HomeMy WebLinkAboutDIXON PERMIT APP-3503 SLOAN ROADAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12`22-2020 Permit Number:
•
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
PERMIT TYPE: A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 3503 SLOAN ROAD
Property Tax ID #: 2404-608-0173-300-8
Site Plan Name:
Project Name:
DETAILE❑ DESCRIPTION OF WORK:
Commercial Residential X
Lot No.
Block No.
LIKE FOR LIKE REPLACEMENT OF (1) 3 TON TRANE A/C SYSTEM, 15 SEER WITH 8 KW ELECTRIC HEAT AND DUCT.
CONNECT TO EXISTING REFRIGERANT LINES, DRAIN, HIGH AND LOW VOLTAGE ELECTRIC.
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 7250.00
Generator
Sq. Ft. of First Floor:
_ Windows/Doors
Roof Pitch
Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ANITA DIXON
Name: JAMES F. GRIMES
Address: 3503 SLOAN ROAD
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: f
Zip Code: 34947 Fax:
Phone No. 321-225-1460
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]
E-Mail ROBERTGRIMESAC@AOL.COM
State or County License 4426
IT value oT Construction is .yz5uu 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.
i JUIYy1'A 4IVj-If..UY'1E't1131�KF�UiEY,.."
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DESIGNER/ENGINEER: ^ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER] CONTRACTOR AFFIDVIT: Application is nereny made zo ontam a Net Er11L v �•.- �••Y - - - -
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County 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 ancovenants 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,
accessary structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: 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 j08 SITE BEFORE THE FIRST INSPECTIlON. IF YOU WrEND TO OBTAIN wirrH OUR LENDER OR AN ATTORNEY BEFORE RECORDING. YOUR NOTICEFINANCING, CONSULT
F COMMEINCiEMiENT
#4ture of Owner% Lessee/Contractor as Agent for Owner
STATE OF FLORIDA t
COUNTY OF S -
The fnraning instrument wnc acknowledged before me
this LZ=day of t 20_2.0 by
Name of person making statement.
Personally Knownl_—OR Produced Identification
Type of Identification
Produced
ignature of Notary Public- State of Florida) U
' e {SL%gAN MONTENEGRC)
Commission No. ° ' -Y COMMISSION # GG 089
EXPIRES: rii 2.2E2i
Iopt ;�;;�_ I .afy r mom
REVIEWS FRONT
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
SE ature of ContractorJLicense Holder
STATE OF FLORIDA
COUNTYOF 7 =
The for ding instru entwas acknowledged efore me
this day of 202 Uby
Name of person makingstatem€nt.
Personally Known K— OR Produced Identification
Type of Identification
Produced
nature of N�Public-
mmissionState of Florida ) No. :'=:P F •. SUdTNTENeGRi3
MY COMM['SSION # (34G 06909
- - 5N)(c, 1 I fN N4 ry Pubs OdeAvftet8
NS VEGEiATI
REVIEW REVIEW REVIEW REVIEW
Certificate of Product Ratings
AHRI Certified Reference Number: 201763703 Date : 03-06-2019 Model Status: Active
AHRI Type: RCU-A-CS
Series : XR16
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTRE036J1
Indoor Unit Model Number (Evaporator and/or Air Handier) : TEM4AOB36S31+TDR
Region: Ali (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 ANSI/AHRI 2101240 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 : 33401)
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 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
Wing or offering for sale.
Ratings that are accompanied by WAS indicate an involunlary re -rate. The new published ratino is shown'alonq with the previous_(i.e. WASH rating,
DISCLAIMER
AHRI does not endorse the praduct(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
the products) listed on this Certificate. AHRI expressly disclaims ail liability for damages of any kind arising out of the use or performance at 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-
TERICertificate
AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only he 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 IM3TITUTE
The information far the model cited on this certificate can be verified at www.ahrid irectory_org, click on "Verify Certificate' link we make fife hQuQi '
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.
92019Air-Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: 131963822825735307