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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/11/2020 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-iS78 Commercial Residential X
PERMITTYPE:A/C CHANGE-OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 121 QUEENS ROAD
Property Tax 1D#: 1414-701-0196-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1)4 TON TRANE A/C SYSTEM, 17 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 _Windows/Doors
Electric _Plumbing __Sprinklers ,Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 5,600.00 Utilities: —Sewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name JAY MILLER Name:JAMES F.GRIMES
Address: 121 QUEENS RD Company:GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: Address:3054 N US HWY 1
Zip Code: 34949 Fax:NA City: FORT PIERCE State:FL
Phone No.772-828-9044 Zip Code: 34946 Fax: 772-461-8722
E-Mail:NA Phone No 772-461-8711
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.
This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016,
Sou wMal CERTIFIED
r ,
Certificate of Product Ratings
AHRI Certified Reference Number:8936367 Date:03-04-2019 Model Status:Active
AHRI Type:RCU-A-CB
Series:XR16
Outdoor Unit Brand Name:TRANE
Outdoor Unit Model Number (Condenser or Single Package):4TTR6049J1
Indoor Unit Model Number(Evaporator and/or Air Handier):TEM6AOC48H41+TDR+UFIHRZ
Region: All(AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA,HI,ID, IL, [A,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 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(9517),btuh:48000
SEER: 17.00
EER(A2)-Single or High Stage(95F) : 14.00
t"Active"Model Status are those that an AHRI Certification Program Participant is currently producing AND selling oroffering for sale;OR new models that are being
marketed but are not yet being prod uced.`Production Stopped"Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering far sale.
Ratin s that are Qres anied b WAS indicate an involunta re-rate. The new ublished ratin is shown alon with the revious i.e.WAS ratin .
DISCLAIMER
AHRI does not endorse the product(s)fisted 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 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; no'-
entered into a computer database;or otherwise utilized,in any form or manner or by any means,except for the user's individual,
AIR-CONDITIONING,HEATING,
personal and confidential reference.
&REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahrldirectory.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 131962057640692086
©2019Air-Conditioning,Heating,and Refrigeration Institute FC IERTIFICATE NO.: