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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12-28-2020 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 x Residential PERMITTYPE:A/C CHANGE-OUT PROPOSED IMPROVEMENT LOCATION: Address: 8573 S US HWY 1 Property Tax ID#: 3414-501-1903-400-9 Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE REPLACEMENT OF (1) 5 TON RUN TRU A/C SYSTEM, 14 SEER WITH SKUV 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: $ 5,785.00 Utilities: —Sewer —Septic Building Height: OWNERAESSEE: CONTRACTOR: Name KILLAVANEY PROPERTY CO Name:JAMES F. GRIMES Address:8573 S US HWY 1 Company:GRIMES HEATING AND AIR CONDITIONING City: PORT SAINT LUCIE State: L Address:3054 N US HWY 1 Zip Code: 34952 Fax: City: FORT PIERCE State: FL Phone No. 772-284-7303 Zip Code: 34946 Fax: 772-461-8722 E-Mail:NA Phone No 772-461-8711 f different E-Mail ROBERTGRIMESAC@AOL.COM Fill in fee simple Title Holder on next page( i 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. 1f value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. .—.7-:. 3�...:v,.. ._.�..,a..,r t;.-}i.;. � .:,-I_" ._;.i? W�:C7`ir4 r` .,-� 'f „ f T,-: '4i..y +tY:,1� i'��r,.��f.•SFi�r 5,:,�. ��,}3��i4 N d :x DESIGitIERf El1fGINEER: ____Not Appficalale .. .MORTGAGE COMd�At�Y:�,-, Not Applicable Address: Address: City: State: City: State: Zip: Phone Zip: Phone: — FEE SIMPLE TITLE HOLDER: �Not Applicable BONDING COMPANY: Not Applicable Name: 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 hermit holder to build the subject structure which is in conflict with any applicable Horne 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 THE .JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." ature of Owner/Lessee/Contractor as Agent for Owner Si ature of Contractor/License Holder STATE OF FLORIDA STAVE OF FLORIDA COUNTY OF S'T, L.•,Cec/ en COUNTY OF_ S 7 Z-le ane The Mruning instrumprit wac acknowledged before me The forgoing instr ent was acknowledged before me this Z�day of C- 20U by this day of f C- Z0 Zaby 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. &ffANMONTFNEGRO 11mmission No. t :P`F`""" S i( # #t)*iTE4EGRD =i MY COMMISSION 9 GG 089(19 .;? MY Cti AillaalCJR1 GG U89099 EXPIRES: Ti12.202i w i� 1 S2{y 4+,�C U�rn ,4 ��J���-y n,'G,�� I,i,,,,"• _ _ B de,J i l n I"ll? F V S'ub&C l�i s ,'6'VfA&C$ REVIEWS FRONT NS VEGETATI " "' COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.. Certificate of Product Ratings AHRI Certified Reference Number:204599822 Date:01-16-2020 Model Status:Active AHRI Type:RCU-A-CB Outdoor Unit Brand Name:RUNTRU Outdoor Unit Model Number (Condenser or Single Package):A4AC4060A1 Indoor Unit Made€Number(Evaporator and/or Air Handler):A4AH4E60A1C3 Region: All(AK,AL,AR,AZ,CA,CO,CT,DC,DF, FL,GA,HI,ID, iL,]A, IN,KS,KY,LA, MA,MD, MF,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 RUNTRU 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(95F),btuh:55000 SEER: 14.00 EER(A2)-Single or High Stage(95F) : 11.70 new models that are marketed Model are Status are those that an AHRI Certification Program Stopped"Modell Status Participant is those hat an AHRI Certify producing fi soiling or offe6og for ication Program Participant i isOno longer producing BUT being sgstill marketed but are not yet being produced."Production selling or offering for sale. Ratings that are accom anied b WAS indicate an involuntary,re-rate. The new ubtished ratin is shown alon with the revious i.e.WA ra in . DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibtllty �the 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),o unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configuratlons listed in the directory at www.ahridlrectory-org- TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used far 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, AIR-CONDITIONING,HEATING, personal and confidential reference. &REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can toe 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. CERTIFICATE NO.: 132236734030676089 ©202OAir-Conditioning, Heating,and Refrigeration Institute