HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2-16-2021
s
Planning and Development Services
Permit Number:
Building Permit Application
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: 5536 SPANISH RIVER ROAD
Property Tax ID #: 1312-502-0116-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1) 3.5TON TRANE A/C SYSTEM, 16 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: $ 6500.00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name MICHELE SLITHER Name: JAMES F. GRIMES
Address: 5536 SPANISH RIVER ROAD Company: GRIMES HEATING AND AIR CONDITIONING
FORT PIERCE State: F I-- Address: 3054 N US HWY 1
City: �--
Zip Code: 34951 Fax: City: FORT PIERCE State: FL
Phone No. 843-476-2197 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.
Not
Name:
Address:
State:
City:
Zip: Phone
. FEE SIMPLE TITLEHOLDER, Not Applicable
Name,
Address:
City: -
Zip: _Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address: State:
City:
Zip: . Phone:
BONDING COMPANY: ,Not Applicable
Narne:
Address:
City:
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. lueie Countyy makes no representation that is granting a permit will authorize the ppermit holder to build the subject structure
whucturenPleasie consultany thpyvurl�loHomeowners
e Owners Association andrreviewyyour deed oroany restrictions whic€i may applly prohibit such
str perform the work
in consideration of the granting of this requested permit, I do hereby agree that I will, in all respects,
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
E OF RESULT IN YOR PAYING
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOT MUST OF COIMIhIENCEMENTOMENCEMENT MAYMUST BE RECOURDED AND
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A
POSTED ON THE JOB SITE BEFO
0WFV IRFFORE RECORDING YOUR NOTICE OF COMMENCEMENT."LING, CONSULT
c
�s5'ature ��ofOwner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF �
The fnraning instrpmpnt w;4' acknowledged before me
this IL
day of 20'Z I, by
J as F
Dame of person making statement.
Personalty Known, OR Produced identification
Type of Identification
Produced
of Notary Public- State of Florida )
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(SCAN MONTENEGRO
commission No. My COMMISSION n GG HE
am. GvpIR=S- Anrll2.2€121
REVIEWS I FRONT Z0NINtx JUrL+�4.
COUNTER REVIEW REVIEW
RECEIVED
COM
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Si ature of Contra ctorf License Holder
STATE OF FLORIDA
COUNTY OF �� �• `^�
The forgoing instrument was acknowledged before me
this J_U day of 20 g lI by
Name of person making statement_
Personally Known )— OR Produced identification
Type of identification
Produced
nature of Notary Public- State of Florida) U
°mod sL1 al�N�F',~�ic3RO
mmission No. ; hi yi}$9(K39 ^
My COMMiS;il�7 r Cu
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NS VEGETATI
REVIEW REVIEW
REVIEW REVIEW
This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
Certificate of Product Ratings
AHRI Certified Reference Number: 8703699 Date : 03-01-2019 Model Status: Active
AHRI Type: RCU-A-CB
Series : XR16
Outdoor Unit Brand Name : TRANF
Outdoor unit Model Number (Condenser or Single Package) : 4T`rR6042J1
Indoor Unit Model Number (Evaporator andlor Air Handler) : TEM4AOC42S41+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, NO, 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 TRANS product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSIlAHRI 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 : 41000
SEER: 16.00
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 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 still
selling or offering for sale.
Ratnos chat 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 produc€(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; disseminafed; m`"r=
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,REFRIGERATION
HEATING,
& REFRIGERATION INS71'rllTE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahrldirectory.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. 131959228876420661
92019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: