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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 03-31-2020 Permit Number: LOL814 Am Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, fort Pierce FL 34962 Phone: (772) 4621553 Fax: (772) 462-1578 Building Permit Application PERMITTYPE:p/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address: 5163 N HWY Al #319 Property Tax ID #: 1411-708-0013-000-2 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Commercial Residential X Lot No.— Block No. LIKE FOR LIKE REPLACEMENT OF (1) 2 TON TRANE A1C SYSTEM, 14.5 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: $ 4,485.00 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name VICTOR MOLINA Name: JAMES F. GRIMES Address: 5163 N HWY A1A #319 Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State:FL Address: 3054 N US HWY 1 Zip Code: 34949 Fax: City: FORT PIERCE State: FL Phone No. 561-315-8993 Zip Cade: 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 $7,500 or more, a RECORDED Notice of Commencement is required. iu�ai.a4•L�1�Ll�1Ma��rr.... Name: Address: State: City: Zip: Phone FEE SIMPLE TITLE HOLDER; _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable N8rr1E: Address: State: City: zip: phone: �- A BONDING COMPANY: —Not Applicable Name: Address: City. Zip:. Phone: n is hereby made to obtain a permit to do the work and installation as indicated. OWNERJ CONTRACTOR AFFIDVIT: Applicatio I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure which sin coase con with €tapplicablle omeOw Ars ssoc�apion �andrreviewyyour laws deed for any res restrictions ons which aor aprohibit p y obit such structure. In consideration of the granting of this requested permit, l do hereby agree that l will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, wails, signs, screen rooms and accessory uses to another non-residential use RESULT IN YOUR PAYING `9wARNING TO O1�WNER: YOUR FAILURE TO RS TO YOUR PROPERTY. ATDiOTICE OF COM MEN ICE OF COMMENCEMENT Y MUST BE RECORDED AND TWICE FOR IMPROVEMENTSIN IF YOU To OBTA POSTED ON THE JOB SITE THE FIRST INspECTIION. BEFORE RECORDING YOUR 1�IOTI�CIE O� COMM'" I- CONSULT WITH YOUR LENDER Illp S' ' ature of Owner( Lessee/Contractor as Agent for Owner STATE OF FLORIDA t COUNTY OF t37-1 The morning instru k-nt wac acknowledged before me this*day of 20*ZQ by Name of person making statement. Personally KnownOR Produced Identification Type of identification Produced Signature of Notary Public- State of�Fllori ; �,? , 'X ($ �AN MONTENEGRO Commission No. My COMMISSION n GG O ECPIKS; N 2 221 `�Iy� iC Wv REVIEWS FRONT COUNTER REVIEW REVIEW RECEIVE (TATE COMPLE ev.. C Sr ature of Contractor/License Holder STATE OF FLORIDA R COUNTY OF The forgoing instru ent was acknowle�do before me by this day of iG �Ck Name of person making statement_ Personally Known )_C OR Produced identification Type of identification Produced of Notary Public- State of Florida ) No. SiJ albNTFNEGRO Fr, r�, r..::4YCC]1JiMih�a�i�r�GOi1�499 5N4.d Thri PA;(ary KSS 0WGfWVets °°7?`L4NS VEGETATi REVIEW REVIEW REVIEW REVIEW Certificate of Product Ratings AHRI Certified Reference Number: 202409877 Date: 03-11-2019 Model Status: Active AHRI Type: RCU-A-CB Series: XR14 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR40251-1 Indoor Unit Model Number (Evaporator and/or Air Handler) : GMV2APB26 Region: All (AK, AL, AR, AZ, CA, GO, 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 ANSIfAHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary Ail -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 : 22600 SEER: 14.50 EER (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. Ratin s that are accompanied ti WAS indicate an involunta re -rate. The new ublished ratin is shown alon with the revious i_e. WAS ratin . 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.abridirectory.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; NOWNWJk entered into 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 for the model cited on this certificate can be verified at www.a hridirectory.org, click on "Verify Certificate" link we make lire 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. 131968052021636594 ©2019Air-Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: