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HomeMy WebLinkAboutpermit applicationEst. Steri Dale OWN Installation Work Order Eel completion nate (772) 567.3100 Corporate Customer 7600 US Highway 1, Vero Beach. FL 32960 Relation• M rcm ReLddib& 5mcsseel Fkvma incl-- r LMC 1741753. CACURSI7QCEC14282113 ;6G6j 8030870 clM.rFBMEn LMNI CIJ15.. 1' .taenESaU" HOMEPHO.— 1. YOUR HVAC SYSTEM DESIGN SIZE_!.__ TYP&�M'—'r SIZE TYPE SIZE TYPE EFFICIENC&11Y ;; ,/f EFFICIENCY _ FFRCIENCY $— $ $ s SUBTOTAL $ SUBTOTAL $ SUBTOTAL $ MONTHLY EST MONTHLY EST' $ _ _ , MONTHLY EST • $ CUSTOMER INITIALS CUSTOMER INITIALS CUSTOMER INFTIALS Pans Labor W``arranly' t). Pan Warranty Parts ,. Labor Warranty' Porta Labor lQCompraeeor _ Heal Exc angm Cornptesscr Heat Exchanger _ Compiessor ,_ Heal Exdmnger Relrigetant recovored and disposed of as required by law. Complete dean up inckding use of floor savers to protect your hams and removal of misting equipment. All work completed Is done in a rdance wan misting codes and pemhits, m required. SPECIFICS OF YOUR • SELECTEOOPTION ❑1 ❑� ❑3 O Weatherproof XConnect to ExistingElectronic Aa Clemer SUBTOTAL $ Disconnect Electrical O Media After )&let— Equipmmht 5 k O PCO $ Sound leclation Pada �*oconmcl Diem Lin: ❑ UV Light Liquid Tile Conduit O Ceding Saver Ka ❑ Humidifier r it (Pan &Floall O Dahumdilier TOTAL S J -/moi <'T 8 Rek ge al i 66,Dr O Main Aran Safely Swddt '-A Outdoor Unit Pad ❑%higerant Apa O Seal New Connections O Rue Venting O New O Rocannecl O Support Athc Equipir itt O Ductwork Connectiorhe OCASH O CHECKO O Refrigerant Pipe Cover ❑ Supply Plenum O Fue Piping O O Reconnect O Expansion Valve New ❑Electrical WnmO >3CREDIT CARD (LAST aMa( Plenum ❑ Return � T --seat -Typo 'AH me me Service flan H D - C/— ONaw OReconrhacl 1Termi364days) EXP APPROVAL OUR GUARANTEES Comfort Guarantee Home Protection Guarantee O FINANCING• _ 2A Hour Sernce Guarantee 100%Unwnddimhd Mo SeGuarainlee 'PaN^•rit i)ptglia aridabk -th approved aedt V t -Fz) 1 uc� i n oiler I acknowledge that my right to cancel has been explairLd to me costly and in wn6rig, and without wand g my tight to cancaL I auihoian the performance, at the wale, subject to all terms and conditions set forth on the reveille, tide hereol, plus any lines upon eamptelion Blye's Riot to Basel: Thh Is s kiss eapdtatho sok. old B In its feel well Ile poeds or unrI , yes mry Centel Ihh spreemenl by ptiridkp ledtles relics U the I Ibe ks penes, by tekprss, or b mail This who mud ediatr test yrr ds ad sisel IM peels le f; 1,es wd mut M delivered or postmarked Islas mkoiphl of the lead Millions dry aft yml Ilya MIs "resume. II yes cancel this woneraL W sella mol met keep rd a part el any cue dews plymwi Sar the more eke pend let as fool ulke of 1ks d0L •levels IsBess:(s.lisadslplIWhomy mead ILthinkILTallaeamkeCspydtllrCoiled etIwtins Igo s1�IMBkended yoreIpsl?01x=;nIhbhems sap,ells.mhdmlorl11111saladpapsaelWisiseermkaSaroaryenpnpmkylhaludfkImdodwitywkedpry.WalralwheskrdardMpten11 dIMmhd ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 1 • 111 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: �S 'i,�r i wL c Lr I's 1, 1 ._ —F LUe. C Legal Description: t L-e� '�c 3 $ L.T_ T sr Property Tax ID #: � � ! ` . fir 3`r1 C�dCJ�S Lot No. � �, Site Pian Name: Block No. -- n Project Name Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: E CT AC CHANGE OUT NO DUCT WORK--- -7L2[ � 3 7Z A � G b � C1cj %r , &� a 7ZrL4) Wkc�, CONSTRUCTION INFORMATION: Additional work o be ertormed under this permit — check III fn appy: HVAC Gas Tank ❑Gas Piping 11Windows/Doors _Shutters Electric Plumbing E]Sprinklers E Generator F]Roof Roof pitch Total Sq. Ft of Construction: 5 Ft. of First Floor: Cost of Construction: $ lT Utilities: Sewer E]Septic Building Height: OWNERAESSEE: CONTRACTOR: Name rVI fue-S Name: DENNIS ZACEK Address: S t4 Company: ARS City:State: Address: 2800 US HWY 1 Zip Code: Fax: City: VERO BEACH State: FL Phone No. 2 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. LIEN LAW IN'I✓ORMATIM DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Name: Address: Address: City: State: City: State: Zip, Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMP't IY: x Not Applicable Name: % Name: Address: / Address: City: City: Zip: Phone: Zip: Rho e: 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 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 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 our Notice of Commencement. _ Signature of O er/ Lessee/Agent I Signature of Contra r/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF stuide COUNTY OF S1LUM The fo irag instrument was acknowledged before me The forgoing instrument was acknowledged before me `�` this day of i t.- 20 Iby this � day of 20 by Dennis Zwek Dennis Zacek (Narpo of person acknowledging j acknowledging ti 7(Nameerson , � F (ignature of Notary Public- State Fl6Yda ) (Si ,ature o Notary Public- State of Florida) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Fll 7 °fHODABERRO Commission No. qfi"as, rr fz8r'9 y Commission No. (Seal) NO,f�U8L10 3 _ 8'TATE OF FLORIDA THaMAS H. I�At3i Fr1(c3 *� i� r Com 1 Revised 07115/ 2014 °,1it= I Expires 602018 E' =� STATE= OF FLORIDA Comrng FF128494 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS &UPOWW"Corporate Installation Work Order Eo Start Date Esl Compiet an Dale _ironic Air Cleaner � (772) 567 3100 leclncal Cusl.mer 2600 US Highway 1, Vero Beach Ft_ 32960 Relations r 'Arr r, RMW-' W Ste, of PO -U L� LUMM O Cua 244n3_ CAca+slrrs, Grc1428293 (666) 803.0879 C U.—,__. Um SIZE TON TYPE Q=%L/p�L-I SIZE , TYPE EFFICIENCY'r ci EFFICIENCY SIZE TYPE EFFICIENCY SUBTOTAL $ SUBTOTAL $ SUBTOTAL $ MONTHLY ESI' $ — ,. MONTHLY EST • $ —� MONTHLY EST • $ CUSTOMER INITIALS CUSTOMER INITIALS MER INITIALS CUSTO Warranty-,-- Parts Warranty: _ Paris _ Labor Warranty — _ Parts — _ —Labor 4a,Compressor H.al Exchanger Compressor _ _,__,_Heal Exchanger Compressor —___Heat Exchanger Refrigerant recovered and disposed of as required by law. Complete dean 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 permits, as required ' ' • SELECTED OPTION: ❑ 1 [:12 ❑3 ❑Weatherproof Disconnect onnecttoExisting _ironic Air Cleaner � leclncal ❑ Media Filler i time Equipment Slab E3 Now Plywood Deck ❑PCO ?1-1`Isolation Pads econnect Drain Line ❑ UV Light _ lquid Tito Conduit ❑ Ceiling Saver Kit ❑ Humidifier ' ❑ Start Kit (Pan $ Float) ❑ Dehumidifier --tdoor ❑ Refrigerant LL Dryer ❑ Main Din Safety Switch „JUnit Pad ❑ Refrigerant Pipe ❑ Seal Now Connections ❑ Hue Venting ❑ New ❑ Reconnect ❑ Support Attic Equipment ❑ Ductwork Connections ❑ Refrigerant Pipe Cover ❑ Supply Plenum ❑ Fuel Piping ❑ Expansion Valva ❑ Naw ❑ Reconnect ❑ Electrical Wiring lot -Typo / ❑ Return Ptenum ❑ Naw omo Service Plan - l ❑ Reconnoet 1 Term (364 days) Guarantee omo Protection Guarantee Service Guarantee 00% Unconditional Money -Back Guarantee SUBTOTAL $ &h 27 TOTAL ❑ CASH ❑ CHECK# 1: Ulf I CREOR CARD (LAST 4Ns) 2zi NC) -C'C— j EXP APPROVAL ❑ FINANCING' 'Payment options available with approved I Written customer authonzallon w II be obtained before beginning any unforeseen addit onal or extended work ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES • BUYER'S RIGHT TO CANCEL -This Is a home solicitation sale, and If you do not want the goods or services, you may cancel this agreement by providing written notice to the sailer 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 r ht. I ackmowledge that my right to cancel has bean ex ined to me cra y and .n writing, d without warning my right to cancel, l auls _ za the-, Porto rica of the, work. Su o to all and Co Ions set fo vo the revers. a her I,p�77��� - C CR III URE ._ - - �— .ATF� GpMPAN EPRESE ATrrE CU=MER SIGNATURE DATE 0 7016 Amm I RmwiInaud Smr L C. AN r ghd -d. APSMS S 661715 5n- -- and Certificate of Product Ratings AHRI Certified Reference Number: 7490503 Date: 6/2/2017 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: 50ZPC036---30** Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER 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, 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. Series name: Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 2101240-20013 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): 35000 EER Rating (Cooling): 11.50 SEER Rating (Cooling); 14.00 IEER Rating (Cooling): Ratings followed by an asterisk I') indicate a voluntary rerate of previously published data, unless accompanied vnth a WAS which indicates an involuntary cerate 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.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; 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 A REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.abridirectory.org. click on "Verify Certificate' link t,e make I fe tmiler 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 ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131409028695507689 Property Card Page 1 of 1 Michelle Franklin, CFA — Saint Lucie County Property Appraiser — All rights reserved. Property Identification Site Address: 758 E PRIMA VISTA BLVD Sec/Town/Range: 22136S/40E Map ID: 34/225 Zoning: RS4 Ownership Kenneth C Gonsalves Leslee A Hull 758 E Prima Vista Blvd Port St Lucie, FL 34952 Legal Description RIVER PARK -UNIT 3- BLK 28 LOT 45(MAP 34122S) (OR 1386-1860) Current Values Just/Market Value: 561,100 Assessed Value: 538,532 Exemptions: $25,000 Taxable Value: $13,532 Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Download PDF 12 Parcel ID: 3419-515-0234-000-5 Account #: 42300 Use Type: 0100 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air (SF): 1,148 Gross Area (SF): 1,913 Land Size (acres): 0.22 Land Size (SF): 9,375 This information is believed to be correct at this time but it is subject to change and is not warranted. a` Copyright 2017 Saint Lucie Count) Property Appraiser. All rights reserved. http://www.paslc.org/RECard/ 6!2:'2017