HomeMy WebLinkAboutpermit applicationAEE APPLICABLE IIgPG IOlus 1 bE COMPLETEa PGR APPLICATION TO Be mCCrP i ED
Permit Number:
Building Permit Applica-Eion
monnin, -x vrveloymenr Services
auir"ing azrl C-ife Reyularion Yivislon
I -IM vir.,:..;p ave„ue, Forr Pierce rt .74yar1
Phone: i/ /wF62-1553 Fax: (/ /tl z;6L-1578
PERIVII I HPPEICATION FuR: Plemb;rlg
PRDPOScb IIoiPRc JV nnENT LUCA 11019:
Address: i5,Xr,-- Z j*/ L
[eg.i llescriFtion.
ME .3 2 tea,— fi? /S lel
LUMMe1 Cidl REibidential x
U ik
42SL— t - C- 3 L{ 16 -7
Property i o„ ID #i: jLf t
F• M Y�.—
aite Plan w -me:
810CK no.S/
Project (Came: P'C CM�t- 0L- r
Setbacks Front Qacit: RlrhL Side: _ Left Side:
DETAIEED DF-5CRIPTIyN ur woRK:
EAaCt change out of . �C_ Leal i -IL IA” 5ivtk 97T�r.-cR;7 JL( ILc—L"j1 = R0iP,:;LLtt 131A,J
CON5I RUCTION INFORM); I Ion:
���ona wor to Orme un erEispermit—c
HVAC Gas Tank �uas Piping
Elez-Lric 0 elumbing [2)prinklers
I otal Sq. F. of Construct;on:
Casr, of Construction: 5 Lf UD c70
uwIQER/LESSEE!
ICam. tic, . z3
oppry:
shutters Li vv;ndows/Doors
Generator 11 Root
S , Ft. or rir,t Floor:
ULilides:12Sewer []Septic tsuilding Height:
Hadress: 5 y -G igZ
City: State: FL
Zip Code: 'SIL gips Rax: rviA
Phone 17.,
E-mail: N/A
Fill in fee simple i Itle Rolder on ne, , page i IT differen.
from the Gwncr listed above)
CUR i
Name: Luwek, Dennis
Compan,: American Resi0enl;-1 Services
Htlare.,s: 2800 Gz Plwy -r
City: Vero BeacR FL
3tatc:
Zip Code: UL 50 pax: itz t94-9783
Phone Igo. 772 794-7zc
E-mail , . @ c oft -cr S. C
State or Coun Ly rice Y
If value of constra-tion is $2aw or more_ a RECORDEn ROLIce or Cvmmencemem ,s requlrea.
UPPL M8NTAL�CCYNSTRU,C:Tl'I N,!'C1fN_ Q W INF DF IOIAT -N;:
DI'.attilQER/EiOGIIQEER: x AOL Applicable
MORTGAGE COMPANY: x Not Appli ble
Name:
Name-
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE b1101rEE 1 I t LE NOLDeR: x I4ot IicaQle
6URORMG COMP�►R x Iaot Applicable
Name:
Name:
Addrz»:
Address:
City:
City:
Li,.: Piit7,-.e:
Lip: PRone: Z.
I ceriify that no work or installation has commenced prior to the issuance of a permit..
5t. Paele Coamt rm.Ke. riv repCMTaEiOR [R..[ i.. 5lbR[I.–.6 a T,e��.it will ..a[RvF;ze IMC—errRit Roluer [a $ailtl tRC pe s;CCt �traetare
wllicR Is in conflict lt.ict witR any applicasle Rome owners association rules, bylaws or and"covenants utas may restrict or proRiuit sucR
s,ructure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
IR ev-.,iacrzdaR or tnv on ritims of tRi, rcyac3lCa pc. mil, 1130 900T P0ree tRPt I will, iR all FC.,pCC–t3, perTorm the :vrR
in accordance wish ,.he approved plans, the Florida Building Codes and St. Lucie County Amendments.
t Re following building permit applications are exempt from undergoing a full concurrency review: room additions,
ucec33om yy Aractarrs, 37.1mrmii.e pvo13, Tcrlae.., :all.., 318..3, 3Crec., Tvoma PRS ucc=53v, i 03e3 to oRvtn.r RvR-rC.iaeRtiui a.0
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your saying twice for
improvements to your property. A Notice of CommencemenL mast be recorded and posted on the jobsiLe
before the first in,pection. If you intend to obtain financing, cun.,ult with lender or an attorney before
commencing work or recording your Notice of Commencement.
i ✓erg 1v�. aJQr�.. � s
_ Signature of O er/ Lessee/Agent sgnature of Contra r/ucense holder
biHiE OF F[uRIDA bIME OF FEUR10
COUNTY OF ettude COUNTY OF 7s, L-'.
e
i Re ror oing instru ent was a nowletige� erore me I Re rarsviRs i- qua Rt . P . PCRRv-iCia6CR Rero. C Rte
this � day of 20 Lbr Lhis� day of 2071, by
Dennis Zacek
(S15R..t6rC of 19-ta1 Tr PS 511c- btatc vT
Personally Known x OR Produced Identification
i,pe or Itlentinca[ion rroaacea
Irk- i a f t
Cernmis3iaR lCv. e L 1NOTA.RYPUBLIC
s i A i E OF FLuRI
Revised 07/15/L0tq
Mires 'o; ucu t a
Dennis Zacek
(M afi e'pf person acitnowlel7ging �
04V4,& lA
(signature or Notary ruRlic- Dtate or 'rlorilaa j
Pero. -MIT RRe x OR NOZIMCe13 It9C-ntine..tiom
typeof I'uentificadon Produced
Ku FFrjT'f 4-7
Commission IQo.zR7- � O v ai '"� HD+�_
O,sly PURL 1C
a
1V -'j i ATEA orr FLnn r
U°W FFjzts►sg
"xTJ:,; s 612/20 t u
REVIEWS
FRONT
ZONING
SUrERVISOR
PG4tvS
vi!vLPrATIOA
3EA MRtGE
MImMGROVE
COLIMiER
REvIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEw
DAt=
COMPLETE
IMI t IAI'S
e�q Est 5tarl 13 1. r C
Ins#allarion Ibxu, ac.�
����aEot. C.rwp vben Dale
rug
V [ / /:41 56Y-:3100 Corporate iusto-
plombDng • Air 2800 UZi Highway 1, Vero Beach, FL 32960 Rol-tioRa
H■Ming' ,,x„ Resaen!ulScwks01%Ida4ImUcenn0CMC12497S3,CACWWlg CFC1,29283 (866)803v.'!
-o,,.,,IeeR Llrtva..... EIa Ir �a se r•
ADDRE53 r aRT.ar.,TE+
— 7'i�r.�
HOME PH,^. NE y,y ems!! RneR - n WOR-01—
YOUR H
ORONE• "[
VAC SYSTEM DESIGN
31ZE fiDu I r PE _V-Lu-y,� 514rr PE SIZe f r r T Pe
EFFICIENT„ 141 —& IC,I.� EFFICIENCY f2
$ $ZIP 12
�' $ v
mC131vrAL11 ru 1y 5081Q1AL $ 5Uf3,.,rAE
MU174PILY EST.• '$C; MONTHD EST.` zb MONTHLY EST $
CUSTOMER INITIALS _ CWTURIER INITIALS CUSTOMER INITIALS
Warranty: Pana T- Labor
fi?
rO—Co 7p,ouno.. livai Exchanger
vvarranty: Parts EZBVF
Compressor . ,._ neat Exchange:
Wawent", _'D Pana r Lai
r_a C:en�preccor Wo.,t E"xefia„f
Refrigerant recovered and disposes of -a pegsipe8 67 to-_ uomp'ete olavn up i,-„cleding eoe „ f flo.,r savers to protect your home and
removal or e -"sting eqa p-u;;t. All -ark a-mpl-ted i- done ;n ,.coerdan..e wiih o-isiong codes and permits, as required.
SPECIFICS
OF YOUR SELECIEQDPTIVN 1 112 ❑
RWoAherproof
_JgConnaoi to -Enlstiny [3 Electronic tar E.leaner FM SUBTOTAL $ Qr
Isc„nnect
-m Equipment Slab
0/ Electrical 5 x�0 Media Fille. Nl v_
C1 Now Plywood DwX
❑ PCO . �I D 3
10
1f_L-nnd Isolation Pads
p Reconnect Drain Line [IUV Light N 0
0 LIgsia l.te Co-deit
$
❑ C:ofing Savor Kr o Humidifier —W&_
„
❑ Start Kit
(Pan & Floai) N a TOTAL
0 Refrige.-,.ni CC Dryer
0 Mlal" Divin Safety 5-ilehM rzetdoor Un:I Pad
f❑Flue
10 Refrigerant Pipe
❑ Sei=: New Connect=ons Venting
ew 15 RecoRReet
13 Sepport Alb Egerpn a. -.t Ductwork �onneclion=
❑ Refrigumm Pipe Comer
ASH ❑ CHECK#
MI S„pply Plenum 0 Fs_I Rpi• •g
'`7�—No"+
G Expans.on Valve
G Reconne t *Ic,-tr call Wiring ISM- 1� _REDIT CARD jLA5T 4#0l
�Tsia:-Typo ❑:stern
q.
Plcne-�ome Service Plan -
1
❑Now ❑ Roconn cl 1 Term 1,364 days” EXP APPRvvAE
nfert GsapaRiee JQ Home Prbteot erl Govranioc
Hoer Service Goaranieo 1KII00% Unconditional Money -Back Guaranies
S*arne-C -to hove- hf-r aor e l�G-1�,�;Q�► �b av
❑ FINANCING'
'PoymeRt eP.mn3 ..v-il.,blo :h approved m=
LK43
• Wrlten customer autbbrization will be obtained bef.p= begi :Ring v., -.y o;;fere„een .dd;i6r1J or es:endr:d work.
• ANY CLAIMS FOR CVNSTRUCTION DEFEUiS ARE SUB]ECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER!
FLORIDA STATUTES.
• BUYER'S RIGHT TO CANCEL: Thi.. 1-;-. Hama-ollcit.Al-ri —I-, and If you do not want the goons or services, you may car
thl- _gr�.,.v;A by preNding written nodus :o :he seller in person, by telegram, or uy mail. This notice mu -t indite th-t
do not want the goods or services and must Be delivered or postmarkM betepa midnight of tho trilyd be.L.eaa day oftawr
sign this agreement. If you cancel this agreement, the _elle. may net koop -11 or pari of any ....h d-wn payment. See
reverse side hereof for an e-pl.natien mf thi_ right
• I a=kne-ledge th-I my -ghl to ozinool h.:i boon exp alrlod iv me orolty and in writing, and without waiving my right to cancel. I auth.nz•
perfo•... vRco of the -.,rk. eebloci io ell iorms and cond tions set forth on the reverse side hereof, pine :Ry 1_sa op." =oMplelien
Notice To Owner - D= net °::ion th c hence imppa-mment oentrect im blank. You ort m aitled to a copy of the contract at the time you sign
Keep it to pr l._l year ;ego: rightr... Thin home in+pi o-emoni .,e4 draci may contain a mortgage or otherwise create a lien on yosr p.op■rt,
thA could be f_rtcl_=d .n1 you do nr:1 pay. Be sure you understand all provisions of th. cant; --=t bef.pe you oign.
L>�
Cl7a7vm1!R sronnuRE DATE CO ANYR , @Z;'
eer:el IR UIeR_ _Re ow. e 0. tE
> 2017 American ResidentW Sa n LIC All rehra maenad. ARS:.',
Certificate of Product Ratinals
AHRI CeRiriela Reference IQumoer: 14VOg63 Data: 8/15/2017
Prosuct: split by-Tanll: Air-Coolati Coneensing Unit, Coil with Blower
Ustaoar Unit Mot9-I Number: RA1424A.11
Indoor Unit Mouel Rumuer: RR I Pce-I 15 1 HA
Manufacturer: RHEEM SALES COMPANY, INC.
1 ratlei0rantl name: RREEM: R0013
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, fit, GR, MD, ms, AC_ on, aC, IN.. I A, VA
AK, CO, CT, ID, IL, Im, IN, R5, mm, ME, M1, MR.. mv. 1411, AD, AE, MR, Mi.
R F, DR. UR.. rm. RI, aur a 1, V I, WA, WV. W1r wT, O.S. Territories)
Region Note: Central air conditioners manufacturetl prior to aanuary T, c0-ia, are wilgiBle to Ba
Installed in all regions until aune sQ. cu,6. negfnning aul, T, zuTS, -antral air conditioners
can only Be Inutallei9 in bion(..) Tor which they meet the regional efficiency requirement.
Series name:
Manufacturer responsible for the rating of this system comiiinadon is RREEM aw[E5 COMPANY, INC.
mated as hollows in accera-;-.oa :illi ARRI Standard 2101240-2008 for Unitary Air -Conditioning and P%Waource
Haat Pump Equi,,ment and subject to Verification of rating accuracy by ^RKI-sponsoreB. Intlepentlent_ tnlrU
party testing:
Cooling Capacity (Btuh): 240u0
EER Rating tCaaliny): 11.50
SEER Rating (Cooling): 14.00
IEER Rstiny (C-oling):
' Ravings rollowed by an asterisk {'i indicate a volunla= mr_fa of Visci=sa; psbli:hed d_ta ogle_ _ouornp_aied - Ih .. WAS unieR imaim," _n involenitlry re,o[a
Bl3wLAIMER
AHRI do- not and.rsa ch. p..opeysl 11slea on xflls e.ref.cof.. no ....R.s no rep.esentations, warranties or guarantees as to, and :==ow-
no r.sp.n=Iblllt; IMF.
the produclisf 11 -:ted an thl= CaFIIfi==ts. AHRI ■cpr■:=1; di__I„1mm all liabilly for d-magaz of ...-.y kind prising oaf of M. ese .r perrorm-ce
of the productist, or the
an..a:florizoo ..hor..tron of ..r., .Isted on this Certificate. Certified ratings are valid only for model= _ed=snfigaruti_rf: IH_ _d 1,-. tha
dln=ts., _t
TERMS ..Re :,Omvl:lo..3
This Ceftifi._ls _ed Its _set=rrts _Fa prspFlot..F} prude.;:; of AHRI. Thi, Cartifi-to 5f1..11 only Do use. r.r inuinuc.l, personal and
MK
connuential reverence purposes. The contents of this Certificate ma- nut, In --h=6 a- In p_rt, b■ r_pr.da•.d; =spied; dim-P111..:.d;
enl_Fad I.,:a a ..mpatr d-;-b..se; or.;Rzrnrse mill—, in .rry fo.....r m.nn.r or of any means, except for the user's individual,
It
personal and confidential F■f■r_==■.
-IR-GREFF !l111..a, ntW-.no,
CERTIFICATE VERIFICATION
& REFRIGERATIONINSTITIJTE
The information for the model cited on this certlfl-ts =_e b■ -:,=rifl.d _l—.anddha■tsep.eFg, Alak on 'V.:Ify wartifl..-W hnR
Ixrrcr
-fid en:er ello ,RRI eorfla.o R.reranca Romear .no the date on which the certificate was Issued,
fir marc,ire
which is 11=tsd .but -a, -nd the C4rtiflsata No., -hash 13 IL-:vd -1 bo -.am rigrit,
--
'vjzv14 Hlr-ionafuoning, Rrating, ..nil R-rriga.otion inAtute . CERTIFICATE NO.: 1314,2712605185079