HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5-20-2020 Permit Number:
] S
06 TY
s R I 1
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34.982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
PERMITTYPE:A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: -5-I s1 it:I UtN I LH TERR.
Property Tax ID #: 1429-312-0001-000-5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial X Residential
Lot No.
Block No.
LIKE FOR LIKE REPLACEMENT OF (1) 5 TON RUN TRU AIC SYSTEM, 14 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 i Plumbing — Sprinklers — Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4,999.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name DECORLIS DEVLOPMENT Name: JAMES F. GRIMES
Address: 3131 JET CENTER TERR. Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State:+. Address: 3054 N US HWY 1
Zip Code: 34946 Fax: City: FORT PIERCE State: FL
Phone No. 330-235-2341 Zip Code: 34946 Fax: 772-461-8722
E -Mail: NIA 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
..VU — HQ bW113U N417L11 a .7LJVU VI FFIUFe, a nvLvrcuzu ivouce OT Lommencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPL # EN3A CflN ftt l I� l N 1 UU41A�
0!Rl--W
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
_ s_ .i.
4 i.,eta{I�tinn ac inriirnf-d
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made is doudi64 d j,ci <<„< <U -
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
structure. Pleasecconwith
sult with applicable
Home OwOwners
ers A soc Association and revieub+ryyour deed r arty restrictions ionswrestrict
ich r may apply bit such
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 MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE TIME FIRST INSPEE-noN. IF YOU INTEND TO OB'T'AIN FINANCING, CONSULT
vvff14 YnUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT-"
Aature of Owner/ Lesseef Contractor as Agent for Owner
STATE OF FLORIDA t
COUNTY OF ST' ct e—
The €nraning instru of wac acknowledged before me
this day of f7i• Zo Ziby
7 v IF GTiiA&
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
Signature of Notary Public- State of Florida 1 U
a'v '• (S&KAN MONTENEGRO
Commission No. °" + = MY GOMmiSSION n GG He
s EXPIRtis: April 2.2021
REVIEWS I FRONT "ZONTINb Jur=nvia
COUNTER REVIEW I REVIEW
RECEIVED
UA -TE
COMPLETED
' C
Sr ature of Contractor/License Holder
STATE OF FLORIDA
COUNTY DF
The for oing instrument was acknowledged before me
this day of 20]by
9r- � % -
Name of person making statement.
Personally Known ) OR Produced Identification
Type of Identification
Produced
of Notm Public- State of Florida )
mission No . :F su dAp.N f tlYC oRu
MY CQmwnl()�4 4 Gay 089099
BoNie§ Thnu N4 rf Pubk ur larm't
`CLANS I VEGETRTI - • wewsr
REVIEW REVIEW REVIEW REVIEW
Certificate of Product Ratinas
AHRI Certified Reference Number: 204599822 Date : 01-16-2020 Model Status: Active
AHRI Type: RCU-A-CB
Outdoor Unit Brand Name: RUNTRU
Outdoor Unit Model Number (Condenser or Single Package) : A4AC4060A1
Indoor Unit Model Number (Evaporator and/or Air Handler) : A4AH4E60A1 C3
Region : All (AK, Ai_, 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 RUNTRU 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 : 55000
SEER: 14.00
EER (A2) -Single or High. Stage (95F) :11.70
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 briger producing BUT is still
selling or offering for sale.
Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (Le. WAS) ratina.
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 AFA_
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 indrviduai,
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information far the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link Nve 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.
@202QAir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132236734030676089