HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6-29-2020
- '.i =
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: 6803 WADSWORTH TER
Property Tax ID #: 3415-705-0035-000-1
Site Plan Name:
Project Name:
Commercial Residential X
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1) 4 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
Electric
Total Sq. Ft of Construction:
Gas Tank Gas Piping
Plumbing _ Sprinklers
Cost of Construction: $ 5,200.00
Shutters
Generator
Sq. Ft. of First Floor: _
Windows/Doors
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROBERT POHORENCE
Name: JAMES F. GRIMES
Address: 6803 WADSWORTH TERR.
Company: GRIMES HEATING AND AIR CONDITIONING
City. PORT SAINT LUCIE State: F�_
Zip Code: 34952 Fax:
Phone No. 772-236-9764
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: 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 RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
licable
Not Applicable MORTGAGE COMPANY: Not App
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Address:
City:
Zip: Phone:
Name,
Address:
City:
Zip: _ Phone:
BONDING COMPANY:
Name:
Address:
City.
Z+p. — Phon+
State:
Not Applicable
on +s hereby made to obtain a permit to do the work and installation as indicated -
OWNER/ IrONTRACTOR AFFITJVIT: Appl+cat+
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 autlawrs or and covenn holder that may rests resjecttrict prohibit such
W is in conflict with any applicable Home Owners Association rules, by
structure. Please consult with your Home owners Associat+on 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 pians, 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 HE RECORD® AND
P05Tlf» ON THE JOB SITE BEFORE THE INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE REC~ORiO1NG YOUR NOTICE OF COMMENCEMENT-"
F-ature of Owner/ Lessee/Contractor as Agent for Owner
OF FLORIDA
COUNTY OF
The fnrorning instrument waa acknowledged before me
this I*day o 1 2 2B 7_0 by
avwts � ��S
Name of person making statement.
Personally KnownOR Produced Identification
Type of identification
Produced
gnature of Notary Public-
; istate of Florida) U
c,: (S AN MONTENEGRO
Commission No.
MY COMMISSION n GG OSf
u EXPIRES: x12,2021
ocr; t2fl/ is WON
REVIEWS FRONT
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
si ature of Contra ctorjLicense Holder
STATE OF FLORIDA
COUNTY OF_ �--
The forgoing instrument t was acknowledged re me
this�dayoftt0tc=ed
by
_ a rrn,e s IF r ---
Name of person making statement.
Personally Known )!� OR Produced identification
Type of Identification
Produced
of Notary Public- State of Florida)
mrnission No. SU aJD'4TENE'RO
€ y COPAMISSION # GG 089N9
Bz� Tltn Nejary PL%, U6deiw rt ft
"PLANS VEGETATI"
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: 8676081 Date :03-12-2019 Model Status : Active
AHRI Type: RCU-A-CB
Series: XR16
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6049J1
Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4AOC48S41+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, 2416 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 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 : 46500
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.50
t"Active" Mode! 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.
Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (i.e. WAS} rating.
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.ahridIrOCtGry.org.
TERMS AND CONDITIONSit "101
This Certificate and its conte
nts are proprietary products of AHRI. This Certifica#e 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; 0%0 am-*
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.abridirectory.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
@2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1 196sas�se17a7o 4