HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7-10-2020
7F?1�
NTY
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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:q/C CHANGE --OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 5167 N HWY A1A #303
Property Tax ID #: 1411-709-0017-000-3
Site Plan Name:
Project Name:
Commercial Residential X
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1) 2 TON TRANS A/C SYSTEM, 14 SEER WITH 8 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
Plumbing
Cost of Construction: $ 4,855.00
Gas Piping
Sprinklers
Shutters
Generator
Sq. Ft. of First Floor: _
Windows/Doors
Roof Pitch
Utilities: _ Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JON SUTTER
Name: JAMES F. GRIMES
Address: 5167 N HWY Al #303
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State:EL
Zip Code: 34949 Fax:
Phone No. 757-277-1199
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.
Not
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER, Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY; Not Applicable
Name:
Address:
City: State:
Zip: _. Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City.
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..
Home Owners granting
Assa permit
ion rules, bylaws or and covenants that may restrict or prohibit such
St. Lucie Count makes no representation that is granting a Permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable
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.
ping a full concurrency review: room The following building
uildi gsper swimming plications are ools, fences, xemptifros un enrgrooms and accessory uses to another non-residential use
accessoryRESULT IN YOUR PAYING
OTICE OF COMMENCEMENT MAY
"WARNING TO OWNER: YOUR FAILURE YOUR PROPERTY.RECORD A �► NOTICE OF COMMENCEMENT MUST BE RECORDED AND
TWICE FOR 1[PIpROVEMENT5
j IF YOU INTEND
OBTAIN NCIMG, CONSUL
Ir
POSTED ON THE JOB SITE BEFORE FIRST ®MMENCEME�
Y BEFORE RECORDING 9�
WIITFE YOUR LENDER OR AN A
c
S' ature of owner/ Lessee/Contractor as Agent for owner
STATE OF FLORIDA
COUNTY DF s
The fnrR ing instr=f nt wa< acknowledged before me
this day of u 20_Wby
awe i rv�a'
Name of person making statement.
Personally Known,— OR Produced identification
Type of Identification
Produced
of Notary Public- State of Florida
:o, ?:e: (S AN MONTE-NEGRO
Commission No- My COMMISSION n GG 08�
EXPIR�Is: Ap[il 2, 2021
REVIEWS FRONT -- Ltlsyssvu — .
COUNTER REVIEW REVit»W
RECEIVED
DATE
COMPLETED
C
Ss ature of Contractor usscense Holder
STATE OF FLORIDA
COUNTY
The for oing instrumen was acknowledged before me
this
dayof 20 by
Name of person making statement.
Personally Known OR Produced identification
Type of Identification
Produced
of Notary Public- State of Florida }
on No.
c : i ' _': MY COMMISIS I�J�+ � C Gr Uti9G93
k �i 1 �11f7.1 k,.. fy P .5i �i1G�Cf�Wtil2P5
JlftANS I VEGETATI REVIEW REVIEW
REVIEW i REVIEW
Certificate of Product Ratings
AHRI Certified Reference Number: 203459898 Date : 06-17-2020 Model Status : Active
AHRI Type: RCU-A-CB
Outdoor Unit Brand Name : TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR4024L1
Indoor Unit Brand Name : TRANE
Indoor Unit Model Number (Evaporator andlor Air Handler) : TMM4BOA24S21 SAA
Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL,
IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, VW, 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 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 : 23200
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 12.00
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 longer producing BUT is still
selling or offering for sale.
Rakin s that are accom anied b WAS indicate an involuntary re -rate. The new ubSished skin is shown along
with the previous i.e. WAS ratin .
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,
& REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahridirettory.org, click on "Verify Certificate' link we 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.
132368752292306754
02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: