HomeMy WebLinkAboutBuilding PemitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6-1-2020 Permit Number:
J s
•
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:�rC CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 1520 S BROCKSMITH ROAD
Property Tax ID #: 2317-113-0000-000-6
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial Residential X
Lot No.
Block No.
LIKE FOR LIKE REPLACEMENT OF (1) 3 TON 2 -STAGE TRANE AJC 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: $ 6,115.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
Name PETE AND LINDA HAYS
Address: 1520 S BROCKSMITH ROAD
City: FORT PIERCE State's
Zip Code: 34945 Fax:
Phone No. 772-216-1215
E -Mail: NA
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: JAMES F. GRIMES
Company: GRIMES HEATING AND AIR CONDITIONING
Address: 3054 N US HWY 1
City: FORT PIERCE State: FL
Zip Code: 34946 Fax: 772-461-8722
Phone No 772-461-8711
E -Mail ROBERTGRIMESAC@AOL.COM
State or County License 4426
----- ,•. ••••• •.... .......,...t.w ..w =,a ULU IMULILe u1 t-ummencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLI"l,ENT-A SNS � ,1411!11 rWF[3 IUf�T UN
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
Nat Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Horne Owners Association rules, bylaws or andcovenantsthat may restrict or prohibit such
structure. Please consult with your Horne 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: roam 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 THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
S' ' ature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF S Y L cc d_ -
The f-ing instrument wa¢ acknowledged before me
this +day of 7TU ZO tp by
7:1a F � i
Name of person making statement.
Personally Known_OR Produced Identification
Type of identification
Produced
of Notary Public- State
Commission No.
C
S1 ature of Contractor/License Holder
STATE OF FLORIDA
COUNTYOF
The forgoing instrument was acknowledged before me
this day of �`IL(Y'1� 200 by
Name of person making statement.
Personally Known � , OR Produced Identification
Type of identification
Produced
/}�J
of Notary Public- State of Florida )
(SAgAN MONTENEGRO Immission No.
MY COMMISSION # GG 08903
C-XPIRES: April2.2021
REVIEWS I FRONT ZDNTffG
COUNTER I REVIEW
DATE
TE
MPI.ETED
"FLANS VEGETATI
REVIEW REVIEW REVIEW
S1JPfllENPNTENii3KU
MY COMMISSION # GG 06M
CY
c.
3x�ktf Tb u #�5 ry Public U k7efw 1E
REVIEW I REVIEW
This combination qualifies for a f=ederal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
Certificate of Product Ratin"Lft-
AHRI Certified Reference Number: 7947764 Date: 03-11-2019 Model Status: Active
AHRI Type: RCU-A-CB
Series: XR17
Outdoor Unit Brand Name: TRAIN
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR7036A1
Indoor Unit Model Number (Evaporator andlor Air Handler) : 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 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 : 36200
SEER: 17.00
EER (A2) - Single or High Stage (95F) : 13.00
t"Active" Model Status are those that an AHRI Certiftation 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.
Ratings that are accompanied by WAS indicate an involuntary re -rate. The new Published rating is shown alono with the Previous (i.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;
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, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahrfdlrectory.org, click on "Verify Certificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better"
which is listed above, and the Certificate No., which is listed at bottom right.
02019Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 131968on$64464187