AND
VICE FOR IMPROVEMENTS TOOBTAIN
POSTED ON TI E JOB SITE BEFORE THE
B EEEIRST INSPECTION. IF YOU IEND TO
OIZE l ECOIFDIf1iG YOUR ®TRS OAF COMMEl ICEM1ENTTMCIMG, COi�151JL
WITH YOUR LENDER OR AN A
F
erj Lessee/Contractor as Agent for owner
RiDA t�
COUNTY OF
The fnra ing instrument wac acknowledged before me
this'+day of l� 20_ZpbY
o� t Awe
Name of person making statement.
Personally Known --OR Produced identification
Type of identification
Produced
ofof Notary Public- State of
Si ature of ContractorjLicense Holder— -
STATE OF FLORIDA -
COUNTY
Thef0
mr oing instruwas acknowledged before me
thisby
day of
Name of person making statement -
Personally Known OR Produced identification
Type of Identification
Produced _
of Notary Public- State of Florida ]
Y' IS #,JAN MONTENEGRO mmission No.
Commission No. My COMMISSION 9 GG 0890
F�PlRES: rill2021
ocr'4` rEl ia� V' rr0�twni.
N5 VEGETATI
REVIEWS FRONTREVIEW REVIEW REVIEW
COUNTER REVIEW
COMPLETED
SU(SOa1�NTE rEGRO
My r'O MISSION 9 GG 099N9
B.1Na T U Ide ay P�yk v Uncetwrte 5
REVIEW REVIEW
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) : 4TTR6030J1
Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4AOB30S31+TDR
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, Hl, 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 : 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 is still
selling or offer ng for sale.
Ratin s that are accom anied b WAS indicate an involunta re -rate. The new published rating is shown alon with the previous re. WAS rating
DISCLAIMER
AHRI does not endorsethe 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 Ila bility 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 fisted 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, N INSTITUTE &REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "verify Certificate" link we ❑,akc 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. 1 31 97578431 42471 82
G2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: