HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9-16-2020 Permit Number:
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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 Commercial Residential X
PERMIT TYPE: A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 6736 DICKINSON TER
Property Tax ID #: 3415-706-0041-000-9
Site Plan Name:
Project Name:
Lot No._
Block No.
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1) 5 TON TRANE A/C SYSTEM, 16 SEER WITH 10 KW ELECTRIC HEAT.
CONNECT TO EXISTING REFRIGERANT LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC.
STRUCTION 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:
Cost of Construction: $ 6,075.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name CAMILLE MEYER
Name: JAMES F. GRIMES
Address: 6736 DICKINSON TER
Company. GRIMES HEATING AND AIR CONDITIONING
City: PORT SAINT LUCIE Stater
Zip Code: 34952 Fax:
Phone No.772-971-9107
Address: 3054 N US HWY 1
City: FORT FIERCE State: FL
Zip Code: 34946 Fax: 772-461-8722
Phone No772-461-8711
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 52500 or more, a RMUMMU Notice or c.ammencenienz rs requ,reu.
If Value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
Not
Name:
Address: State:
City:
Zip: �� Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: _ Phone:
MORTGAGE COMPANY:
� Not Applicable
Name:
Address:
State:
City:
Zip:. phone:
BONDING COMPANY:
Not Applicable
Name:
Address:
City:
'Zip: � Phone:
d
OWNER CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicate .
I certify that no work or installation has commenced prior to the issuance of a permitg•
tienta Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
St. Lucie Counttyy makes no representation that is granting a permit will authorize the ermit holder to build the restrict
or t structure
which is in c°nflict with any applicable
structure. Please consult with your flume Owners Association and review your deed for any restrictions which may app y.
In consideration of thegrantingdof his, the Florida Building Codes and St Lucie by agree Coulnity Amendmeents perform the work
in accordance with pp
The solo following btureis,ipeswimmingrmit
papplications
ools, fences, walls, signs, t fromundergoing
roams and accessory sory uses to another non-residential use
ncurrencV review: room additions,
accessory
"dYARRIiUiC TO OWNER: YOUR FANLU E TO RECORD A NOTYOU PROPERTY. A INOT NOTICE OF COMMENCEMENT MUST B CE OF ComMENCEMENT MAY RESULT IN RECORDEDAND
FOR IMPROVEMENTS TO
POSTED ON THE jOB SITE BAEFOEEY E FIRSffORI" li'tEC®Ra1IN NG YOUR NOTICE spECTIION. IF YOU FINANCING, C®t115i1L
F COMMENCEMENTD To OsTAIN '"
WITH YOUR LENDER OR Aid
c
S'' ature of Of lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF 5Tf
The fnrcning instru—nt wac acknowledged efore me
this 1,10,+day of
Name of person making statement.
Personally Known_ OR Produced Identification
Type of identification
Produced
ature of Notary Public- State of
C
s, ature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
-The forgoing instrument was acknowledged
before
y re me
this �Qday of
�a
Name of person making statement.
Personally Known °� OR Produced identification
Type of Identification
Produced
of Notary Public- State of Florida)
`=' (S&AAN M0NTENFGR0 d# mmission No.
Commission No. My COA/h6l5Slp1� n GG 0$9f19
EXPIRES: rii 2, 2021
tasy Fv c uwawii
OFF"' INS VEGETATI
REVIEWS F NT REVIEW REVIEW REVIEW REVIEW
COUTE
DATE
RECEIVED
My CO.AkiISSICu # 00 089099
- C:
Bon - T)n, Ida ry Pub u iderwniers
REVIEW 4 REVIEW
This combination qualifies for a Federal Energy Efficiency tax Credit when
in placed in service between Feb 17,2009 and Dec 31, 2016.
CERTIFIEDanumnal
Pertificate of Product Ratings
AHRI Certified Reference Number: 8858422 Date: 04-10-2019 Model Status : Active
AHRI Type: RCU-A-CB
Series : XR16
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6061 C1
Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM6A0C60H51+TDR+UFIHRZ
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
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 : 58000
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.00
t"Active" Modei 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.
RaC€nqs that are aeoompanied by WAS indicate an involuntary re -rate The new published 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,
erson
TERMS AND CONDITIONS ���
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, pal 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, ATION I NETTING,
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 beuer-
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 131993857720814806
o2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO,: