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HomeMy WebLinkAboutpermit application ac change outALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: tig Permit Number: d R4 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 PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 5 3 A fe_xa C,r i q G c-- focrt` 3 Y q $ 2- Legal Description Lc+�- r ZD 02" C. O R- M1 v((9 _ Property Tax ID #: ?2L 0 - 5 03 - Cl( $ 7 — op0r Lot No. Site Plan Name: Block No. Project Name: Qy Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: EXACT AC CHANGE OUT NO DUCT WORK--- k4r_'q-Vl. LA-kT FL( Vk P Iq [CONSTRUCTION IN FORMATION: Additionai work toe nerformea un ert is permit- check all tn appy: HVAC Gas Tank []Gas Piping _Shutters ❑ Windows/Doors ❑ Electric 0 Plumbing []Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Sq• Ft, of First Floor: - ac7 L.I�I� Cost of Construction: $ —� Utilities. Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name t� Rl_ Name: DENNISZACEK Address: 59 l 3 Atexr, sn A_r Company: ARS City: V--bm- I [aQ i`(' - State:- Address: 2800 US HWY 1 Zip Code-'91-f Z Fax: City: VERO BEACH State: FL. Phone No. 77 Q 1 61 _� (� Zip Code: 32960 Fax: „- E-Mail: Phone No. 772-794-7221 Fill in fee simple Title Holder on next page ( if different E-Mail: TDABERKO@ARS.COM from the Owner listed above) State or County License: CMC1249753 If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIQN- AW INFORMATION: 111 DESIGNER/ENGINEER: x N pplicable MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone/ Zip: Phone: IN FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: Name: Address: Address: City: City:,,__, Zip: Phoma Zip: Phone: 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 thepermit 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, s;gns, 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. _T s _ Signature of O er/ Lessee/Agent Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF stupe The forgoing instrument was acknowledged before me this_day of ? 20 jlby Dennie Zacek (Na o f person a k o%dg) fo-lA rtl it 11 l_ (Signature of Notary` Public- State of Florida ) Personally Known x OR Produced Identification Type of Identification Produced Commission No _-Ffr-'nwA S*TTARyPUBUC STATE OF FLORIDA Revised 07/15/2014 ~: E)Ores 61=113 STATE OF FLORIDA COUNTY OF St Lucie The forgoing Instrument was acknowledged before me this day of f 20 by Dennis Zecek of person acknowll (kignature of Notary Public- State of Florida ) Personally Known x OR Produced Identification Type of Identification Produced Pr />Sy9`i Commission No -- 1rwaMAf&i& NgTARY pUglwtC _C Ca FF128494 5 --MIM g1y2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Ratings AHRI Certified Reference Number: 7489180 Date: 5/24/2017 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: RP1442AJ1 Indoor Unit Model Number: RHIT4821STAN Manufacturer: RHEEM SALES COMPANY, INC, Trade/Brand name: RHEEM; RUUD Series name: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 42500 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.00 Heating Capacity(Btuh) @ 47 F: 39000 Region IV HSPF Rating (Heating): 9.00 Heating Capacity(Btuh) @ 17 F: 24800 Ratings followed by ;in aslecsk (') indicate. voluntary rerate of previously published data unnss accompanie!--win, a WAS which Indicates an invu untary rerate 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 liabilAy 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.ahridireetory.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; AM- personal entered into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's indivfdual, and confidential reference. AIR-CONDITIONINa, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.shridirectory.org, click on 'Verify Certificate' link we make Ide teener, and enter the AHRI Certified Reference Number and the date on wh ch the certificate was Issued, which Is listed above, and the Certificate No., which Is listed at bottom right — — ©2014 Air -Conditioning, heating, and Refrigeration Institute CERTIFICATE NO.: 131401292393529778 RESCUE ARS ROOTER. Installation Work Order Est. Start Date sz. 6 : 7 . Completion Date (772) 567-3100 Corporate Customer 2800 US Highway 1, Vero Beach, FL 32960 Relations Amann ResidaKU SerAms of %rich. kc, l.z.ansa # CMC1249753, CA,CA458M. CFC1428203 (866) 803-0879 CUSTOMER e� 1 �Urr4n ADDRESS SRI 3 Ahrqeidriq C I HOME PHONE 9 7V Z6 1_ 615 -A I CEIA FL 3 SIZ>:�,,TYPE ��'�7 SIZE. TYPE __ � SIZE TYPE EFFICIENCY ,fY�Lf'. 17IP EFFICIENCY EFFICIENCY $ `i 71 ro $ $ $ — ria a floAtc. $ -6 !r $ $ p,Y4 $ - 2-0`71 $ SUBTOTAL $ _V SUBTOTAL $ SUBTOTAL $ _. MONTHLY EST.' $ MONTHLY EST.' $�.,., _ MONTHLY EST* $ CUSTOMER INITIALS —..__. CUSTOMER INITIALS CUSTOMER INITIALS Warranty: /o Parts ­!1C—'Compressor Ex Pa Labor I Warranty: Parts labor I Warranty: P Exch Compressor Heat Exchanger Compressor _ Labor Heat Exchanger Refrigerant recovered and disposed of as required by law. Complete clean up including use of floor savers to protect your home and removal of existing equipment. All work completed is done in accordance with existing codes and perm Is, as required. SPECIFICS OF • SELECTED OPTION: 1 72 ❑3 ❑ifi+slpreef Disee"*ect ''Lifetime Equipment Slab Sound Isolation Pads 0 Liquid Tite Conduit 0eN-Kit ® Refrigerant LL Dryer ® Refrigerant Pipe ❑ New JU Reconnect r Expansion Valve QTslat-Type C! *Connex:t to Existing Electrical bfNew Plywood heck 1d Reconrect Drain Line pLei4QQSauc�r-liit (Paull Fltfat) Lk7Main Drain Safety Switch Iff Seal Now Connections $9s>ppart*ttic&qurpment $Supply Plenum ❑ New 10 Reconnect Return Plenum ❑ New &] Reconnect ❑Ironic Air aner 0.x e Filter ❑ PXumitd ❑ U ❑ H ❑ D 12 Outdoor Unit Pad -EHaua- lanting El DuClwork Connections GFFDBFRiping 'B•Electrical Wiring ® Home Service Plan - 1 Term (364 days) ❑ Comfort Guarantee ❑ Home Protection Guarantee ❑ 24 -Hour Service Guarantoe ❑ 100% Unconditional Money -Back Guarantee SUBTOTAL $ W TOTAL $ ❑CASH ❑CHECK# ❑ CREDIT CARD (LAST 4#s) EXP APPROVAL I ❑ FINANCING' 'Payment options available with approved credit RP►,+yz r R NJ T is?,) A"id Written cuiiomer aulR TMTion will be obtained beforrt begjrkng anyknforeseen additional or extended work ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE 6UBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558 FLORIDA STATUTES. - BUYER'S RIGHT TO CANCEL, This is a home solicitation sale, and It you do not want the goods or services, you may cancel this agreement by providing written notice to the seller in person, by telegram, or by mail. This notice must indicate that you do not want the goods or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement. If you cancel this agreement, the seller may not keep all or part of any cash down payment. See the reverse side hereof for an explanation of this right. • I acknowledge that my right to cancel has been explained to me ora.ly and in writing, and without waiving my right to cancel, I authorize the performance of the work, subject to all terms and conditions set forth on the reverse side hereof, plus any taxes upon completion. Michelle Franklin, CFA— Saint Lucie County Property Appraiser—All rights reserved. Site Addrvs. Pared ID: Accnunt X: Map ID: UscTypc. Zoning: City/County: Ownership ?rral M Curran 3913 Alrunlria Cir Pmt St Lucie, FL 349V Legal Description PALM GROVE SO RLK F LILT IN (0.12 ACii OR 1654-49_ Current values ]ust/Markel Valuc: Assmsed Valuc: Eapnpinns: Taxable Va1uc: Taxa for this pared: SLC Ta: C.Aleemr s Office O Download TRIM for this parcel: Oowduad POF O Total Areas FmnhedlUnder Au (SF) Gtuts Area (SF), Lod Sm (acrd) Land Stye (SF): $W,30n 397a6a S75. Sm $21.961 Property Identification 5913 ALEXANDRIA C1 3410.S03.01974MMl6 133306 34/109 0100 PUD Saud Lucca Camry This mfonnatmn u believed to be correct atthis Imre but hit sub3crt w char a and' not wmrward C Copyright 2017 Saint Lucre County Proprny Appraiser AU nJns tesmai.