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HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10-30-2020 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMITTYPE:A/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address: 5307 HUMMINGBIRD WAY Property Tax lD #: 1301-602-0040-000-7 Site Plan Name: Project Name: Commercial Residential X Lot No. Block No. DETAILED DESCRIPTION OF WORK: I 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: XMechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Electric — Plumbing —Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 2000 Generator Roof Pitch Sq. Ft. of First Floor, Utilities: Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ROBERT HAMILTON Name: JAMES F. GRIMES Address: 5307 HUMMINGBIRD WAY Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE Stater Zip Code: 34951 Fax: Phone No. 772-216-9612 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 If value of construction is $2500 or more, a KLCUKI]LU Notice oT Lommencemem is requKeu. if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. s mot.-r 1 , - , F , �.- DESIGNER/ENGINEER4c . Not AP ,._plicable moRTGAGE COMPANY: _ _ Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Dame: Address: City: Zip: Phone: Name_ Address: City: State: Zip: Phone: BONDING COMPANY: _-Not Applicable Lame: Address: Zip: Phon 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 permd itwiil authorize the ermit holder to build the subject structure which is in conflict with any applicable Home owners Association rules, bylaws or ancovenants that may restrict rppply chit such may structure. Please consult with your Home Owners Association and review your deed for any restrictions which ma a 1 . 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, wails, signs, screen rooms and accessory uses to another non-residential use YOUR PAYINC "WARNING TO O1YOUR FAILURE TO TNOTICiE OF COMMENCEMENT MUST BEICE OF COMMENCEMENT MAY RESULT I RECORDED AND TWICE FOR IMPROVEMENTS TD YOUR PROPERTY- A POSTED ON THE JOB SffE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FII1iAWam, CONSULT VYITH YOUR LENDER OR AM ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:" 5' ature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF 5 - e. The fnroni nginstru PTlt ac acknowledged before me this94-) *day of�-� 20Z©by Name of person making statement. Personally KnownOR Produced identification Type of Identification Produced ignature of Notary Public- State of Florida) U 1 S AN MONTENEGi�O Commission No.......x MY commtssloN n GG 089 EXpIRE5: 0 2, 2021 Lary is Undo REVIEWS FRONT REVIEW COULTER REVIEW - COM loor Si ature of Contractor/License Holder STATE OF FLORIDA T COUNTY OF The forgoing instrumentvi as acknowledges before me this �Q day of ??". Name of person making statement. Personally Known Y� OR Produced Identification ` Type of identification Produced ,ature of Notary Public- state of Florida) V mission No. •'�:��=F�. SUt'a"g�8.1�"}NTEiveG My GOO AMISSSJON GG 0899 A �,E � - -• ' �and=d Thru Igo ry PuSti: Uridervriileis "`VLANS VEGETATI REVIEW REVIEW 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 andlor Air Handier) : 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, 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 TRANE product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSIIAHRI 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 parry testing: Cooling Capacity (A2) - Singie or High Stage (95F), btuh : 33400 SEER: 15.00 EER (A2) - Single or High Stage (95F) : 12.50 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. Ratings 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 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 products) 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.ahridirectury.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; Now -1k 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, CERTIFICATE VERIFICATION s REFRIGERATION IM57trure HEATING, The information for the model cited on this certificate can be verified at www.ahridire ctary.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 fisted at bottom right. ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131963822826735307