HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-18-2021 Permit Number:
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 3498.E
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
PERMITTYPE:A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 5612 TANGELO DR
Property Tax ID #: 3402-610-0187-000-0
Site Plan Name:
Project Name:
Commercial Residential X
Lot No._
Block No.
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1) 3.5 TON TRANE A/C SYSTEM, 16.75 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: $ 5,885.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name JOHN AND ALICIA DOTSON Name: DAMES F. GRIMES
Address: 5612 TANGELO DR Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE Stater Address: 3054 N US HWY 1
Zip Code: 34982 Fax: City: FORT PIERCE State: FL
Phone No. 772-579-9455 Zip Code: 34946 Fax: 772-461-8722
E-Mail: NA Phone No 772-461-8711
Fill in fee 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.
DESIG
Not
Name:
Address: City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER; Not Applicable
Name,
Address:
City:
Zip:
MORTGAGE COMPANY: Not Applicable
Name:
Address: State:
City:
Zip: _ Phone: —
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone
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..
yy permit will authorize
or and covenantsholder that maydrestrictbor prct ohibit such
ILucis Inoeontitlict with any representation that
aowners granting rules, bylam
deed for any restrictions which may apply.
structure. Please consultw�ih ynur Horne Owners Association and review y
In consideration of the granting of this requested permit, I do hereby agree that k 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 concurrence review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen roams and accessory uses to another non-residential use
CE OF
COMENCEMENT MAY
RESU
"WARi111IMIG TQ OWNER: Y®UR FAIT® YOUR PROIPERTY- AT11 NOT CE O MCOMMENCEIM EN M UST IN
RECORDED AND
TWICE FOR IMPROVEMENTSON. IF YOU
POSTED ON THE !OB SITE BEFORE� THE � BEFOREFIRST
INSPECTIRECORDING YOURNQT�C OFCOMIMENCEMI NT!' ,CONSUL WITH YOUR LENDER OR AN
Fof owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF S'n ��•
The fnrsrning instrijpetwas acknowledged before me
this -day of ZO Z� by
n
Dame of person making statement.
Personally Known_ OR Produced Identification
Type of identification
Produced
Signature of Notary Public- State
Commission No. 'V
,o.
REVIEWS FRONT
COUNTER
DATE
RECEIVED
COMP
(St AN NAON'TENEGRO
My COMMISSION n GG 08z
REVIEW I REVIEW
C
SI ature of Contractor License Holder
STATE OF FLORIDA
COUNTY
OF
The for wing instrum�r�nt was acknawiea by re me
this r~ day of _
Name of person making statement•
Personally Known - .OR Produced Identification
Type of Identification
Produced _
of Notary Public- state of Florida )
_ fly COMMISSION � GG U89U99
B,x�Thiu 4r9 PuNw U erwi tees
'V ANS VEGETATI
REVIEW REVIEW REVIEW REVIEW
This combination qualifies for a Federal Energy Efficiency Tax Credit when
placed in service between 1/112015 and 12/31/2020.
Certificate of Product Ratings
AHRI Certified Reference Number : 8631021 Date : 01-18-2021 Model Status : Production Stopped
AHRI Type: RCU-A-CS (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Series: XL16
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTX6042J1
Indoor Unit Model Number (Evaporator and/or Air Handier): TEM6AQD48H41+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, 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 AHRI. 2101240 with Addendum 1, 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 : 41000
SEER: 16.75
EER (A2) - Single or High Stage (95F) : 14.00
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 stM
selling or offering for sale.
Ratin s that are a%)si anied b WAS indicate an involunta re rate. The new published ratingis shown alon with the rev'sous i.e. WAS ratin .
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.ahrid!rectory.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, AIR-CONDITIONING, HEATING,
personal and confidential reference. $ REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click an "Verify Certificate" link we make life better"
and enter the AHRI Certified Reference Number and the date an which the certificate was issued,
which is listed above, and the Certificate No., which is listed at bottom right. 132554571916301386
02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: