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HomeMy WebLinkAboutBuilding Permit ApplicationHcu•�^a e-1-` C�''� - EFL Start 0.1a7 j% Aaffa6thir YVtYr-K Ch Uer EST oomp:.Ticn D,.1a G", (772) 567-3100 Carporato Customer 2800 US Highway 1, Veto Beach, FL 32voo Relat.BM .n —REW t6861$03-0579 Caaiu,r ER -� 7 T— I EWE r SIZETYPE ,r:E�� �.� SIZE TYPE SIZE TYPE EPPiv ENCY � EFFICIENCY EFFICIENCY __ ?Ir , Y • • SELECTEE p OPTION , 1 U Z 113 _ ,,// E.eclron_R Fu Or-ancr D VJeslhmpraol C.rimoat in Ese_t=A05 p f F SUBTOTAL $ Dl�aon.,ac: Eleelri�nl 0 Med a F,.Icr $ CI%ir.Fi,no Egeipmcni Stab CJ N; . Plywood Dwr:k u PCO $. $ u Liquid Tila Candud 15 Casing Savor RR u Humldiner SUBTOTAL SUBTOTAL $ SUBTOTAL � r,OW4 HLY EST' $ MONTHLY T' $ MONTHLY T' a CUSTOMER INITIALS CUSTD ER INITIALS CUSTO R INITIALS W.rrv.ly: J Aarla , /T Labor -l1,_Comprus sor_„Ochanger Wa ly. Pane Labor Compressor Hoot Eudrangor We ty ParLa Lnbor Comps,,—r Heel Etchanger Rslriv_anl , ow werad and dispouod of as required y Paw. Cumptul...luw, up m,' -ding ase at flow s zmms to protect year hamu- _nd 7--ewr-r7el of IQ -IS! ng ogttljj enl AU work compitlwa is sono in .,ccordartco with codas and pawn;la, ..R i wand , Y • • SELECTEE p OPTION , 1 U Z 113 _ ,,// E.eclron_R Fu Or-ancr D VJeslhmpraol C.rimoat in Ese_t=A05 p f F SUBTOTAL $ Dl�aon.,ac: Eleelri�nl 0 Med a F,.Icr $ CI%ir.Fi,no Egeipmcni Stab CJ N; . Plywood Dwr:k u PCO 2rSou,.d Isaatwn Pads Recunnaal Cram Lino u UV Light _ $ u Liquid Tila Candud 15 Casing Savor RR u Humldiner U S1_rl Kil FWij, , CdwmldiTrar TOTAL $ �1j Reregrrant LL. Dryer 14- Drain Safely Sw ich 0 oolavor Un I P.,d y.( / P. r S=5.I Now Connor how Cl Flea Vanl ng Po OCASH OCHECKfI CI i5..+ IRsoommot 0 Support AIUe Me,fwrroml 0 Duct. wk Con,nuu- ow ,JRofiigomnl P pa Corer �Sapply Planum OFTI-- P'prng [, Q Nerr==■w�=r t r—, �+ ©I,.lpanu,Pn VM1I-. ❑ Efe=.In,...t Wring O CREDIT CARD ILAST 405.) El Rotor:Plane- Horne S, - Plan Stal-Typo ❑ Nan O Reagin -a 1 I Tann 1384 da,_) EXP APPROVAL r fOUR GUARANTEES INANCING' , Cori t Gcv �n1as s r P-el--i.wr Guarantee :+•bluer San Ga Guuru .I_ I00% Uncorrdraenal Money -Bark Gmx wt=a 'Paynlam rTpl ans avurLvbb withapprered credt i, • • Vdrilren rushunur ..adr 3r*=h.n will oo ....rind bola.. benRlrllnO..nY errlam:eaR additional 4r. -leaded ® rkc. • r,NY CLA1-.S rOR CONSTRUCTION DEFECTS ARE SUBJECT TO IHE NOTICE AND CURE PROVISIONS OF CHAPTER 5138, FLORIDA STATUTES • BUYER'. RIGHTTO CANCEL: This 1_ _ home solicitation safe, and if you do not want the goods or services, you may -allot this _U;-_9 ,e..t by pro:Wlno written notice to the seller In person, by telegram, or by mall, This notice must Indicate "lullyou 11:- groFm or services and must be delivered or postmarked before midnight of the third business doy 4.er yea mien this agree -ant If ;ou csncol this agreemenr, the seller may not keep all or part of any cash down paym.nE Seo th4 r ersa _Ido hereof for an explanation of this right. • I _ckn■-tidlim that my right to c3ncol has boon evpTained 10 me orauy and in wmIng, and wdllool wait/ ng my nglll io cmrael, I .aih_. Xa thq pe- formanco of Iha warn, subject to a.1 tarma and conditions sat lerill un ilia stereo sail7,crael, p1as....y t.. ee upon aa.nplsiie.-.. Notice To O-nnp- De Rel sign 6:6 home aewlrwet in blank You are entitled to a copy of the contract at the time you sign. Kapp it la protoel y■si legal cght. W.- he= woprwmirmont contract may contain a morfgarnr rsa create a lion an your propony u --t cued be In.-cbe_d a.. it you do not pay. Ba auto you understand ad promior o centrad b fora you sign 7::Tki rA75 ah..ie-. W.Z ■OMPANYREPRUENTARYE c53.u>r�ns�i. �,.e Qre OV -41 o 11317 Am Wx xe,, rwi.,T.m C.CC«.,I.. ,m...mw-7w•+.. WSW- 4-r, ALL RPrEICABCE INFO MUST 9e COMPLETED FO, RPPLIUMON Ta, 8E RECEPrEO Permit 14umber. Building Permit HpNlication rlanning ona U,a�1-JI—t services tlafldiny onu Coue 1(-s„latlon DIV,sron -IJUU v!, glnia AVenue, raft F1c. �e FL 34rac Phone: tfr1j 462-1553 Fax: iii2j 462-1573 PERMIT APPLICATION FOK PROPOSED jMPROVi Address: _fv i u r S Legal Descriplforl: Commerdal REaidcndal x CTUNWI-A 5 -S Y y� Property pax lu Q 0 S sire Plan Name: Lot No--Er3____ Project warm.: Y 9locR No. 4� setbacks rronrBack: Right a,fle: Left alae: DETAILED DESCRIPTION' OF WORK:, Exact change oai o, i� ostallad Z-116 8p. L• /:,t C::� l �COlvSTRIl�:T'l0>Q INFORMATIuIv: P I_0b a :.ter o orme en er sperm! r� (14rrLZ; --> Tv rJ �L dmm%. Lj Gas Tanx _Gas Piping zShuteers vvin3aw,/poors UEiearic LJ Plumoin- g "aprinkfers 1:15e.—,erator i�Roof Total Sq. rt or Con..rraction: b. Ft. of Flrs� Frear: Cost of Cons�rucriorl: � urlllrfea:Sewer of Budding Rmibht: _ r•1aa1ISl F -n /tart-.-..» Ra Fir] ware• FL Zlp Come: 7, q `1 Fa-: NIA Phone Ivo. - ,'�- H ,. 13 I .� E -Mail; IWA Fill In fee simple I rue Holder on next page( If different trnrn Lhe Owner ilsrar7 above) l9amc: ZaceK, Gennlz Compw,ly: Amencen RQ.1denUal Servicss Rdares.: 2800 Ua mwy i City: Va,0 Beacii a�are:r'L ZIP Love: 32960 F_. 772 ►y rs3 Phone ivo. 772 79Z1111 E -Mal . enm �_Lpey Fs . CCR Stale or County License:8289- Ir vaW By c-5trurtion rs aesOD a. more, a nECOnvELP rvotice or COMMci1ccmaRt Is requirea. L SUPPEEMENTAL CsaNSTRU Tit]1V —V%atva:nr61yN11YCtK: x Not Applicable Name: '— Address: City: State: Zip: _ Phone: FEE SiMPLE TITLE HOLDER:- Not Applicable Name: `— Address: City: Zip: Prone: MOR t GAGE COMPttrvy: x Not hpplicanie Dame: Address: City: tote: Phone: BONDING COMPANY:, 'L—Not Applicable Name: Addre City: ZIP: Phone: I certil9 Mat no work ..r InUallatlon Ras conu7eRced prior to the rssu_nve of a permit. at. [ucre Cou.,t m kes no representation tg.,t Is granting a ermit will oath— Ire the$ermit nslazr to build the suRject stmetare -Mien is In conflict wltn an, 4li-&-ble home owners Rs--Ulon rules, bylaws or an waenants that may restany restactlan. which . let or prohibit sucn structure. P[-o;e so. -„els with your Rome Owners Association ano ,.,,,, re-ie- I.-. ransideration or tRe granting et this rcqusteE permit, I do hereby agree watI will, ieed t of r respects, perrorm tRe woprk'y in accordance witn tRe Qpp,.,,yed plans, the FioriRa 8eili ins Codes anii at. rude i eontr Amendments. Tl-,. followins oulluing pe..,Jt applications are exempt Fran, undergoing a full cones. rc„cr review: room atlVitlen„ accessory strectere„ swimming pools, ren.e., wall,, signs, screen rooms oe8 accessor9 uses to anetne. no,.-,esidential use WARNINu 10 OwMER: Your failure to Keevra a No.Ice of Comme-eument may result in yoer paylns Lwice for improvements to your property. A laotice Of Commencement must be recorueo and posted on the joasite before the first Inspection. If you intend to ooEaln financing, consuk with lander or an attorney before Commencing work or rec in& your l9oti4e Of Commencement. aign;:tzr6 of 0 er/ tesseetAgc-t algnature STATE OF FLORID STATE OF FLO RID L LOUR i y Or =:ee . C0131M OF�.t111s The for ooiob IVFtram t aeRn wled gt_meror� nrz i ne rp•&vm5 inwas ac-e-1ea6 fareme A01_ / br thf�- day o 20 nY ClanNs —1 (RomepTperson OT Nota. r Public - state Personally mown x OR Produceo laentirieatinn ype or l0entiFication Produces Commiss'san Rl9� �? Q% -VTAKY PUU IG Revised 07/1-31iUiq "~. "i' C-79 FF128494 -Lt: Cxpircs 6rzr;i7uiti REVIMa t-KUNT ZURiRlu COON I cR I REVIEW IR, nMES SUPERViSOn REvIM oomlli .—R person oexnvwli or N -tar yr Pubilc- state or FleriBa ) Personally Known x OR rro0ucea lam„tEi;cation type Of 18entiflcation Prolluceg wmmisslon '`6 `t y W.—, RG RG I ARY PCISEJU iuTATE OF r=i oi2leA rO[I4� VEGIla l9 aEATbtTL`�6 luRuvE REVIEW Rrvltw Rrvlr vv REVIEW This combination qualifies for a Federal Energy Efficiency r ax Crellit when placed In service Between reB -ir, i0a ani! Dew s1, 2016. Cen-'Ificate of Product Ratina-5 AHRI Certified Reference Numbar: 9178718 Date: 8/22/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number; 24ACC630A'030' 1. -.cruor Ond Muriel MumBer: FT4 Rj13,rj0061. Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING region: aauinearn anB 1vor1R SMC, Ar, uC, Gc, PF, GA, Fil, RT. ER, 1911m, mils, MC, OR, SC, JR. IA. VA AR, LU; C 1, ID, it, IA, IN, Rti; mA; Rrtr, ml; Mn; MO; MT; ND; NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S. Territories) Reglan note: Central air con0ilfaners manuiacturati prier tw j;-.nea i 7; z015; o.n eltbible to be in3talled in all re fans until June 30, 2016. Beginning July 1, 2016, central air conditioners can only be In0led In region(s) for which they meeE the regional efficiency require,nem. Suri.. numv: 120TORMANCE 16 AU Marimetarer responsiole for tRv rating uT zRlo y.from ev,—.Bimu,rn is CARRIER AIR CONDITIONING Rated a5 follows in accordance with AHRI Swndard c or Unhary Air=conBltloning anti Air-ource Float rump cquipment anti suojeLT to vermcauon or rating accuracy By ArrRi apw.,ov.-ve; moupendent; third parry Conlin; Cap -airy (tiluRj: 28600 EER Rating (Cnaltng): I0.0 SEER Rating (Cooling): 16.00 IEER RaQng jCoolingj: rz;.+.us rrlvnau Dy ..n asterisk ti r Indicate a voluttu gr nerrle of ptemnndy pimred data. "ass accomponled with a WAS, which indicates an InWuntary rerata DISCLAIMER ANRI chug -et nndor r tha p...duct(e) listed an M Certifl.oty ord makes no represerrellans, :titles or dll..riff—M .W ..4 .no —in— a.. raspottelhmq tor, the productlsl Hated an this CattHkata. AHRI explWily disclaims all Il -bully for damages of -Iy kind .&Mj =l or th■ err. perforin-- of the predeet(e),.. th. vr1—RtvnZ--111'13morn .t w M Iowa on OW Ga, ..ror,- cm—fled ratings — valid only ror models and conr.sunxtlons listed in the dlrectagat .—._hrldlract■rr.arg. TERMS AND CONDITIONS AND IONScont=wts ! Thi -MS and Its _� pro, riatary'-duels of AHRi.7lels Carlllt�te shell only be o.ed for Indi-lde,.l, pamunal wncl ��.j t � (l+l�+�'JI cordWendal tefervnce purposes The contents of this Certificate may not. In whole or In part, be reproduced; copied; dlsseminatetg entered Into - tie nrrute. detabnse; a: oth.rwlso e:Hlz..d, In -my form or —,ti .e. or by.ny matins, .:,...pt for ma .sera Inoll'IeCa., personal and confldanital ratotence. AIR-CONDMONiNO, HEATING, CERTIFICATE VERIFICATION o HEMiGEttAT10n .NSTff= The Inlatmatlon for the model cited an this cenlllcate can be vertfled at www.ehricilrectary.■rg, click .='V-rH, C.rtiflo.ti link f m kc IU ber_er- ono anter the AHRf C.rthl.d R.femx. num.-..r on. zi.v only om wrIRB m. cv. —m ores issued, whish I_ Ilctad _bove, and th. CartlNcato No, hlch Is listed _t bottam dgnt 0xvau All-ti:on"anloning, Reating, anti ReTngerau..n institute CERTIFICATE NO.: 1314792402585807E