HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2306 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR M LFC�F
NRUPOSED IMFKUVEIVIEN I COCA IuM:
Address: (7'1e_Cr�
Legal Description;��' a�
Property Tax ID #: 5- o 0 Oa6c-1 Dfa - % Lot No. 10
Site Plan Name: Block No. `5`e—
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: �
Exact change out of Ae,L)14*-+ ' ,�Jo 1� u.4_W d c -4,,-
I ly 6 — �36c=�a a .BTW h 13. S—D
cP�Ac, a-73� eo
CDI95TROCFIO N ,IIS FUKMA l ION:
Additionalworkto e e . orme un er t is permit– c ec all appy:
%HVAC Gas Tank []Gas Piping _ Shutters ❑ Windows/Doors
11 Electric OPlumbing []Sprinklers 11 Generator 0 Roof
Total Sq. Ft of Construction:
Cost of Construction: $
S Ft. _
of First Floor:
Utiiities:Sewer ❑Septic
uw M ER/LE55EE:
Name /VG CI P) i"p L
Address: b-2 lr P6' C 6 /Z -
city: VeT 'f',( e -r c0- State: FL
Zip Code: 3 R'i g S' 1 Fax: NIA
Phone No. rt ' l 73
E -Mail: NIA
Fill in fee simple Title Halder on next page ( if different
from the owner listed above)
Lula I RACTUR:
Building Height:
Dame: 4aceK, Den. Is
Company: AFRt:F ZR Kesitlential services
Aa01ti3�: 2900 US Hwy 1
City: Vero Beach State: FL
Zip Code: 34900 Fax: r �c r9�r-yro3
P11one Ido. rrz ra4-r4c�
E-mail: 6avr6y(c�ara. vFm - —
State or County License:'AM9;*26MC1%f_ Go Lf 4 7S3
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
ivoc U;,II (bIJn,J
5UPPGVDIE1Q`AL CONSTRIJu-1 lural GEN CAW INFuRIVIH I 10M
t,EaIG19tR/ENGINEER: x Not Applicable
IvI�RTGAGE COMPHIvy:
Name: Mame:
Address:
City: i0dress: _
Stet City:
Zip: Phone cip: _� Pho
x NOL Hpplicabl-
Late:
rEE SIMPLE TITLE HOWER: x of Applicable BONDING CID ANY:
ame:
Ivor Applicable
_
Address: Name:
City: City
cip• one: ZIP: -- Phone:
I ceRify liar nxo tea, x or installation Ras ca ...... e„ced prior to tRe issuo.,ee of a permit.
which is incaaffyiIE' makesanxappllcasle,riio rO aL IS gers�Associa onrulesan,lowsorandcovenantsi�ttma esticto'rproniQiiupen
structure. Please consult mt your Home Owners Hs..oeiat;on and review our a.ea for an restrictions wrl ,,,o a I Y.
y y y PP y
I.. „iaeradon of rile granting at this reyuestea permit, leo Hereby agree Mat I will, In all , espects, peFl tfic work
in accordance witil tale up,,,oved plans, the rloriil,. building Codes ana at. [weie County Amendments.
The following Isailaing permit applications a. a —empt from unUergoing a Tal; concurrency review: room oc1didons,
-ece--o, y structures, swim ... in6 pools, fences, walls, sign,, sor�en rooms an'u accesso.—, ages to another non-re;:aentiol use
WARNING TO OwIQtR: Your failure to Recons;-. Notice of Commence., „t may result in your raying twice for
improvelTlents to your properly. A Notice of Commencement mu,t be recoraea and posted on the jonsite
before the firsr inspection. If you intend to obtain financing_ consult with lender or an atturnEy before
COMmuncing, work or recordin fOUr Notice of Commencement.
1
signature of u er/ [e.�ee/Agent
aiAir OF FLORIDA
COUNTY ur steep
+heolris (..,tram t was acRnowl age¢ hefore me
this 4 day or zs o,
M,,a 78mk
(Mar7ey5 per,on acknowledging j� n
(7jig..otarl. of Notary PuElic- stat.
Pe,30nally Known ^ OR Produced Idendrlcatian
ype or iaentitlration Produces
CoF45 5 3aY9-f rrsge� 1111
,,�,���� tN�t4lAa H. OABEMO
�51Alturrt.vrun
Revised Ui/i�/2014 C,;oinr* FFIZE14114
moires 6/2le'u t e
:1ignotare of Contra ry[lcense Holde, s
STATE OF FLi,RMA
C00mTY OF
rhe forgoing instr ent tea, ack wledgea Decor. Me
this A2 a., ar 16 � by
aenn,s Zacek
pe, son acknowleagi..g )
ry puffk- sf-tc -f
Personally Known x OR Produceu laentirication
i ype or Isentificat�� ro'aucea
Cammi55ion ia0� aYycr
I (Seal)
rt. QpnERYiv
REVIEWS I FrcUNT I ZOivilaG SUPERVISOR IP!719z,
COa,v i ER I REVIEW REvItvv REVIEW
COMPLE
Ila, I inCS
i PsTE 0
Catnn� Fi-�?845'►
,r i-17 n-1 ES
VEGETAilvly E TURTLE I MIK@GR0vE
REviEW InrvIrvv REVIEW
rwicftle FranRlln, %roc— saint Eucle County rropeR7 mppralser -- ml rignis reserves.
Sile Address:
Ped ID-
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Map 1D:
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Nsec; Sd==
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. on rleree.. -
Legal Description
..M:h MM R.1117--= 11—;2 -"- a . eR ..;.•.o-.:
CQ1Tcnt values
.eoentarin «lee:
,.rased -slue:
ExempeeM.
Taxablc Valve:
Tax.•, fur LNl ,...reel ..2e - eolleners W R1ce O
De-nl�dTRIM for tho,.=cl Slwnlo.,r!!: Q
Total Areas
ri0iJ1—urmcr n4 (ar),
vrosx rarca (a�)
®IR Biu l��l
Elm arc rsF)
S:..Sr1e
Se
SA6,SIIU
Properrr Identification
[3—?mw:eweeer'
13111!:4
13ler.N
oleo
PUD
Sam Lucie C—
Th--' id= m ia11 i_ bell.v.d a be —: _1 :hr_ -..m but 21 r :abaccl :e ehaR
C Ca,- gh1 :1.17 Saar. Leet Com1-r Property -pP =isor -11.4h-- . ;mm.
This combination qualifies for a Federal Energy
Efficiency Tax Cre01t when placeq In service
Between Feb -I r_ z0ua arta pe¢ aT, z016.
AHRI Certified R.-ference Number: 9177134 Date: 8/1/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: 24ACB736A" 031*
Inavcr; Omit Malin MwmBc.-: Fv4K;N(B,F)OOSC
Manufacturer: CARRIER AIR CONDITIONING
Traaelerana name: UARRIER AIR CONDITIONING
region: mil (AR, mE, r%R, Ae-, CA, CC, C I, G%, UZ!, E[, tart, I11, IG, le, IA, IN, Rs, RT. CA. mA, MO, IRE,
ml. WirA. mO. 141x. M I. RC. RD_ RE. RR. RJ, RM. ntv. RT, OR, OR, OR; rA; RI. sC, bO. I M, I x,
UT, VA, VT, WA, WV, WI, .S
WY, U. Territories)
Region Rote: Central air conaitloners manuracturea prior to 3anuary -I, c0 -la, are eliglBle to Be
inarliea 11s fall rtislo.-.a anti! Jl111a 3ij. zOlti. Boainnina .ielr 1, 2016, central air conditioners
can only be installed in region(s) for which they meet the regional efficiency requirement.
serles name: P=KFORMANCE T r AU z;s I AOE
Manuracturer responsilie for tRe rating of tRls system comBlnadon Is CARRII=R HIR CORD! I iiONIRG
Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source
Heat Pump Equipment and subject to verification of rating accuracy By j4IRl-sponsored, Intlepenaentr tlllrtl
party testing:
Cooling Capacity tBtulit: 35000
EER Rating (Cooling): 13.50
stER Rating jCooling): -I r.00
IEER Rating (Cooling):
R -Linn: foiioaed b; an .ate,�nk {'j Indieeto - .elerrtary Fl-re[o of pre.ieeslp pabli-had d-@, antvmm -ceomp-nice wiR1 a -.,S TAM i-ieates an in". onwry rerato
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assu=mw no rmp■nzibility far,
;h. product (3) listed 9n :his -HRI o7pr—ly olsclaims all f.Dlli[y for oamagcs yr any Rina arising vo: at 1W use yr penormance ur A. provoctRsf, ur Zhu
unauthorized alteration =f dat- 11 --ted on thk C.rtifirt=. C.rtifl.d mtings ;-.r■ --lid =R17 ter rwodel---nd ILt--d In tha
a.rec[ory at arww.a'nrivlroczury.vrg,
TERMS AND CONDITIONS
-s eertl„caea ono ;M..-vn�anR are praprlaiwry prvaactSvY nRRI. r.ris eertln..ato shall only Be used for Individual, personal and
■anfld■ntI_I rsferan_■ perpeeea. The-entents of this Cortifleate may net, In whole s in pan, be rcprode.ed; eoplad; dlssomin-.ad;
entered into a computer database, or otherwise utilized, In any form or manner or W any means, except for the user's Individual, kill", IMF
persenal and .anfldwrid-I rbfarcnee r IR aRIIvRIONI„a, rterl■e,
c!R i I r.cn. E : oR I FIcATIO N rt REFRIGERATION INSTiriITE
The inform -tion for the To&l ei�ed on :his ccrriflcat c -n be ;arifled .; .ahrldire—ery.erg. cllclt on ":erly oar-.Idea-.a”;IRR
and enter the AHRI Certified Reference Number and the date ■R -hick the certifl--t.-==1-eed,
W RIcR is larva u0me, mono Me cergiti—te Nv., wrrldl is Ilstoa at Bottom ngMr: --- - '
02014 Air -Conditioning, Heatins, and Refriseradon InSLIaU►e CERTIFICATE NO.: 13146092135R>IU4zU i
Uod
Sct"µ""
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A
liu,•rine . PI / 1/J��/
tst. Start Dal.
msfallarion Work Order Eai. Cpmplah.n Dine
(772) 567-3100 Corporate Custorr
2800 U3 Plighway 1, Vero Beach, FL 32960 Relations
:/9;- Rwknfmr SL4wes of Flondi.Im License # CMC 124&759, CAC0459M CFC 14282133 1866) 803.0879
CUSTOMER EMAIL CALL::_ P
IP./1
ADDRESS —• airs in7GcIP L
nosle.—.,�Re 71,6 _ 7/y, X31
ecce Pn�Re
-eRR Pnane
YOUR HVAC SYSTEMDESIGN
.•
.•
OPTION
S E Al 1YPE C4/i.C/
516E -SSI IY�PIEaii.v
516E—TYPE _
FMCIENL;T L7
EFFICIEFIC:Y T
rFFIC1ENUT
$
$ yl
SOBTu-TAL
SOBTVTAC
SUBTu-TAL
MONTHLY EST.' $ `i9�
{G)LIMIM E51.• $ �c.d
MVNTHLYESI."
CuSr�ICIERII41rIRC3
C'u3r ER INITIALS
iuorvf4lCRildlrlr�W'
a Parts f borWar nty: io Parts Labor
Warranty: Parts La
LVWarranty:.
rcaa.r Hoai Ex.h Agar O C.R.preasar Haai changer
Comprsovr HcaT Ex�ha�ro■
psaad of as required by law Complele clean up inclueing use
of floor savers to protect your home anc
�:sti-g egeipmaRt. All -epk eempWad Is done n' areaM-nee -:th a -Wing oedo-
and porn Is. as Pequlrea.
SPECIFICS OF ■
SELECTED OPTION' ❑� C
❑ Weatherproof ❑ Conno,t lu Existing Ah -ironic Air Clavncr
SUBTOTAL $
Disconnect Electrical o Media Filter„^ _
vLifalimo Equipment biz M.N.- Plywood Desk u PCO
, $
r�SounE Isolation Pads Reconnect Drain dne light Sin
,lv
$
❑ L -quid Tile Condei: ❑ Coiling b --.r Kit ❑ Hamidif6r
(Pan & Flow)
D Start Kit D Dehumidifier
TOTAL i
❑ Rofrigararit LL. Dryer 4mrin D -in Safely 5=1ch 0 Outdoes. unit Pala
Oefrigara},,j/T, Pipe OSaal Flaw.Canne�lianm 0 Flee Ve..ting
• '
❑ N=- ¢FReannnort 0 Support Attic Equipment ❑ Dav,...rk Connc�r:lens
❑ CASH ❑ CHEGK#
"Refrigerant Pipe Cover q`upply P.nom G Fuel Piping
PRer.onnoct
17P
[IE�p_mz;6n VRI -e G Now
u Ele=tpin,,l W,pipig
KCREUIT CARD (MST 4#c) 67/
T stat -Type04L&
Q .,.Rete�nPEonem
❑ Nov. iTRocoinne.l 1 Tenn (364 days)
EXP APPROVAL
OUR GUARANTEES
rr
❑FINANCING' ❑ ° �''"
Comfort Garm ritec erne Prleel o- Garimnt=s
24•Nour Service Guarantee 4M 00% Unconditional Money Buuk Goa,an-a
•raymani .pr3 avroli M .vii o approved ..�
/
s4)- Accem 3.r J •t y °-
• Wriltan customer authorization will be obtained before beginning any unforeseen add,t oval or extended work.
• ANY CLAIRI5 FOR CONSTRUCTION DEFEUiS ARE 5013JECT TO THE NOTICE AND =RE PR7avI51i",N5 UF Cliiilm LTR
FLORIDA STATUTES.
• BUYER'S RIGHT TO CANCEL: Thi. I� � hvrne.,alicit..tien tale, ..md if yore ds not -Pet the geed= e- oewi■es, you may cl
this agree -am by p-Adi,-rg written .otic. to the oruller In paPson, by tolegmm, or by mail. This netiee meat Indicate tho
do not want the goods or services and must be delivered or poszmorked before midnight of she third 6e.ln— day atto
sign this agreemenL If you Cantel this agreemenr, the seller may not keep ah or part of any cash down paymeni. Se
reverse side hereof for an explanation of this fight
• I —knowledge that my neht to a»n.al has been e;;plaorred to me erellT on19 n -Thing, oR8-itlfeet -_ring ,,,y -ght to eancei, i author,
purfurnan..a of The murk, aabjc.t i. all [earls and candii,.ns out larth an the ra.arma alav hertof, p,es any Im.a- irpe- vvmplatien.
Notice To O .ne. - Do net cign thin home imppe-ement eentmet iR bl..nk. You o entitled is - ew;:y of Iho sontract at the time you s:t
Keep It;. prolect your logal rights. This home imprb-cment cent.. act m -y eentain o mertgapa or etham'=e .reale - lie- ea yep pwpor
thai codu f!9 furti-..losod vn if you d. not pay. Be more y.o ar.derwand all prON1131o1" of rh. conaa.t balers you sign.
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