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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9-22-2020 Permit Number: • 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 PROPOSED IMPROVEMENT LOCATION: Address: 107 QUEENS ROAD Property Tax ID #: 1423-602-0009-000-3 Site Plan Name: Project Name: Commercial Residential X Lot No._ Block No. DETAILED DESCRIPTION OF WORK; LIKE FOR LIKE REPLACEMENT OF (1) 4 TON TRANE AIC SYSTEM, 20 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: )kMechanical ____ Gas Tank _ Gas Piping _ Shutters — Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: T Cost of Construction: $ 7,250.00 Generator Sq. Ft. of First Floor: Windows/Doors Roof Pitch Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name KIMBERLY LIDDELL Name: JAMES F. GRIMES Address: 107 QUEENS ROAD Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State: TL Zip Code: 34949 Fax: Phone No. 239-292-3028 Address: 3054 N US HWY 1 City: FORT PIERCEState: 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 ROBE RTGRIMESAC@AOL.COM State or County License 4426 it value of construction is �ZWU or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. INEER: — Not Ap Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER; — Not Applicable Name: Address: City: Zip: Phone:_ MORTGAGE COMPANY: Dame: Address: City: Zip: Phone.. Not Applicable State: BONDING COMPANY: _Not Applicable Name: Address: City: Zip: Phone: ade to obtain a permit to do the work and installation as indicated. OWNER/ CONTRACTOR AFFIDVIT: Application is hereby m 1 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 �sermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws ar 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 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 COM(41ENCEMENC S' ature of Ownerf Lessee/ contractor as Agent for Uwner STATE OF FLORIDA t COUNTY OF ST, I " e e en The fnrr ping instrument wac acknowledged before me this* day of 20tb by Name of person making statement. Personally Known _ OR Produced Identification Type of Identification Produced signature of Notary Public- State of Florida) U tFa p y. iS AN MONTCNEGRC Commission No. ° MY ComwSSION n GG 089 EXPIRES: ri112021 ?. ,acv;�.:'- 8 �ryt"u iC lJ4YdP.Ft1 REVIEWS FRONT l COUNTER REVIEW REVIEW DATE DATE COMPLETED )s/a-t1re of Contractor/License Holder STATE OF FLORIDA COUNTYOF S=-��ieae — Thefar Ding instrument was acknowledged before me this Z.day of 20 Aby Name of person making statement. Personally Known_ OR Produced Identification i ype of Identification Produced of Notary Public- State of Florida j mission No. .'* su Wi 147ENEGRO MY COMMiS ON U C 0 089494 Bonded Tim No, ary Puhk UndeAWTIeN ;VLANS VEGETATI REVIEW I REVIEW REVIEW REVIEW This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between 1/1/2015 and 12/31/2020. An a r www.aliridotg Certificate of Product Ratings AHRI Certified Reference Number: 10093686 Date: 09-22-2020 Model Status : Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: XV201 Outdoor Unit Brand Name: TRAN E Outdoor Unit Model Number (Condenser or Single Package) : 4TTV0048A1 Indoor Unit Model Number (Evaporator and/or Air Handier): TAM9AOC48V41 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, Rl, 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 TRANS 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 : 47000 SEER: 20.00 EER (A2) - Single or High Stage (95F) : 13.00 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. Retinas that are accompanied by WAS indicate an involuntary re rate. The new oublished 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 AHRL 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;�� IL 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. ®IR -CONDITIONING, 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 fisted above, and the Certificate No., which is listed at bottom right. ©,2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: tszasz7sszaslaas3a