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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. �V[ ��rl[Y"H f..,��'�.yYCy�.I� �����_" L��,I;.����•SL�JI''�l1 •T��� y: .]. ..iY �'t .xx-�t-5�i.`'x � �l'�YT.� i �S' ..,yh�'s Y. 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.: