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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1-4-2021 Permit Number: • 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 CHAINGE-OUT PROPOSED IMPROVEMENT LOCATION: Address: 5792 MOSS CT. 713 Property Tax ID #: 3410-507-0026-•000-2 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 _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ 4,400.00 Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name RANDALL JONES Name: JAMES F. GRIMES Address: 5792 MOSS CT. Company: GRIMES HEATING AND AIR CONDITIONING City. FORT PIERCE State: F L Zip Code: 34982 Fax: Phone No. 707-239-7800 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) F-Mail ROBERTGRIMESAC@AOL.COM State or County License 4426 If value of construction is $2500 or more, a RECORDED Notice of Commencement is requwreo. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Name: Address: City: Zip: Phone }F,z. Mot Applicable MORTGAGE COMPANY: Not Applicable Name - Address: State: State' City: Zip: ��._ Phone: FEE SIMPLE TITLEHOLDER: J.._ Not Applicable BONDING cOMPANY: Name: Name: Address: Address: City:city: Zip: Phon a- Zip: Phone: Not Applicable de to obtain a permit to do the work and installation as indicated - OWNER/ CONTRACTOR AFFIDVIT: Application is hereby ma I certify that no work or installation has commenced prior to the issuance of a permit - St, Lucie Count y makes no representation that s 9 s Asgaciatroni rules, or and covenants that maydrestrictbor proect hibit such which is in contfict with any applicable 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 ail 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, wails, signs, screen rooms and accessory uses to another non-residential use "WARNING TO OWNER: YOUR FAILURE TO YOUR PROPERTY N YOUR PAYING . A NOT CE OF COMMENCEMENT MUST RESULT BE RECORDED AND TWICE FOR IMPROVEMENT To OBTAIN POSTED ON THE JOB SITE BEFORE THE E FIRST R PECT O . IF Y NOTICEF COMMENCEMENT." if+iG, CONSULT WITH YOUR L 1E ur-11®Hi c FS'ature of owner/ Lessee/Contractor as Agent for owner STATE OF FLORIDA COUNTY OF The fnraning instrurnPnt waq acknowledged before me this *day of te0,f' ..t by ► k-5 �LtirrvLS Name of person making statement. Personally Known 'K _ OR Produced Identification Type of Identification Produced of Notary Public- State of AN MONTENEGRO Commission No. IT; -. (S-My GOMMI5530N # GG 0&� f=e:EXPIRES: Apfil2,2021 REVIEWS I FRONT __ LUNn11u �,.. COUNTER REVIEW REVIEW DATE }DECEIVED DATE COMPLET C )Si/ature of Contractor License Holder STAVE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this _O�_ day of r 2Q.k by Name of person making statement - Personally Known._ OR Produced Identification Type of identification Produced of Notary Public- State of Florida ] :-` � �= e i�Y COMlvi4�Sli7rt � CG U�9G99 r3�ri TnN Nu�aM Pu�€w Ur;dervmier5 "VLANS VEGETATI REVIEW REVIEWREVIEW REViEVII Certificate of Product Ratinas 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) : 4TTR6034J1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4AOB30S31+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, SD, TN, TX, UT, VA, VT, WA, WV, Wl, 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 foilows in accordance with the latest edition of ANSI/AHRI 210/240 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 offerdng for sale; OR new models that are being marketed but are not yet being produced.`Ptoduction Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings 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 product(s) 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-CONDMONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can he 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. ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO,: 1319757i34314247182