HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/02/2021 Permit Number:
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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
PERMITTYPE:A/C CHANGE-OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 3225 S LAKEVIEW CIR#101
Property Tax ID#: 1426-501-0049-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
�AILEDDESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF(1)3 TON TRANE A/C SYSTEM, 15 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: Sq. Ft. of First Floor:
Cost of Construction:$ 5,285.00 Utilities: Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name RONALD BARKMAN Name:JAMES F.GRIMES
Address:3225 S LAKEVIEW CIR#101 Company:GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State:�� Address:3054 N US HWY 1
Zip Code. 34949 Fax: City: FORT PIERCE State:FL
Phone No.772-489-6448 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.
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DESIGNER/ENGINEER:r —Not Applicable MORTGAGE COMPANY:< Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE BOLDER: 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.
5t.Lucie Countyy 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
`WARNRYC TO OWNEW. 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 COMME NCEMENT n
S' ature of Ownerf Lessee/Contractor as Agent for Owner S[ afore of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S U G COUNTY OF
The fnruning instrument wac acknowledgedk before me The forgoing instrument was acknowledged-before me
this Zydayof ��17 ,20ZL by this, 2—dayof FP l> 20Z% by
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. ,a .. (S&qAN MONTENEGRO C mmission No. 4IJ6d
kiY G4MMi5SIQN R GG 089( _ ,a M COMMIS�IGN 9
' EYPIftES: r112.2021 =
vary W c ndwr t E3nndei lls u tdc ry Pu 'REVIEWS FRONT INS VEGETATICOUNTER REVIEW REVIEW REVIEW REVIEW REVIEW RE
DATE
RECEIVED
DATE
COMPLETED
Rev..2/7/19
i
www.ahridirectory.org
Certificate of Product Ratings
AHRI Certified Reference Number:201763703 Date:03-06-2019 Model Status:Active
AHRI Type:RCU-A-CB
Series:XR16
Outdoor Unit Brand Name:TRANE
Outdoor Unit Model Number (Condenser or Single Package):4TTR6036J1
Indoor Unit Model Number(Evaporator and/or Air Handler):TEM4AOB36S31+TDR
Region: All(AK,AL,AR,AZ,CA,CO,CT, DG,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)tar
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 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:33400
SEER: 15,00
EER(A2)-Single or High Stage(95F) :12.50
t"Active"Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sate;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 offering far sale.
Ratin s that are accom anied by WAS indicate an involunta re-rate. The new published ratina is shown alona with the wevious i.e.WAS rating.
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 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 CONDITIONScome
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-CONDITIONING,HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahrid€Fectory.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.
02019Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 131963822825735307