HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 8-20-2020
NO mb. 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
Permit Number:
Building Permit Application
PERMIT TYPE: A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 6020 FLOYD JOHNSON ROAD
Commercial Residential X
Property Tax ID #.. 2301-443-0001-020-4
Lot No.
Site Plan Name:
Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1) 3 TON TRANE A/C SYSTEM, 15 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
y Electric _ Plumbing Sprinklers
_ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 4,500.00 Utilities:
—Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MICHAEL "BOB" ANKIEL
Name:.LAMES F. GRIMES
Address: 6020 FLOYD JOHNSON ROAD
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State:
Address: 3054 N US HWY 1
Zip Code: 34547 Fax:
City: FORT PIERCE FL
State:
Phone No. 513-846-3256
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 ROSE RTGRIMESAC@AOL.COM
from the Owner listed above)
State or County License 4426
If value of construction is S2500 or mnrP a RECORDED ,u.,+;— ..c
------. - -•I5 requireu.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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 and covenants that may restrict or prohibit such
structure. Please consult with your Horne 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 IMPROVEMEffrS 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."
5' ature of owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA r
COUNTY OF S . en
The Fir ing instr,, Pnt w; � acknowledged before me
this�day of r�G 20 V19by
15
Dame of person making statement.
Personally Known_OR Produced Identification
Type of identification
Produced
Notary Public- State of Florida j
;S,0aLt7e__of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF S7 = LLee-e
The forgoing instru ent was acknowledged before me
this day of��� 2 by
Name of person making statement.
Personally Known )< OR Produced Identification
Type of Identification
Produced
re of Notary Public- State of Florida )
Commission No. I-oy"^F= {S&gANMONTENEGRa mmission No.
MY COMMISSION n GG 08909
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Certificate of Product Ratings
AHRI Certified Reference Number: 201763703 Date: 03-06-2019 Model Status : Active
AHRI Type: RCU-A-CB
Series : XR16
Outdoor Unit Brand Name! TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6036J1
Indoor Unit Model {Number (Evaporator and/or -Air Handler) : TEM4AOB36S31+TDR
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, lA, 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, 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 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 parry testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 33400
SEER: 15.00
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" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Ratin s that are accom anied bv WAS indicate an involunta re -rate. The new aublished ratin is shown alon with the revious i.e. WAS mtiin .
DISCLAIMER
AHRI does not endorse the products) 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.ahrldlrectory.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; s,
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-CONQiTIONING, 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
and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life bettvi—
which is listed above, and the Certificate No., which is listed at bottom right.
92019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131963822825735307