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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date- 9-18-2020 Permit Number: CIDUNTY ` r. 1 6 R 1 n 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 Building Permit Application PERMITTYPE:A/C CHANGE -OUT PR POSED IMPROVEMENT LOCATION: Address: 5703 EAGLE DR Property Tax ID #: 1312-500-0071-000-4 Site Plan Name: Project Name: Commercial Residential X Lot No. Block No. { DETAILED DESCRIPTION OF WORK: I LIKE FOR LIKE REPLACEMENT OF (1) 3.5 TON TRANE A/C SYSTEM, PEER WITH 10 KW ELECTRIC HEAT. CONNECT TO EXISTING REFRIGERANT LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC. NSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: Mechanical _ Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing T Sprinklers — Generator Total Sq, Ft of Construction, Cost of Construction: $ 6,900.00 Sq. Ft. of First Floor: _ Windows/Doors Roof Pitch Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ROBERT NEIMAN Name: JAMES F. GRIMES Address: 5703 EAGLE DR Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State:RL Zip Code: 34951 Fax: Phone No. 772-538-4916 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 If value of construction is 5Z500 or more, a KEGUKLMLI Notice oT %-ommencemem FN reyuircu. if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. Not Name: Address: State: dapp:: ZiPhone �� SIMPLE TITLE HOLDER, Not Applicable Name: Address: ('ity: Zip.. _ Phone: ;MORTGAGE COMPANY: ___ Not Applicable Name: Address: State: City Zip: �� Phone: BONDING COMPANY: Not Applicable Name: Address: City - Zip: — Phone: OWNER CONTRACTOR AFFIDVI'T': Application is hereby made to obtain a permit to do the works and installation as indicated_ prior to the issuance of a permit. I certify that no work or installation has commenced p p St. Lucie Coun%makes no representation that OwneanAssociation rules bylaws or and covenholder n d that maydrestriictborprohibit such which is in conflict with any applicablec structure. Please consult with your Homeowners Association and review your deed for any restrictions which may apply - which y. I consideration of the granting of this requested permit, k do hereby agree that I will, in all respects, perform the work ir� 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: morn additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accesRECORD A sary uses to another non-residential use "WARNING TO OW ICE OF COMMENCEMENT MAY RESULT IN yOUR PAYING YOUR FAILURE TO YOU PROPERTY- ATN®T NOTICE OF COMMENCEMENT MUST DE RECORDED AND TWICE FOR IMPROVEMENTS POSTED ON THE JOB SITE BEFORE THE E FIRST INSPEFORE TIO N. IF YOU YOUR NtiiOilNC OF COMMENCEMENT'" CONSULT WITH YOUR LENDER OR AW S" ` ature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF ex The fnroning instrument war acknowledged before me this +day of G 20 ZDby ass F Ca-t Name of person making statement. Personally Known�— OR Produced Identification Type of Identification Produced Nota�ubE- State of C si ature of Contractor/License Holder STATE OF FLORIDA COUNTY The for oing instru ent was aknowledgeeef re me 2Qdbthis c Name of person making statement. Personally Known )C OR Produced identification Type of Identification Produced of Notary Public- State of Florida ) ,a .?P� .. �S AN MONTENEGRO mmission No. Commission No. My COMM1ssION n GG 08909 REVIEWS CORN ER� REVIiEW ' REVIEW SU�M�NTENei�RQ My commSalo�i # CO 08500 B0rvdcd T11N i cry Pu iv't3 &$ '°FLANS i VEGxETATf REVIEW REVIEW I REVIEW ertificate of Product Ratings AHRI Certified Reference Number: 202362844 Date: 09-21-2020 Model Status : Active AHRI Type: HRCU-A-CB (Split System: Heat Pump with Remote Outdoor Unit -Air -Source) Series! XR14 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TWR4042G1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TAM9AOC42V41 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 AHRI 2101240 with Addendum 1, 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 : 41000 SEER: 14.50 EER (A2) - Single or High Stage (95F) : 12.00 Heating Capacity (H12) - Single or High Stage (471=) : 36000 HSPF (Region IV) : 8.20 j "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. Ratinos that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous &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, RIME personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION 6� REFRIGERATION INSirrLTE The information for the model cited on this certificate can be verified at www.attridirectory.org, click on "Verify Certificate" link we make life beiter- 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-Condition ing, Heating, and Refrigeration Institute CERTIFICATE NO.: f32459576276292549