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HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10-12-2020 Permit Number: i Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1.578 Building Permit Application PERMIT TYPE: A/C CHANGE -OUT Commercial Residential X PROPOSED IMPROVEMENT LOCATION: Address: 6103 BIRCH DR Property Tax ID #: 3402-609-0603-000-9 Lot No._ Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE REPLACEMENT OF (1) 3 TON TRANE A/C SYSTEM, 15 SEER WITH 8 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 T Gas Piping T Shutters Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 5,500,00 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ROBERT HOLT Name: JAMES F. GRIMES Address: 6103 BIRCH DR Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State: r Address: 3054 N US HWY I Zip Code: 34982 Fax: City: FORT PIERCE State: FL Phone No. 304-290-9979 Zip Code: 34946 Fax: 772-461-8722 E-Mail: NA Phone No772-461-8711 Fill in fee simple Title Holder on next page ( if different E-Mail ROBERTGRIMESAC@AOL.COM from the Owner listed above) State or County License 4426 If value of construction is $2500 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. - Name: Address: City: State: 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: 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 applyis struct- which in con ct with an applicable y i Home Home Owers owners Association afiion a d rev,ewy bylaws deed for any restrict nts that which may apply ,bit such In consideration of the granting of this requested permit, I do hereby agree that t 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 RESULT N YOUR PAYING "WARNING TO DY PRO YOURFAILURE TO RECORD A STD 1'UtiR PRDP ATINOTICE OF COMMENCE OF CEMENT ENTTMUST B , REIDDRIp® AND TWICE FOR IMPRDYEME IPDSTE{1 ON THE .tOs AWN BEFORE THE BEFORE INSPECTION. CORo NG YOUR NonCE OF COMMENCEMENTNCING, CONSULT WITH YOUR LENDER D ature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF The fnrvning instrumPnt wac acknowledged before me this .day of DC___S J 20 ZO by Dame of person making statement. Personally Known OR Produced Identification Type of identification Produced Notary "Public- of Ut. Q (S AN MONTENEGRO Commission No. q My COMMISSION # GG D89 K? CYPIR Anril2.2021 REVIEWS COUONT R I REVIIEW ' REVIEW DATE COMP 51Aatueof ContractorJLicerise Holder STATE OF FLORIDA - COUNTY OF_ The fpr sing instru ent a acknowledged before me this l � day of ZG ` i) by yq�S �- CST k Name of person making statement. Personally Known )< OR Produced identification Type of Identification Produced of Notary Public- state of Florida ) No. VLANS VEGETATI REVIEW REVIEW SU(SoalbNTENEGR0 my Comma LION # CO 089099 iN14i<.�1 Thnz Id ry ?-,b c vwerurit REVIEW REVIEW Certificate of Product Ratings AHRI Certified Reference Number: 201763703 Date : 03-06-2019 Model Status : Active AHRI Type: RCU-A-CB Series : XR16 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6036J1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4AOB36S31+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, Ml, 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 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 parry testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 33400 SEER: 15.00 EER (A2) - Single or High Stage (95F) : 12.50 f"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 published rating is shown atone with the previous fi.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 allm 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, personal and confidential reference. AIR-CONDITIONING,REFRIGERATION INSTITUTE HEATING, & REFRIGERATION IN57I7177E CERTIFICATE VERIFICATION 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. 131 963822825736307 ©2019Air-Conditioning, Heating, and Refrigeration Institute r(�E�RTIlCATE NO.: