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BUILDING PERMIT APP - 152 NETTLES BLVD
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11/18/2020 Permit Number: R F Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Building Permit Application PERMIT TYPE: A/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address: 152 NETTLES BLVD Property Tax ID ##: 4502-501-0338-000-9 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Commercial Residential X Lot No. — Block No. LIKE FOR LIKE REPLACEMENT OF (1) 2.5 TON TRANE A/C SYSTEM, 15.5 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 _ Gas Piping Shutters _ Windows/Doors _ Electric — Plumbing _ Sprinklers _ Generator hoof Pitch Total Sq. Ft of Construction: Cost of Construction: $ 5,200.00 Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name FRANK MAZZARA Name: JAMES F. GRIMES Address: 152 NETTLES BLVD Company: GRIMES HEATING AND AIR CONDITIONING City: JENSEN BEACH State:,L-- Zip Code: 34957 Fax: Phone No. 570-561-3172 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: NA Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail ROBERTGRIM ESAC@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. Not Name: Address: State: tate 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: ... —Hot Applicable Name: Address: City: Zip:_ Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as in icarea. 11 certify that no work or installation has commenced prior to the issuance of a permit- St. Lucie County makes no representation that is granting a p ermit will authorize the ermit holder to build the subject structure structure.lPleasieiconsult withpyour Home ownowners oc ation andrreview your deed for any restrict onsawhich may apply prohibit such 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 RESULT IN YOUR PAYING `WARNING TO OWNEW. YOURFAILURE TO RECORD A OF COMMENCEMENTS TO YOURPRO PROPERTY. ATICE NOT NOTICE COIM MElNCEMENT�MUST BERE RECORDED AND TWICE FOR IMP ROVEYM E POSTED ON THE JOB>Ix AWN ATE'I'QIRI1NElf �1 FIRSTFORE �eORDIIIOG Y��IIsONOilCE �F COMMENCEMENT-7�FINANCING, c®tNSu� WITH YOUR LENDER S' ' ature of Owner/ Lessee/Contractor as Agent for owner STATE OF FLORIDA COUNTY OF The fnraning instrum nt wac acknowledged before me this a, day of 01 20 O by Cou Name of person making statement. OR Produced identification Personally Known�_ Type of ldentification Produced Signature of Notary Public- State of Florida) U ,o„ P�� ` (SAN MONTENEGRO Commission No. MY COMMISSION # GG 0a EXPIRES: 012 2025 oc vl , a lary Mf c rider REVIEWS FRONT COUNTER REVIEW REVIEW RA CO c ;Siature of Contractor License Holder STATE OF FLORIDA COUNTYOFThe foforoing instrum ntwas acknowledged before me this day of .� f ZO? —l� by I Name of person making statement. Personally Known �—OR Produced Identification Type of Identification Produced of Notary Public- State of Florida) U 7 No. ='�'`P,fi Su(soalbNTENEGRO .K My CtlMMI$SJON # GO 069099 56nTwo tjoory PutNic U�idervmtef5 '"FLANS VEGETATI '... �- _ REVIEW REVIEW REVIEW REVIEW �ertfflcate of Product Ratings AHRI Certified Reference Number: 8676077 Date: 03-20-2019 Model Status : Active AHRI Type: RCU-A-CB Series: XR16 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6030J1 Indoor Unit Model Number (Evaporator andfor Air Handler) : TEM4AOB3OS31+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, So, 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 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 (A2) - Single or High Stage (95F), btuh : 28800 SEER : 15.50 EER (A2) - Single or High Stage (95F) : 13.00 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. Retinas 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 productfs) 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 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-CONDrr1ONING, HEATING, REFRIGERATfONIN51TrU1E CERTIFICATE VERIFICATION & The information for the model cited on this certificate can be verified at www,ahridirectoty.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. 131975784314247182 ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: