HomeMy WebLinkAboutPERMIT APP 3144 NAYLORAEE AIJPEICAB[E 119FO M05 i BE CUIMPEETED FOR APPEICAi 113M 10 BE ACCEP i Eu
Date:
Permit Number:
`a Building Permit Application
.-Tanning antr veveropment services
ouiraing ant! Cone neguration aivision
zjW virginia Avenue, Fort Pierce r r .3r;yaz _
Phone: (r r2)�-16L'1JJJ Pax: (772) zr6i-sJia Lrimrmercial f(EZj lent;al An
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 31'+V MmYEOR TER FORT PIERCE, FLORID.-% 3rt982
Eegal Description: siCvER FAKE PAKIK
Property I ax iu rot IQo. LO Ll
aiLe Plan Mame: 0jocR Mo. 13
Project Name: 19MM IA NRECT
Setbacks Front— Back: Right Side: Left Side:
DE I7 1LEII EULKIP I ION uF vvuRR:
AC CHANGE OUT 3 TO CARRIER 15 SEER 33800 BTUH NO DUCT WORK
24ACC436AO30
FV4CN(B,f)003L
CONST RUC1-ION INFORMATION:
�tiona �.or; to Orme under tis permit —check all apply:
0111VAIL Gas iariR E]Gas Piping In nGerterator
Shutters U Windows/Doors
11 Elaerrie U plarmoIng 05pr2.RR6-.� 0 Roof Roor pirGn
i otal ay. Ft or Cunstrartion:
Cost of Construction: 5 6400.00
b Ft. at First Floor: _
Utilities'0Septic
Building Height:
OWNER/LE': SEE:
LUN I RAL I UR:
Mame i iTlECH RELEY
ivame: 0t:NM15 [ACER
A00ress: iu4 MAYCOR i ER
Company: ARS
City: FT PIERCE State: FE
Address: 2800 US HWY 1
Zip Code: 34982 Fax:
Ci,y: vEr%v DENCM Male: FI'
Phone Mo. r rc-Lua-Lg �0
Jp CoOe: 16150 Fax:
r-Mlah:
PRone no. If&f9u-[211
FIII In r.a simpi. E Itly FIo18c;- on na;;t Rases t it ilincrent
E -Mail: TDABERKOLARS.COM
from the Owner listed above)
State or County License: CMC12*733
It value of COrtAraction is $2500 or more, a RECORDED Notice of Commencement is required.
SFJPPLLMEIq I AL C0Ms i R0u lulu LIEN [Aw INFuRMATI09:
DESIGNER/ENGINEER: _ Not ApplicablE
MORTGAGE COMPANY: _ Ivot Applicable
Name: PAMELA KELLY
Name: DENNISZACEK
Address: 3144 NAYLOR TER FORT PIERCE. FLORIDA 34982
Address: 3144 NAYLOR TER
City: FTPIERCE Mate:
City: VERO BEACH ]tate:
4ip: Phone
tip: Phone:
FEE SIMPLE TITLE HOLDER: � Not Applicable
BONDING COMPANY: Not Applicable
Name:
IEame•
Address:
mddress:
City:
0Ly:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certit, tn.t f,v warR er'-31;oIIpLly : M.:; corm 1cnceil privr tv tn. i'3e..rlee Or o peg mit.
St. Lucie Count makes no representation that' granting a Hermit will authorize the �7 ermit holder to build the subject structure
-Ricn i., in uomLt -1tR an, applicaRle Rome u-n�F, A—WeIEVoR Pwlr-z, 5,1.7.: oP prld c.70I.PIT: IM6 R,a, x�t�ieL e� p.-Vnil5it Seen
structure. Please consult wi"h your Rome owners rusociation and review your Meed for any restrictions whim may apply.
In coridderation of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accorDance with tMe approveaa plans, tRe Ploritla 6uilMing Colles antl at. i ucie County Kmeniaments.
I lie To (owing MuilMing permit applications are exempt Trom untlergoing a Tull concurrency review: room atlMitions,
accessary structure_;, swimming pools, fences, walls, signs, screen rooms and accessor9 uses to another non-residential use
WARNING TO OWNER: Your failure to Record a No►ice of Commencement may result in your paying twice for
;rnplrowernents to yoer property. A Motice of Commencement must Me recorded and poster on tMe;ousite
before Lhe firsL inspection. If you intend La obtain financing consult with lender or an attorney before
commencine work or recordine vour Notice of Commencement.
1 - ,,,.,/4..�
` � •►.ash'`.
]ignutQl`c of O-19IJ7 ;-.3 Agcnt taF ❑ �ncr
Si6Rpture at Contrpctor/liicvrin c Roldc.-
STATE OF FLORIDA
STATE OF FLORIDA
tt.V0R! I T r) III INDIAN RIVER
CrIUM I T VP INDIANRIV€N
I he forgoing instrument was acknowledgefore me
Ob 10 UU OCTOBER LD 6,
I Re ro�6vin6 inaL�en7ent .pa,pC�CnP..le866ctv�e me
dais '° May of --aER 1-Q1r) My
y at
44
DEWIS ZACEK
DENNIS ZACEK
Mame of person making statement
1q.M. at per,en nlaRing tateme'A
Pei c'...611r Rre :n XXX OR P.etlee,=a IMentirieat:en
Personally Rnown --- OR ProMuceo Inentidcation
I ype of l€: entification
Type of Identification
Produc, d
P,ea-c
Y
(SIgIL. "ere oT MeptaryPeDlic- Mate oT Florida) TFjI3 t-%3 u
(%nat re of Motary PUMIic-Mate of PloriMa j
THUt1IAs n. QABE=
"I- t T ��C;1 PAY Fumt-lC
Com niss r,vN`o.1 2 L1 � e rL-0:
_sr7�
I � y
1 11 't Iw.Y �uBi.lG
Tom M �`► ` 1 , X1 vF FL UKI
:.Cl
REviEvvS
FROiJ
ZORlivG
auPERVISOR
RIMMD
V1731IMI ION
aEm IORiEl
IgMMGROVE
COLIniER
REvIEw
REvlEw
REVIEW
REVIEW
REVIEW
REVIEW
eHIP_
RECEIVED
DAIE
_
CCIRIPZr I LD
Kev. a7L7ii
Certificate vt Product Ratinas
AFIRI CeRineu Reference Number: 9543522 Date: 10/10/2017
Proauct: Split System: Air -Cooled Condensing Unit, Coll wlti'll slower
Outdoor Unit Model Number: 24AC%zi33w5jV
Ineoor Unit Model Number: FV4CN(B,F)003L
IVlanuracturer: C;ARRIEK HIR C0110I I ION1190
Trade/Brand name: CARRIER
Region: souxReasT ana IQoRM (AE, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, 111, I A, vA
AK; CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, 1113, RE, 19M, Ila,
NY, OH, OR, PA, RI, SO, 01, v,, YVA, VYv, VVI; VVT, U.s. IerrlTo.ia_1
Rwylon Note: Central air conditioners manufactured prior to January 1, AD 15, are eilglole To Be
installed in all regions until June 3'u, to 1o. Beginning auly -I, z'u-jii; went. WI _Ir wmditioners
can only Be instaliea in region(S) To. Rieli they ...wet the regional efficiency requirement.
Series name: COMFORT 14 AC
Manufacturer responsible for the rating of this system com0inatlon Is CARRIER AIR CORuITIONING
Rates as Tollows In aoeortL mva —.itR ARRI Standard 2101240-2008 for Unitary Air -Conditioning anti Alr=3ource
Rest Pump E>iulpment and subject to verification of rating accuracy By ^RRI-sponsored, InaaMerlaont, third
party testing:
Cooling Capacity (Bluh): 3x000
EER Rating (Cooling): 13.00
5cl!R Rating trooling): 15.00
IEER Rating (Cooling):
' R-pnvz tall. -ed b, ar iwar, -H I'I 'id".u.1 v.:1unl..ry rar.i, of previously puCLsn— o..13 anis ua:onipamed w°,h a WAS which .-d —ta- -w pm-almra-ry petal.
DISCLAIMER
AHRI does not endorse the p.oducl(s) IL -ted -n 111a Captlf6at. rnd nt.k., n. r.pr.men:,.a.M3. or go.ra.aacs .s iu, anu assumes no responsibility for,
111E pc000c:s3 limo . n tflls ecrtlticule. nRRI expressly disclaims all liability for damages of on- kind .plcing wt of tha a= .r , �rfanM. -.uv of :ha proonct433, or M.
a :..eth.rlwd altapatien of d -t- li,:.d an Ihla Ccniflc..tc. Car:lf6:a :.angs.rc r..11a only Tor m.a.is no configurations listed in the
mraotury ut www.. ahrldireclorymm.
TERMS AND CONDITIONS
nls e.rriric.lo .na its cuntunts are propr-elary products o1 AHRI. This Cartllla_t- !!h -ll ■nl, b- mead far IndHdo.I, p.rs...ol ..no
aanfidvntlal raf.r.n.a FS -7P. -SUM. The eenTenTa W :his e.rthica:o iii.y not, n wflulo or in part be reproduced; copled; dissemin:t■d:_ '
entered Into a computer database: op oth■ml= ■till_od, In ate; fun- er mann-,er e: 137 ony rne..s, .;e.,pt :or t. -,a marb L.olviuo.l,
pera.n..l..nd eommunti.l rerar.nce. AIR CONDITIONING. HCATI NG,
eER I.FIC... E VERIFICATION e. REFRIGERATION INSTITUTE
The Inf.rnt.,tlan for T11� mvael cltca .n inns ccrTs,Iva- dun 0. verified at www ahrld reclury urm. cll=k on -V_p11; C-*rtifi■ste- link
and enter the AHRI Cotiflud R.f_ranae N_rnh.r ..nd Ih. dotes .n ;hich :hc ..rantsv e.s issoau,
vr,acn Is Ilse.:., nuuv., unu the Certificate No., which Is listed at batt■m right.
02014 Air-Condidonins, 1leating, an'u Rerrlgeradon Institute CERTIFICATE NO.: 13152109'u'oz3aza"a63
ARS RESCUE
ROOTER
Installation Work Order
Eat. Start D.Ic/—!o /j-
ESt. Completion Dala �Q��
{YY1j 05/-310U
2800 US Highvray 1, Van, Beach, FL �Zvao
vorporate Customer
Rolwioria
(866) 803•oe7e
oea MER
HOMEPHON
/
(P
CELL PH Wu.N ,N,
■UR HVAC SYSTEM DESIGN
OPTION 2
OPTION
WA,
IZE TYPE
r
11111111111111111W
SIZE TYPE C+r�
SIZE 3 TYPE rr
EFFICEENCY
FFICIENCY
EFFICIENCY
4
$ 8
$
-
$
$ -ref
SUBTOTAL
®
SOBiuT/IN[TIALS
SUB TA
MUId'f•HLY $T.• p 4
'�
rwUNrR3JMUNTH
EST,'$ t'
vuaER INTIIALS
CUSTOM
CUS MER INITIALS
Wo my: _�_O_ Pans
Labe
Werra Y. O Pane � Laborty:
t7-1,
_L ntaPaa --� -- borComp-aao,�We
t Exeharig
Cemprannaer � Haet Exchange.empreo_-ar
��Hoal Exch..: gar
Refrigerant rbcuwvarad .e,d dispaeo a re m; d by la.. Complala eta.n up indading ase
of floor aavars io praw.i your h..mo and
re n . 1 worn cum laleu s dune in acuurd.nuo with misting cedes
and pannus. as required.
SPECIFICS
OF •
SELECTED OPTION: 1 Q2 Q3
$
a Weatherproof Xconneet to ExistingJectronr_. Air C1.10SUBTOTAL
Disconnect
Electrical MMedlaFi'ler
19�Lifahme EMeipmeri1 54.b
ffllNrT. Plywood Dauk CI PCO
Sound Isolation rads
P'Reuonneut Drain Line p uV Lght
$
❑ CigaiB Tile C.nt3ed
E3 Ceiling S.-er Kit ❑ Ha-idifier
❑ Sian: Kit
IP..n & Fla -0 ❑ Dcho mid Gor
TOTAL $ Ke, IF,, C,_
refrigerant LL Dryfm
le Rla.n Drain Sdta_r Switch p Omduor Wit Pad
elRmefrigant Pipe
WrSeal New Connections ❑ Flue Venting
❑ Now WrRec=-noet
❑ Sepporl Attie Egwpmc .t 0 Ductwork Connections
D CASH D CHECK#
JURefrigeranl Pipe vover
0 Supply Plenum 17 Fue. Piping
❑ -Val-e
..f7
G New G Reconne-t Eleelr eo Wiring
❑ CREDIT CARD (LAST
;7T_stat"_3'Ty`pe
❑ Ratem Fiore.-.. PfHa-c Sa., ae PI... -
[3Nav, U Rcconnaet
��j�i y� 9
I Tenn {364 days}
PPR
EXP A AL
omfort Guarantee
OUR GUARANTEES
,ef Home Protect on Guarantee
1WPINANCING
24 -Floor Sarriee us_rk.Rlae �6001=t Uneendilianal MerF—y-8-9 c Go—loe
*Payment ophopm a-, =able .i;h approved credit
if
NOTES
G� f�iC
vrK �n
• Written p=ztarrlor..athe Shan will be �btormad before boginrii-g -my enfereaee- addilienel e-e..te..dad —rk.
• ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT IU THE NOTICE AND CORE PROVISIONS OF CHAPTER 558,
FLORIDA STATUTES.
• BUYER'S RIGHT TO CANCEL: Thia is. homa. -firltation 3.1c, .nd if you de not -.nt th_ geode or �arvlces, you ay —cal
this agreement by providing wri�Len novice zo .h. della. in person, by tel=gr...., or by m..11. Thia nuts%= ma.t indicata th.t you
do not want Lire 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 nereof for an explanation of this righL
• I askno-l& ge that my right to �amasl h- b■am unpl-almd to -a r ly and in writing, and without waiving my right to cancel, I authorize the
performance of the -ark, ..ebjeot to ..tl lamwa and oorldihema cot forth on the r■Corba aide heiz-of pled ..-, (..Loo _pam asmrpLtiam.
Notice To Owner -Do not sign this home improvement contract n bla
K rs t your legal rights. Th s home improvement contract may contain a mortgage 9pdifierwise cre le a lien on your property
th t eel f re, �_ed ... ' yse d- m.l P-,. B- =_re ;ou understand all provisions of th ntracl before ydu sign.
CV -g idf7XrURE GATE COMPANY REPRESENTATIVE f
co71-mFR SIan.,ZRE I e,4 _ e'A7
c 2017 Ama� Raeidm ial Services LLC. All r,gilin rewrmu. ae oa" 323"