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MODINE PERMIT APP - 5745 BRIARGATE LANE
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7-17-2020 Permit Number: • Planning and Development Services Building and Code Regulotion Division 2300 Virginia avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Building Permit Application PERMIT TYPE: A/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address: 5745 BRIARGATE LANE Property Tax ID #-. 2325-501-0007-000-1 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Commercial Residential X Lot No. Block No. 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 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: $ 6,000.00 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: Name JORDAN MODME CONTRACTOR: Name: JAMES F. GRIMES Address: 5745 BRIARGATE LANE Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State:FL- 34981 Zip Code: Fax: Phone No. 772-475-0874 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: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement E-Mail ROBERTGRIMESAC@AOL.COM State or County License 4426 Commencement is required. is required. Not Name: Address: City: State: Zip:. Phone FEE SIMPLE TITLE HOLDER; Not Applicable Name: Address: City: Z• • Phone: MORTGAGE COMPANY: Name: Address- Cit" Zip:. Phone: Not Applicable State: BONDING COMPANY: —Not Applicable Name: Address: City_ lip: _.1 Phone: _ ip.� 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 Counttyy makes no representation to io that wners inga permit will authorize ut on or and covenantssthat maydrestr ctbor prct ohibit such which is in can ffictwith any app structure. Please consult with your Home Owners AssocAs iation and review your deed for any restrictions form may apply. In consideration of the granting of this requested permit, I do hereby agree that 1 will, in all respects, P in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.eoam additions, The following building permit applications are exempt from undergoing a full accessconcurency accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use N YOUR PAYING "WARNING TO OWNER: YOUR FAILUREYOU RECORD A NOTICE OF COMM OF COMMENCEMENT ENCEMENT YMiJSif BE RESULT I RECORDED AND TWICPOSE OTHEjBSITE IMPROVEMENTS TO POST® ON THE JOB SITE OBTIN BEFOIlEY 1BEFORE RECORDING YOUR NOTICE OF COMM END TOACEM NT-"FINAN,CONSUL WITH YOUR LENDER OR AN Al I S' ' attire of Owner{ Lessee/Contractor as Agent for owner STATE Of FLORIDA t� COUNTY OF S The fnrj wing instrument va- acknowledged before me this i r •day of Ut 1 20 by J a 5 'F Grrtlii Name of person making statement. Personally Known OR Produced Identification Type of identification Produced signature of Notary Public- State of Florida } ,. i� "u `. {S MONTEtiEGRq Commission Na. �''= MY GOMih15SlON n GG 089 �m ._ : r"xPiRcS: Aaril 2.21i21 REVIEWS FRONT (3lVEfVI3 yvr��.v s COUNTER REVIEW REVIEW RECEIVED DATE COMPLETED Si ature of Contractor/License Holder STATE OF FLORIDA 4 COUNTY OF The for Ding instrument was acknowledged before me this daY of 20 Z0 by J a rv�eS � Cmw�e, Name of person makingstatement. Personally Known,oR produced Identification Type of identification Produced of Notary Public- State of Florida) r" MY COMMII{�r� 4 CG f18i3i198 ax4,1 Tltru N*y puW. WdeMTr 'TANS VEGETATI REVIEW REVIEW REVIEW REVIEW Certificate of Product Ratings AHRI Certified Reference Number: 202274123 Date: 07-17-2020 Model Status : Active AHRI Type; RCU-A-CB Series : XR17 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR7048131 Indoor unit Mode4 Number (Evaporator and/or Air Handler) : TEM6AOC42H41+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, NO, 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 TRANS 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: Coaling Capacity (A2) - Single or High Stage (95F), btuh : 45500 SEER: 16.00 EER (A2) - Single or high Stage (95F) : 12.50 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" Medel Status are those that an AHRI Certification Program Participant is no longer producing BUT is stilt selling or offering for sale. Ratin s that are accom anied b WAS indicate an involunta re -rate. The new ublished ratin is shown alongwith 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 an this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahfidireetory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRL 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, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.a h rid i rectory.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. r^ _ 132394652276209896 ©2020Air-Conditioning, Heating, and Refrigeration Institute