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HomeMy WebLinkAboutPERMIT #2011-0287All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11111/2020 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 Commercial Residential X
PERMIT TYPE: A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 121 QUEENS ROAD
Property Tax ID #. 1414-701-0196-000-6
Site Plan Name:
Project Name:
Lot No.
Block No.
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 ail that apply:
Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors
Electric —Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 5,600.00
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer Septic Building Height:
OWNER/LESSEE:
Name JAY MILLER
Address:121 QUEENS RD
City: FORT PIERCE State:
Zip Code: 34949 Fax: NA
Phone No. 772-828-9044
E-Mail: NA
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: JAMES F. GRIMES
Company: GRIMES HEATING AND AIR CONDITIONING
A, riroc[- 3054 N US HWY 1 _
City: FORT PIERCE State: FL
Zip Code: 34946 Fax: 772-461-8722
Phone No 772-461-8711
E-Mail ROBERTGRIMESAC ❑ AOL.COM
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.
DESIGNER/ENG VEER: _ Not App'
Name:
Address: State
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable -
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Not Applicable
State:
Zip: Phone:
BONDING COMPANY: ___Not Applicable
Narne:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the wortc and installatian as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Coun ure
makes no representation that
atis granting
in a pe one ruwill lesabylaws or ize and covenants that mr to aycrestr ctborprct ohibit such
which is in conflict with any applicable Rome
structure. Please consult with your Home owners Association and review your deed for any restriction which rm he worrk apply
-
St. consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, p
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
�IOTICIH ®F COMMENCEMENT IU:�►Yanother
fftESULT I111non-residential
1dDUR PAYING
"4hARNIl1IG TO ®YI►@VEII: YOUR FAILURE TO RECORD
A NOTICE OF COMIi1ENCEMEN T MUST BE RECORDED AND
TWICE FOR IMPROVEMENTS TO YOUR PROPECTIGN. IF you INTEND TO RTY.
POSTED ON THE .SOD SITE BEFORE MME
BEFORE RECORDING YOUR NOTICE F CO�IC EM NT." FINANCING, CONSUL
WITH YOUR LENDER OR AM A
C
S' ' ature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA t�
COUNTY OF
The fnruning instrcym nt was acknowledged before me
day of y�() 20?_ )by
this
Name of person making statement.
Personally Known>..OR Produced Identification
Type of Identification
Produced
Notary Public- State of Florida)
:o (SggANMONTENEGRO
Commission No- My GommiSSION n GG D99
Fvpv�ES Anril2.2121
REVIEWS FRON DI�111�31i :ur�,�Y' .
COUNTER REVIEW REVIEW
RECEIVED
;]ATE
C
SI ature of Contractor License Holder
STATE OF FLORIDA
COUNTY OF
The far oing instrument was acknowledge neii re me
this day of ` C:
(� 202�U by
`��`
Name of person making statement.
Personally Known - OR Produced Identification
Type of Identification
Produced _
nature of Notary Public- State of Florida) u
rrsmission No. ::' ?C'••, Sut%albNTENEGRO
'a IviY GCMMISaI()N #CCU US9Q99
- '•,rF — �'>��Tllfli i'iQ'rf it;hlsC Ufe�2L't$
NS VEGETATI REVIEW REVIEW
REVIEW REVIEW
T This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
CERTIFIEU
Certificate of Product Ratings
AHRI Certified Reference Number : B936367 Date: 03-04-2019 Model Status: Active
AHRI Type: RCU-A-C8
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, IA, IN, KS, KY, M 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 Juiy 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 ANSI/AHRI 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 tA2) - Single or High Stage (95F), btuh : 48000
SEER: 17.00
EER (A2) - Single or High Stage (95F) : 14.00
1"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling oroffedrig for sate; OR new models that are being
marketed but are not yet being produced."Production Stopped" Model SWus are those that an AHRI Certification Program Participant [s no longer producing BUT is still
selling or offering far sale. .
Raiin s that are accam anted b WAS indicate an involunia re-sato- lice new ublished ratin is shown alongwith the revious i.e. WA ra in .
DISCLAIMER
AHRI does not endorse the products) 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.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;
entered into a computer database; ar otherwise utilized, in any form or manner or by any means. except for the user's individual, AW-CONDITIONING, HEATING,
personal and confidential reference. & REFRIGERATION FNSTtTU E
CERTIFICATE VERIFICATION y we mate hle better'"
The information for the model cited on this certificate can be verified at wwv _ahridlrisc2ory.arg, click on verify Certificate" link
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 CERTIFICATE NO.: 131962057640692086
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