HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12-02-2020 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-GUT
PROPOSED IMPROVEMENT LOCATION:
Address: 2993 CONIFER DR.
PropertyTax lD#: 1327-801-0076-000-9 Lot No
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1)5 TON TRANE HEAT PUMP SYSTEM, 14 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:$ 6,475.00 Utilities: —Sewer —Septic Building Height:
OW N ERAESSEE: CONTRACTOR:
Name SAM KUCEY Name:JAMES F. GRIMES
Address:2993 CONIFER DR Company:GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State:V_L, Address:3054 N US HWY 1
Zip Code: 34951 Fax: City: FORT PIERCE State: FL
Phone No.772-448-4119 Zip Code: 34946 Fax: 772-461-8722
E-Mail:NA Phone No 772-461-8711
Fill in flee 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.
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DE51Gt1fER/ENGINEER: ___-Nat Applicable MORTGAGE COII1IPAiVY: No#Applicable
Name: Name:
Address: _ Address: - - -
City: -- State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _,Not Applicable BONDING COMPANY: Not Applicable
Dame: _ _ Name:__
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.
I 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 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 TIME JOB SITE BEFORE THE RRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Ic
5' ature of Owner/Lessee/Contractor as Agent for Owner 75ature of Contractor/License Holder
STATE OF FLORIDA t STATE OF FLORIDA
COUNTY OF ST yCy e- COUNTY OF ,T- Z 1wa,(+--
The fnra-ing instrig t,nr-acknowledged before me The forgoing instru nt was acknowledged before me
this •day of L ___,2o7-9by this day ofQ ZO�C7by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification _ Personally Known).,_OR Produced Identification
Type of identification Type of identification
Produced Produced -
Signature of Notary Public-State of Florida) nature of Notary Public-State of Florida)
Commission No. :,� i ; {Sr AN h{ONTENEGROLmmission No. =.?"F• SU a1DNTENE(.,RO
MY COMMISSION GG689DEXPIRES: 0 2,2021 c lary r9 ndavni4 '%'F ' " -d ThRs W- ry Pubk ur)d 6 i=rieN
REVIEWS FRONT VEGETATI
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev..
Certificate of Product Ratings
AHRI Certified Reference Number:8908614 Date:01-15-2020 Model Status:Active
AHRI Type:HRCU-A-CB
Series:XR14
Outdoor Unit Brand Name:TRANE
Outdoor Unit Model Number (Condenser or Single Package):4TWR406OG1
Indoor Unit Model Number(Evaporator and/or Air Handler):TEWAOC60S51+TDR
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 parry testing:
Cooling Capacity(A2)-Single or High Stage(95F),btuh:55500
SEER: 14.00
EER(A2)-Single or High Stage(95F):11.50
Heating Capacity(1-112)-Single or High Stage(47F):53500
HSPF(Region IV):8.20
�"Active"Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering far 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 offer ng for sale.
Railnos that are accompanied by WAS indicate an involuntary re-rate Then published ratino is shown aona with the previous{i,e._WAS ratin .
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 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.ahridirectory.org. fi 0 EM
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. &REFRIGERA ONNG,HEATING,TE
&REFRIGERATLDN INSTITUTE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahridirectory.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. 132235617912533306
02020Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: