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HomeMy WebLinkAboutAC CHANGE OUT APP 6501 PASO ROBLESALL APPLICABLE IIQFO mUST BE CQmrEETEa tOR APPLICA.Iuty 1313, ACCEPTED
�-.C3CINTT
Permit Mummer:
Building Permit Application
rraR..:,,y a,,.d Devempment.).F ,
aul it;..y ,.,,d Code rreyurariorr,
c10 v;, y;,,;a Avenue, Torr rL 34982
rnone: (/72)462-1553 Fax: (//Z)462-1578
PERMI I APPEICATIUM FUR:
PROPusE❑ IMPROVEMEM i Cu 1-1- :
Address: 6501 G.s
Commercial Res;aential x
.—r "e '.ZZ -F
7 -
[.,Sal Description: i-_crL w y�
f t3 fir wr 1
Property Tax ID #:
Lot No. /x_
site roan Name: !�
Project iQome: 4, �O.j i'�r► �` L��, w r� _ Block No, —
SetbacRs
Front nark: Right viae: Len zi;ae:
—�
DE I AILED DESCRip I Iuly 8F WORK:
EAdct change out
CO>QS I RUCTION INFORMIAi I IUN:
HvNL LJ Gas Manx
ElecTric Q Plumbing
Total Sq. Ft of Construction:
Cost of Const, uction: 5�]
UWNER/LB5Et:
I9.me
permit - cMerk aIi appy:
Gas riping _ Shutters
Sprinklers Generator
b. Ft. of FirsL floor: _
Drilities:11Sewer ElSeptic
Address: 111,
City:—G- ' 1! °_f p -
State: F[
clp Coo,: L'!5 _ Fay: NIA
i
Flip, -,e No.
E -Mail: Rrm
Fill In fee simple 1 itle Holder on next
pare (if different
from rifle owner listed abovel
LURTRACTOR:
/:�yc_N�0S6L
QWindowsMoors
Roof
11uhaing Reirht:
Dame: ZaceR, uenniz
Company: r+mericvvi Residential service3
Address: ZOO US H,vy 1
CILy: voro Beach FE
State:
cip Cade: 32960 Fax: 7rc r5z;-y/tfi
PRone No. r rc r�i4-r121
E -Mail: e.L e
State or County Llcens
if value ni coe�traction Is $c300 or ,.,vre, a R=EumDrD Nome of Commencement i; required.
SuPPLERIElq iAC CuIg5I RuL] ItJM CI> Iq Mvv imFuRMAI IGN:
DESIGNER/ENGINEER: Not Applicable MORsI GAGE COI011'1 RY:
mame: Name:
Address: Ad ess:
City: Mate: Ity:
Lip: PRone: Lip: Pnone:
_ Mot Applicable
FEE SIMPLE TITLE HOLDER: _ Not Ap able BONDING COMPANY: Not Applicably
Name: Iaame:
Address: mddress:
City., City:
Zip: Phone: Zip: Phone:
I certify tR-r no -o. R or inar..11otion R,.a eomrneneea prior [v the ImMurlec or o permit.
St. Lucie Count makes no representakion ghat is srandns a NermiL will au,horize she ermiL holder �o build she subject structure
wRicR is in conflict witR an, applicaale Rome C-ners Association ralez, oyla-s or omdd ee...-.onr in.1 m.., re3trict or promi6it OCR
structure. Please consult with your Rome Owners Rssociation and review your deed for any restrictions whicn may apply.
In consideration of she gran,ing of his reyuesked permit, I do hereby agree �haL I will, in all resper�s, perform the work
in accordance witR the approve'u plans, tRe Rlori'ua Quilling Codes anti at. Eucie County r,mendmenis.
Re rollowing Quilaing permit applications are exempt rrom undergoing a rull concurrency review: room additions,
accessor9 souctures, swimming pools, fences, vralls, sisns, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Tour failure to Record a Notice of r`ommencement may result in your paying %wlce for
improvements to your property. A Notice of Commencement must bx rGc-sled and pu5tud —wn the;%b3itz
before the first inspetTion. If you intend Lo obtain financing_ consult with lender or an attorney before
cvmmEncing v„urk rir recurdinE vour Notice of Commencement.
5
Signature of Owner/Lessee/Contractor as Agent for Owner signature or Con ctor/[::cense Roller
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St LUCIE COON I Y OF ST Vl g
The or oing instru en was acknowledgeFl4efore me TR pins instra ent as .cknowleds betore nye
this; day of 20 by this day of Zr Ey
DENNIS ZAG IL DENNIS ZACE
(Name f er ac no— bi. Is I ame or rson acRnow led i g J
f
{Signat ire of Notary Public- State of F arida } {bi5aat r vy6ot... , POOR.- state or 1710635 }
Personally Known xxx OR Produced Identification
Type of Identification Produced . Ap$
$4y7"/GJ
Commission No • N �0y 4 N
O
Peronallr Rnorin xxx OR Produced Identification
Hype or loentirication Produced
FF
I PIOU]t)Aa��A6th
Nt] i ru :y F-UMEr _..
Aevised 0ii V34%
EXP&212U
REvIEvvS
rRONT
cvlvlRIG
vEIPERvl3'vR
FMR3
vEGM11ola
arm MRiEC
IOlmR5R0vE
COUI9TER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
VAIE
COMPLETE
IMI I DAIS
l [
Heasi.-.g • RIan,6iAif
fH ! ��,�_ �_�,, ? Est. Start Date�,�
TI1zyftI7cIr YYVJ K �iFflC! E-1. UampiohmR Dote
(772) 567-3100 Curper..ie Cosiurn i
21300 US High -..y 1, Vere Bc,.ch, FL 32960 Relclren:
Amrim— Residan;zlr Sani.ee of Florida Ino Linen= f CMC124975Z CAC045ffM CFC.+«= (866) 803.0679
CUSTOMEREMAIL errQ :e�
_ie v E2 :,f
-
nQQRL'a3 0 `- 1,RT, iS�c
YOUR HVAC SYSTEM DESIGN
OPTION I
■•OPTION
9
SIZE t ] TYPE r
SIZE_ TYPI
SIsE _Ls�TYP
EFFICIENCY
EFFICIENCY
EFFICIENCY
$
�$
5
$
SUBTOTAL $ s-�
SUBTOTAL $
SUBTOTAL $ _ 4�ys_
MONTHLY EST.' � �
MONTHLY ST.' $
MONTHLY E . • $ o
CUST-3MER INITIALS ._
GUST ER INITIALS
CUSTO INITIALS
Warranty. / Parts _ ! _ _ Labor
W oZ t% _ Parts ____� Labor
rrnly:
Waty: _ l C Parts � Labor
_i&,!zCompbeeor lz�H_n Exchanger
Compressvr,,::::::n•leal ExchangerCompressor_GHeat
Exchanger
Refrigerant recovered and disposed of as equired by law. Complete clean up inclu3ing - of flump aa:ere Iv prleet yump home c.,d
remo-al of=ni:tiRg egPi;;m.Rt. All -erk eeRrpteted is ds;;e.R aewerdanee-dh u-icting a duE and purmit7, w pegerred.
SPECIFICS OF - INSTALLATIONSELECTED
OPTION: ❑ ❑ ❑
E3 vvaatherpceef ldGalrrreel to Eml—g ,arlectrenie Air Cle-er
SUBTOTAL $
Diuvol nett Elor.trical ❑ Mod:.. F.her
_.
PFLifetime Equipment 'slab IG N@W Plywood Deck ❑ PCO
T.
a-Swe. A Ice _ti�ri Pcdo RNuooF7; Burt Drain Li -.v 0 U7 tight
❑ Liquid Tile Condai: ❑ Ca'lin Salvor Kit
q g D Humidifier
o Start Kit{ an & Float) D Dehumrla f er
TOTAL $
Wl'Rafrigerant LL Dryor _ ,.,�,,}1M-'- Dmin 5-6ty, 5 -iter ❑ Oetdeer Un t P -d
PI -1 7 `�
RrRefrigerant Pipe �eal New Cu, muctions ❑ Floe Vef Jing
G Now OlReconn_Ct © SePpert Attin Equip ❑ DQClrrork Cormrr.[ion
D CASH D CHECK#
76efrigzran: Pipe Cover d3Sapp'y Pl-.Qm G Fuet Piping
-
0 apansion Valve ❑ Raw fdReconnect G Eleclr cal Wiring
❑ CREDIT CARD (LAST 4#a)
jrI-atut-Type SFieterR Plenern
ZHeme Sew ew PIaR -
E3N.—_�Rcee.�Reet 1 Tann (364 daya)
EXP APPROVAL
• GUARANTEES
�fINANCING�G�..v
XCia—iort Guarantee ;hHome Proter_tlon Guarantee
O24 -Hour 5ervice Gmaparl__ Am 00,i. Urwenditi-Ral Money -Beek Go—low
•P..ymcn; op; cans e-labla -!h approved rmc::
NOTES
Ar-
• W�dlen ee�to�,er oelheneotien - be obt- ped befum bcginn;ng any a .forc3co., Rd:tional or ortanded r. ark
• ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE b0B1ECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER -6,
FLORIDA 51ATUTES,
• BUYER'S RIGHT TO CANCEL: ThI3 b a hams 3oliclmid.,n sale, and if you do not wani the goods or services, you may cancel
zhf3 agreement by providing written notice to the seller in person, by telegram, or by mall. This notice must Indicate that you
do not want the goods or services and must Be melivered or postmarked before mianight of the third business tray aftep you
sign this agreement If you cancel this agreemen% the seller may not keep all op p_rt sf a..y ....:h de -e p..yrnont. Svc the
reverse side hereof for an e-Oaevd■R of this righL
• I a--kne-ledge th..t my tight Ic .-nam, ham bee_ u�pla ncd to me orally -nd R writing, and withea; -carving my right .o cancel, I cwhcrize .hv
perform -mac of the -erk, mebjcct Io all te,,,.� _rid cenditio„a aa: foreh on the rovaraa eido hor-f, pla3 cmy toes opo„ vamptolivri.
Notim To Owner Dosign + • h=m_ iRrpr"Turnent c.aMreet i., blank. Y e or entitled to a oupy of the oeRlnaet of the time you sign.
v
Kee it to rretee I rrgh : h�...e irpretme t .0-Ireet may aunt -IR ... rtg.-go e. vlh .1-a ._a Ia u lien o., year property
th c Id be ler IeY
4V1 if yo4 0 net pay. Be core you a..dcral»rd -11 pra::aio„s of Iho cv t,t be you sign
CU. TOMERSrG ATURE �. .- eeiR.,.n•RC� ml.
��7 4
QU3 GP.R3413M,4QRE QRic DATE
C 2017 Amariran Rveideniiri Sconce. L.L.C. All riahl■ mserv, d F; T.(
1
Certificate of Product Ratings
AHRI Certified Reference Number: 9543716 Date: 7/31/2017
Product: 3pllt system: mirzi-,00leo Coneensing Uniz, Coil witP Slower
Outlloor Unix Motlel Auml7er: 64ACC43t1A=O3U=
Indoor Unit Model Number. FB4CNF036L
Manufacturer: CAKRItR AIK CUNDI 1101UN G
Trade/Brand name: CARRIER
Kwgio..: aontne..at an0 NoRli (AC, AR, DC, uE, FC, GA, HI, KY, LA, MD, MS; NC, OK, SC, TN, TX, VA
AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ,
NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, vv r, 0.s. I errltories)
Region Not.: 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 regionis) for which iRey meet ille regional emciency requirement.
Series name: COMFORT 14 AC
141....nr..otarar. . esponai6le Tor tn. rotiny of this system combination is CARRIER AIR CONDITIONING
Rated as follows in accoraance will mMRI standar c,0icz;'u-wv6 for Unitary Air-CondMoning ano Alr;zource
rleat Pump equipment and sudject to verification oT rating-wourao, By AHKI-spon4.orea, independent; third
party testini:
Cooling Cat acity (Btuh); 33000
LeER Rating -k%oolingy Ic.00
SEER Rating (Cooling)_ 14.00
IEER Rating (ooling).
' R .rings t.;owev sy a.. redsR (") moigie a volaniory r.rah yr preawOsly paDliaR� aaw aniess accompan ed with a WAS, which indicates an involuntary rerate.
!lf�6�1'sRllR
AHRI d■ee n_t eed■r■. the j;mdsct(,) IL -tad on thl= Cartlfisote and Pm -k- n. r.prex..t ;len„-pRwRtles or ga.mmivas as .a, .ed ossernes � u r,-pon3MIlty :or,
the productts) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the u=e ■r perf=rrw-rr-= of the pn:drret(e), or th_
an..o:h.ri-d ..I;.r..d.n of ..;.. Ila;.. o.. ;itis 0orduca;o. eoranoo ratings aro vuiru only rur mouels pnu 4urrngarativns Ilsicu In itic
db■ct■q _t - =.ahrldb==t.r-.■reg,
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary p_oducts Of AHRI. This Certlfkeat_ -hall =nl; b■ aoeq for indldd�.l, perw.._f and
coa n0.nd.l re�rence porp.3os: -a contono orchis e.rd-nata may nut, in wwwtivlo ur in pure, D0 reproduced; copied; disseminated;
■nt_md i. -.t■ a nrw'=ter d -t -bo-; or ■th.rrd3. atlll_ed, in o,-,; ferny or rn..nner or b,- -my rn.ans, ...eep; for ;he -sorb Indlada.i,
personal and confidential reference. AIR-CONDITIONING, MATING,
CERTIFICATE VERIFICATION oslllPR:vl11..: all III,......!
. �.e b.rurmud.n for the model cited on this certificate can be verified at www.ahridirectery.org, click on 'Verify Cartlfleate' link -c -_-eke I fe beiter
-rid en -..7h. AHRI CoNfl.d R.loronca Number , rid ;hu d,.:e an which th..crrlfl..Z. W. 1330.0,
which Is listed above, and the Certificate No., which is listed at bottom right,
131459889163052616
vcuiZ+ m1rwonOltioning, neaung, anti nerrlgeradon institute CERTIFICATE NO.:
@Ilc!"Ielle PranRlln. CPk— saint Eucle County Property„ ppralser — All rights reservea.
zk n_Mls
�cl ;t!
•,cceAnl
Map IA:
ow -YPm
Gley.
Ci.-,, C—,
Ownership
-,a; V 1lam11:1
6SOI paw RnAtes RVV)
.ole rime. re,.+a I
Legal Description
--i . vea MR111- 14 r Re.. ;1 n ev; I, I :I..r 1,x..1 R tvR
Current Values
lUsTY:11artel Tame
ssscsaeo Ta;ec.
Zrcmpl ora
�axa�,c ,,aloe
.Toxo rorhis parzcl ..Le .as Cdlecmrs amre�
.,on Gf.a•.. wR; kr as paled. 190111M. 71970
Tut -1 APv.•s
Finished111nderAir (SF):
Gross Arca (SF).
Land Size (acres):
= Sim (3i)
Properly Identification
13e1-11+3-1—�5
x71a
BMIN
111M
R.S 4
Sain• Lecrc Cueal,
y
Thio i..f Illl aee M bel—d :e be..W..: M :him :ire. bel is is meb,..: M.hann��.. ped r_ eo: W a :_need.
t' Cr.,,,..ger: 2917 Saler. La. etrm--7 Pr-rm ..rr._rser ..It siglr-..._c-r.ed.