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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10101/2020 Permit Number: w • 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 PERMIT TYPE: A/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address: 427 S MARKET AVE Property Tax ID #: 2434-601-0036-000-5 Site Plan Name: Project Name: Commercial X Residential Lot No.� Block No. I DETAILED DESCRIPTION OF WORK: I LIKE FOR LIKE REPLACEMENT OF (1) 2.5 TON RUN TRU A/C SYSTEM, 14 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 T Windows/Doors Electric _ Plumbing Sprinklers _ Generator Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $,q� 5� Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name UBILLA-DUQUE RE HOLDINGS LLC Name: JAMES F. GRIMES Address: 427 S MARKET AVE Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State: FL_ Zip Code: 34982 Fax: Phone No. 772-489-9964 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 ROBE RTGRIMESAC@AOL.COM State or County License 4426 it value of construction is 52500 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. RY'VS,�7'1ifARF9���lFt ".�.Y $c s '� .., a �, •4Y.�, -. Yy` ...�r, DESIGNER/ENGINEER: _ Not ApplicableMORTGAGE 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: Prone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to as the woe K 4::d z .,,. ,� .".. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to }guild the subject structure which is in contlict with any applicable Nome Owners Association rules, bylaws or; nd covenants that may restrlcty rr [bit such structure. Please consult with your Home 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 accessary 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 wrrm YnnR LENDER OR AN ATTORNEY BEFORE RECORRD= YOUR NOTICE OF COMMENCEMENT ' c 5 ' 4ature of Owner/ Lessee/Contractor as Agent far Owner STATE OF FLORIDA t COUNTY OF S ct e. The fnraning instrument w;,Q acknowledged before me this—t—Idayof C)C_j _,202Oby C Si ature of Cantractor/License Holder STATE OF FLORIDA COUNTY CIF The forgoing instrument was acknowledged before me this _L day of C) C zo_n by Name of person making statement. Name of person making statement. Personally KnownX _ OR Produced Identification Type of Identification Produced of Notary Public- State of Personally Known )!�—OR Produced identification Type of Identification Produced of Notary Public- State of Florida } Commission No. ,o ':set., (SMQNTENFP4 mmission No. My COMMISSION # GG 0890 y EXPIRES: Iil2.2021 ;oer I iary uW-UndewN l o REVIEWS FRONT NS VEGETATI COUNTER REVIEW REVIEW REVIEW REVIEW RECEIVED DATE COMPLET Stj00aJDNTENE('3RO My COMMIS$iQN # GG 089099 i Mk m Tf ru He; TY Pb%. UWemle4s REVIEW I REVIEW Certificate of Product Ratinas AHRI Certified Reference Number: 204598481 Date: 01-16-2020 Model Status: Active AHRI Type: RCU-A-CB Outdoor Unit Brand Name: RUNTRU Outdoor Unit Model Number (Condenser or Single Package) : A4AC4030A1 Indoor Unit Model Number (Evaporator andlor Air Handler) : A4AH4P30A1I36 Region : All (AK, Ai, 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 RUNTRU product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSIIAHRI 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 party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 28400 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.20 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. Ratngs that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown alona with the orevious (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.a h rid I recto ry.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; dissemina#ed; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, As - M-, 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.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 listed above, and the Certificate No., which is listed at bottom right. ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132236581076001946