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HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10-28-2020 i Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Permit Number: Building Permit Application PERMITTYPE:A/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address: 5712 DWARF LADY PLACE Property Tax ID #: 3410-503-0027-000-7 Site Plan Name: Project Name: Commercial Residential X Lot No. Block No. DETAILED DESCRIPTION OF WORK: � LIKE FOR LIKE REPLACEMENT OF (1) 2 TON TRANE A/C SYSTEM, 14.5 SEER WITH 5 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 _ Windows/Doors — Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 4,250.00 Generator Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name RITA BURKE Name: JAMES F. GRIMES Address: 5712 DWARF LADY PLACE Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State: f I— Zip Code: 34982 Fax: Phone No. 772-332-1855 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: 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 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. � ' r 'L'F vi�L' ✓4.,a .�'., �!. &.. tR . rr. x . �'` .L 1__' _ �,� -1♦�..� ', ,rri S 13„�E, t�tx .e" ep �= V .,:. ..:.sY. .ri ._ei' ,- a:+ ihr. _...}>.: �"h..,. DESIGNER/ENGINEER: Name: Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: City: Zip: Phone: State: City: State: Zip: Phone FEE SIMPLE TITLEHOLDER: Name: _ Nat Applicable BONDING COMPANY: Name: Not Applicable Address: Address: City: City:_ --- Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. l certify that no work or installation has commenced prior to the issuance of a permit. *11 . Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure Which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit 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 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 RNANCIING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENC1EME NT." 459��_ Ic rture of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA t COUNTY OF SL, LUCe4— The fnrvning instnrmant wsc acknowledged before me this Zalday of Q CA 2020 by Name of person making statement. Personally Known,_ OR Produced identification Type of identification Produced Notary Public- State of Florida ) Commission No. ¢i .•a :°: ', {S&JAN MONTFNEGRO MY COMMISSION m GG 089 FKPiRES: Anrii 2. 2i 21 REVIEWS I FRONT CONTER�REVIEW S REVIEW RECEIVED DATE COMPLETED Si ature of Contractor/License Holder STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this_Zkdayof_QCA-_ 20Zioby --yCk i(\/ e—'s F &x--x Nvz-� Name of person making statement. Personally Known )!� OR Produced Identification Type of identification Produced `a nature of Notary Public- State of Florida ) mmission No. 'a;P StidfJi�?EN GRO- MY COMMISSION i* CC 089M Titru No ry Pn s umerwAem iVS VEGETATI REVIEW REVIEW REVIEW REVIEW ertificate of Product Ratings AHRI Certified Reference Number: 203459900 Date : 10-28-2020 Model Status : Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Outdoor Unit Brand Name : TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR4024L1 Indoor Unit Brand Name: TRANE Indoor Unit Model Number (Evaporator and/or Air Handler) : TMM5BOA24M21SAA Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, Wl, 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 AHRI 210/240 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 : 23000 SEER: 14.50 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 mode#s 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. Re 'as that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (i.e. WAS) rating. DISCLAIMER AHRf 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(&), 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, persona[ and _ confidential reference purposes, The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;`' entered into a computer datahase; or otherwise utilized, In any form or manner or by any means, except for the user's individual, 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.ahridirectGry.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.: 132483823861712224