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Building Permit application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 2-8-2021 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 PERMITTYPE:A/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address: 2801 S BROCKSMITH ROAD Property Tax I D #: 2320-501-0041-010-9 Lot No. Block No. Site Plan Name: Project Name, DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE REPLACEMENT OF (1) 2 TON TRANE HEAT PUMP, 14 SEER WITH 5KW 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 Electric _ Plumbing — Sprinklers _ Generator Total Sq. Ft of Construction: Cost of Construction: $ 5,395.00 Sq, Ft. of First Floor: Utilities: —Sewer —Septic OWNER/LESSEE: Name ZEIDY ROCHE Address: 2801 S BROCKSMITH ROAD City: FORT PIERCE State: F—L- Zip Code: 34945 Fax: Phone No. 772-332-5665 E-Mail: NA Fill in fee simple Title Molder on next page ( if different from the Owner listed above) Windows/Doors Roof Pitch Building Height: CONTRACTOR: Name: JAMES F. GRIMES r,mnanv• GRIMES HEATING AND AIR CONDITIONING Address: 3054 N US HWY 1 City: FORT PIERCE State: FL Zip Code: 34946 Fax: 772-461-8722 DhnnP Nn772-461-8711 E-Mail ROBERTGRIMESAC@AOL.COM 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. DESIGNER/ENGINEER: — Not Appl Name: Address: State: City: Zip: phone _.�..,� FEE SIMPLE TITLE HOLDER; _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: State: City: Zip: Phone: BONDING COMPANY: —Not Applicable Name: Address: City: Zip: IOW NER/ CONTRACTOR AFPIDVIT: Application is hereby made to obtain a permit to do the work and intallation as indicated. s I certify that no work or installation has commenced prior to the issuance of a permit.. r to ild subject with an a plicable Home owners Association rules. bylaws or and covenants that may restrict or prohibit such 5t. Lucie Countyy makes no representation that is granting a permit will authorizeour deed for an�ylrestdrectionswhiche restrict or P structure which r . leas Y erform the work structure. ?lease consult with your Home Owners Association and review that I will, in all respects, p {n consideration of the granting of this requested permit, I do hereby agree in accordance with the approved plans, the Florida Building Codes and St. Lucie County Am de en s. additions, The following building permit applications are exempt from undergoing a full concurrency ev accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use MAY RESULT IN YOUR PAYING AND uWARNIING TO OWNER: YOUR FAILURE TO RROPERTY�ATINOTICE OF COMMENCEMENT MUST CE OF COMMENCEMEW RC®BUILT TWICE FOR IMPROVEMENTS. TO YOUR P D TO OBTAIN FINANCING, POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. I•IOI�1. IF R NOTICE C i'1►ITII< YOUR, LENDER OR AN A7TDiltN1EY BEFORE RECORDING YOUR NDiICIE Of COMMENCEMENT." c s' ' ature of Owner/ Lesseef Contractor as Agent for Owner STATE OF FLORIDA s. r COUNTY OF The f ning Instrii.51ent way acicnowl edged. before me this 2d2y of 1� ' 202A by Name of person making statement. Personalty Known OR Produced ldentification Type of Identification Produced Signature of Notary Public- State of Florida; (S&bqAN MONTENEGRO Commission Na. : My GOMMI5510N # GG 489 REVIEWS FRONT " ZC)Itf '� 3 COUNTER REVIEW REVIEW R❑ PLETED Si ature of Contractor License Holder STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged pefore me 20 Z_ 5 by this�dayof � G-T i 5 Name of person making statement. Personally Known -)"r— OR Produced Identification Type of identification Produced v � _ of Notary Public- State of Florida ) No. ti ,,f.., SUI1NTi r"eGRO My COMMIa5i0N # CEO U89M9 gor,cl�+i i11Iu ��ry Pt:hkc Uhde. VEGETATI �'EVIEW � =WEVIEW REVIEW REVIEW Certificate of Product Ratinds IIIIIIII AHRI Certified Reference Number: 8908427 Date: 02-08-2021 Model Status : Active AHRI Type: HRCU-A-CB (Split System: Heat Pump with Remote Outdoor Unit -Air -Source) Series: XR14 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TWR4024G1 Indoor Unit Model Number (Evaporator and/or Air Handier) : TEM4A0B24S21+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 AHRI 210I240 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 : 23800 SEER: 14,00 EER (A2) - Single or High Stage (95F) : 11.50 Heating Capacity (H12) - Single or High Stage (47F) : 22400 HSPF (Region IV) : 8.50 i"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 as AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratan s that are amprn anied b WAS indicate an involunta re -rate. The new published ratan is shown alongwith the previous i.e. WAS ratan . 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.ahridirer-tory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and v confidential reference purposes. Tice contents of this Certificate may not, in whole or m part. be reproduced; copied; disseminated; emu N 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 on "Verify Certificate' link yve male life better - and enter the AHRI Certified Reference Number and the date on which the certificate was issued, �ERTIFICATE which is listed above, and the Certificate No., which is listed at bottomright. NO.: 132572616521001849 ©2021 Air -Conditioning, Heating, and Refrigeration Institute