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HomeMy WebLinkAboutKOUFOS PERMIT APP - 4250 N A1A #504All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7-16-2020 Permit Number: ORION C0(1NT F L n w i Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1S78 PERMIT TYPE:A/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address: 4250 N HWY A1A #504 Property Tax lD #: 1423-501-0036-000-1 Site Plan Name: Project Name: Commercial Residential X Lot No. Block No. DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE REPLACEMENT OF (1) 2 TON TRANE A/C SYSTEM, 14 SEER WITH 5 KW ELECTRIC HEAT, CONNECT TO EXISTING REFRIGERANT LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC. j CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: Mechanical _ Gas Tank _ Gas Piping _ Shutters — Electric _ Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 4,775.00 —Sprinklers _Generator Sq. Ft. of First Floor: Windows/Doors Roof Pitch Utilities: —Sewer —Septic Building Height: OWNERAESSEE: CONTRACTOR: Name GREGORY KOUFOS Name: JAMES F. GRIMES Address: 4250 N A1A #504 Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State: Zip Code: 34949 Fax: Phone No. 561-758-3808 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 IValue u1 LUMLruc11on is ?c.>uu or more, a KtLUKLJtu Notice of commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. i i� f-]�� ^',.1.yr�~ '� rr W: -� f _ 's,,f'k.Y , ram,. ✓ . $`.. _ _.}4::?! ":ai �-4; �. DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: T Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to oorain a perrnn Lu uU L!,C iry-„� 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 structure. Please cownsult with your HomHome Owners Owners �andrreviewvyour deed fcovenants any restrictionswhichwhich ay apply obit such 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. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." S' ature of Owner/ LeseelContractor as Agent for Owner STATE OF FLORIDA t COUNTY OF S u e. The f--ruing instrument was acknowledged before me this 1(,eday of Lk 1 !I -. z© Zo by �T— 00 S CL WW-s F GTn fVU'_'> Dame of person making statement. OR Produced Identification Personally Known Type of Identification Produced Notary Public- State of Florida rf. (5AN MONTENEGRO Commission No. my COMMISSION # OG 089 "t EXPIRES: AoO 2. 2021 REVIEWS I FRONT G-- Surt"via COUNTER I REVIEW REVIEW DATE RECEIVED DATE COMPLETED - Si ature of Contractor/License Holder STATE OF FLORIDA COUNTY OF The f�irg-oing instrument was acknowledged before me this L day of 2_01, by AA 1 Name of persona making statement. Personally Known �_ OR Produced identification Type of identification Produced re of Notary Public- State of Florida ) No. Isr':P F SUtPMCM )N 11;;NV.5nU _ - r� ''fie MYCO}J{M{��I{�I•r g CC 0fi Enr4A- Thru !Jerry Public 06denVft, &s REV EW V REVIEW REVIEW REVIEW Certificate of Product Ratinas AHRI Certified Reference Number : 202409874 Date : 07-16-2020 Model Status : Active AHRI Type: RCU-A-CB Series : XR14 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR4024L1 Indoor Unit Model Number (Evaporator and/or Air Handler) : GMV2APB26 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, 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 ANSIIAHRI 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 : 22400 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. Ratinas that are accompanied by WAS indicate an involuntary re -rate. The. n.ew_publishod 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.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-CONPITIONING. 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. ©2020Air-Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: t3239377386t01]t337