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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5-26-2020 IC-'nui NY 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: Address: 5919 NICOLE LANE Property Tax ID #: 1312-502-0044-000-2 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Commercial Residential X Lot No. Block No. LIKE FOR LIKE REPLACEMENT OF (1) 3.5 TON TRANE A/C SYSTEM, 16 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: Cost of Construction: $ 5,400.00 Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: Name ARTIE VAUGHN Name: JAMES F. GRIMES Address: 5919 NICOLE LANE Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State: FL Zip Code: 34951 Fax: Phone No. 772-321-7682 Address: 3054 N US HWY 1 City: FORT PIERCE State: FL Zip Code: 349465 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 REcORutu ivotice OT [Ammencement is requireu. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. Not 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: — Phone:, mad to obtain a permit to da the wont and installation as indicated - OWNER/ CONTRACTOR AFFIDVIT: Application is hereby m I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Cauntt�v makes no representation that is granting a permit will authorize the permit holder at build the subject structure w ch ire Please consult with applicable Home Owers Association andrrov�ebylaws r deed forany re at ions which may apply prohibit 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 coneurrenus review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use "WARNING TO OWNEW. E ENTFAILURE I N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMEINCEME11 T MUST B RECORDED AND BEFORIE THE FIRST INspECT110N. IF YOU O POSTED ON THE ER ORSUE AN ATTORNEY BEFORE. RECORDING YOUR NOTICE F COMMENCEMENTItlCiNG, CONSUL Y►'ITH YOUR LEND c S' attire ��ofow�ner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF The fnroning instri ant wac acknowledged before me this ►day of �. 20by -a "F Cni AA 0 Mame of person making statement. Personally Known_OR Produced Identification Type of Identification Produced Signature of Notary Public- State of Horiaa ] V (Sg4AN MONTENEGRO Commission N©. My COMMISSION ' GG 089 . EXPIRES: ril 2, 2021 soFr' A� Dry !C I14P,M REVIEWS FRONT COUNTER REVIEW REVIEW � ;soiatulrfe of Contfractor/License Holder STATE OF FLORIDA - COUNTY OF The for Dingiinstrumentwas acknowledged before me this day of S' C�t Name of person malting statement. Personally Known —c—OR Produced identification Type of identification Produced of {Votary Public- State of Florida ) 31D,14TENEGRO .. _ '° 'e hdY C{7MMi��lflhi # CSG f1E1969tJ Zanded Thru hL> rp P66, uft65 yr Vs ;-'*ANS VEGETATI + '""'A - REVIEW REVIEW REVIEW 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: 8703699 Date : 03-01-2019 Model Status : Active AHRI Type : RCU-A-CB Series : XR16 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6042J1 indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4AOC42S41+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, VVI, 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 TRANS product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSVAHRI 210/240 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 : 41000 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 t"Active" Madel 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 ar offering for sale. Ratings that.'.accomAaNed by WAS indicate an involuntary re -rate The new published rating is shown along with the previous fi.e. WAS} ratino. 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; MM entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AIR personal and confidential reference. FRIG AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we make life I3etter- 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. 131959228876420661 o2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: