HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6-23-2020 Permit Number:
Ono
COUNT
F 1. n A
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
PERMIT TVPE:A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 460 TROPICAL ISLES CIR.
Commercial Residential X
Property Tax ID #: 3410-508-0221-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1) 3.5 TON GRANDAIRE PACKAGE UNIT WITH 10KW ELECTRIC HEAT
CONNECT TO EXISTING 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: $ 4,400.00 Utilities: — Sewer _ Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name JACK GEBBEN Name: JAMES F. GRIMES
Address: 460 TROPICAL ISLES CIRCLE Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: L Address: 3054 N US HWY 1
Zip Code. 34982 Fax: City: FORT PIERCE State: FL
Phone No. 616-834-7763 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 vahip of rnnctrilr+inn is tICnil n.... . nor^nm, w. __ -r -
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If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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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:
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 County 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 Home Owners Association rules, bylaws or andcovenantsthat may restrict or prohibit such
structure. Please consult with your Home 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. 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 THE FIRST INSPECTION. W YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
4 4 . � C
S' ' • ature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF S ec en
The f—ring instrumennt WA- acknowledged before me
thisZ,'>day of 7lAnt_ - _ J 20ZDby
�arn�sGEt 10as
Dame of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
Notary Public- State of Florida
Commission No.
Si ature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The for oing instrument was acknowledged before me
this Bday of hL 2610by
eT
Name of person making statement.
Personally known )< OR Produced identification
Type of Identification
Produced
of Notary Public- State of Florida )
(564AN MONTENEGRO � mmission No.
MY COMMISSION rt GO 0890
EXPIRES: Aaril 2.2021 if
REVIEWS I FRONT . 01WUG
COUNTS REVIEW
DATE
RECEIVED
DATE
COMPLET
5' i ANS VEGETATI
REVIEW I REVIEW REVIEW
SU(50alONTENEGRo
MYGOMMISSI®N GoU69099
& rder3 Th1u ?��W 1_ 'V%, d6cle- 0er5
REVIEW I REVIEW
Certificate of Product Ratinas
AHRI Certified Reference Number: 7492899 Date : 05-22-2019 Model Status : Active
AHRI Type: SP-A
Series : R4IOA AC SPP
Outdoor Unit Brand Name: GRAN DAIRE
Outdoor Unit Model Number (Condenser or Single Package) : WJA442000K—OA
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, Rl, 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 GRANDAIRE product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSIIAHRI 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: 14.50
EER (A2) - Single or High Stage (95F) : 11.50
1 "Acbve" 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.
Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new published_ rating is shown along with the previous fi-e. 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($), 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.ahridirectofy.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; dfssernMated;
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AMI
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.ahridirectory.org, click on `Verify Certificate" link we make 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. ��
OO 2019Air-Conditioning, Heating, and Refrigeration Institute C ECi IFICATE NO.: 132030072975157627