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HomeMy WebLinkAboutBUILDING PERMIT APP -All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 8-24-2020 Permit Number: C[][ II N'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) 462-1578 PERMITTYPE:A/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address: 3401 CORTEZ BLVD Property Tax ID #: 2420-311-0004-000-9 Site Plan Name: Project Name: Commercial Residential X Lot No. Block No. I DETAILED DESCRIPTION OF WORK: I LIKE FOR LIKE REPLACEMENT OF (1) 3.5 TON LENNOX A/C SYSTEM, 16 SEER WITH 8 KW ELECTRIC HEAT. CONNECT TO EXISTING REFRIGERANT LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC. I 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: $ 5,400.00 Sprinklers — Generator Sq. Ft. of First Floor: Windows/Doors Roof Pitch Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name CINDY MEADS Name: JAMES F. GRIMES Address: 3401 CORTEZ BLVD Company: GRIMES HEATING AND AIR CONDITIONING City. FORT PIERCE State: Zip Code: 34981 Fax: Phone No. 772-773-0115 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 it vdIue or consLrucLion or more, a KtF_VKUkIJ Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SU MENTAL CDN NIA bNF v x.. ❑ESIGNER/ENGINEER, _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: —blot 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 Count� 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 orpprohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which mayapply. pI . 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, wails, 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 wrrn vcbi in i_Ft1tD>Eit OR AN ATTORNEYBEFORE RECORDING YOUR NOTICE OF COMMENCEMENT-P #4ture of Ownerf Lessee/Contractor as Agent for Owner STATE OF FLORIDA r COUNTY OF S5 : cc The fnrcning instru nt Wa, acknowledged before me this day of / 2200�by (,(, Name of person making statement. Personally Known' OR Produced Identification Type of identification Produced Signature of Notary Public- State of; Florida } ! p WAN MONTENEGRO Commission No. �•{= S MY COMMISSION x GG 039 gmg EXPIRES: Anti) 2, 2021 REVIEWS FRONT - ZONIIVC3 i 3urcnv5.3 COUNTER REVIEW REVIEW DATE RECEIVED DATE COMPLETED SIt ature of Contractor/License Holder STATE OF FLORIDA COUNTY OF T- / ZZ41e-e The for ing instru ent was acknowledged before me this 2day of 20ZV by f Name of person making statement. Personally Known )< OR Produced Identification Type of identification Produced of Notary Public- state of Florida ) mission No. <.�:P^E' SUtIjpNT�r� sRQ I= ' _ ., MYCb?�lMl�alO�t � CG 069U39 t.a - TISru Ho}ary Puhrh UndeNeers iVLANS } VEGETATI �""*�"'°"`�' REVIEW I REVIEW REVIEW REVIEW This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between 111I2015 and 12131/2020. Certificate of Product Ratings AHRI Certified Reference Number : 201851016 Date : 08-20-2020 Model Status: Production Stopped AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series : MERIT 14ACX SERIES Outdoor Unit Brand Name: LENNOX Outdoor Unit Model Number (Condenser or Single Package) : 14ACX-041-230* Indoor Unit Model Number (Evaporator and/or Air Handier) : CBA38MV-048-230*+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 untii 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 LENNOX 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 parry testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 39500 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 ?"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. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new oublished rating is shown along Mth 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 0 on This Certificate and its contents are proprietary products of AHRI. This Certificate shall only he 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, Arw NEW 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.ahrid!recrtory.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, bleating, and Refrigeration Institute CERTIFICATE NO.: 13z42424737�43$$1$