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HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ;mss_ .=so ss' Y g9 rr11U.z':i�:; Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential^ PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Add, ess: 195 SERENATA CT PORT ST LUCIE FL 34983 Legal Description: RIVER PARK UNIT 5 BLK 46 LOT 33 Property Tax ID ##. 3419-540-0137-000-3 Lot No. 33 Site Plan Name: Block No. 46 Project Name: RODWAY AC CHANGE Setbacks Front Back: Right Side: Left Side: DETi-flLED DESCRIPTION OF WORK: AC CHANGE NO DUCT WORK CARRIER 15 SEER 23400 BTUH SPLIT UNIT 24ACC6211A FB4CNF030L � C 111.. 111,0;011 INFORMATION: Name ALPHANSO RODWAY Name: DENNIS ZACEK daition—vork to e e orme under tis permit —checka OHVAC 1, Gas Tank ❑Gas Piping 11 Elect-ic 0 Plumbing []Sprinklers appy: _ Shutters O Generator Windows/Doors Roof Roof pitch Total Sq Ft of Construction: _ Cost of Con_truction: $ 7650.00 S . Ft. of First Floor: Utilities Sewer [] Septic Building Height: OWI , ERAESSEE: CONTRACTOR: Name ALPHANSO RODWAY Name: DENNIS ZACEK Address: 195 SERATA C' Company: ARS C ty: PORT S F LUCIE State: FL Address: 2800 US HWY 1 Zip Code: 34983 Fax: City: VERO BEACH State: FL P one No. 56'-329-5838 Zip Code: 32960 Fax: E -Mail: TDABERKO@ARS.COM Phone No. 772-795-7221 Fill in fee simple Title Holder on next page ( if different E -Mail: TDABERKO@ARS.COM from the owner listed above) State or County License: CMC1249753 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. �)Q C'- U0 I t L, 0e) I L C SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name.ALP14ANSOROOwAY ^ Name: DENNIS ZACEK Address: 195 SERENATA CT PORT ST LUCIE FL 34983 Address: 195 SERATA CT City: POR- ST LUCIE State: City: VER° BEACH State: Zip: Phone Zip: Phone: EE SIMPLE TITLL HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: 2800, S HWY 1 Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I ertify that no work or installation has commenced prior to the issuance of a permit. St Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure w -ich is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such st ucture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, ac, essory structures, swimmi-7g pools, -ences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commenci:i�, work or.recordinrlyour Notice of Commencement. Signature cf Owner/ 'Contactor as Agent for Owner Signature of Contract (cense Holder STATE OF FLORIDA STATE OF FLORA COUNTY OI 10t1c_ cam;✓/� COUNTY OF The forgoing instrument acknowledged before me The forgoing instrument was acknowledged before me this C day of _126L2by this Z day of OC'r-�_ 20 by . r l s GIS k- DENAI15 0A C,_ r Name of p rson making statement Name of person making statement Known OR Produced Identification Personally Known,} OR Produced Identification TyFfe of Id Pr ducad _ Produced VtPI IL �- J4 &LA U0 _:, 15irnature of Notary Public- State of Florida } (Signiiture of Notary Public- State of Florida } il. div l Z Sya 4c _ ��-o, rrr�Fl� Commission No. 7 (Sear „nAR,'YPLIL+LIC commission No. .trA- [ "fHW"'(5�a1)'�t:�'ItCz t ST ATE Q= FLS}lit . NOiAF;Y PUBLIC t�STATE CI FLOR€. REVIEWS FRONT ZONING S10EAV(SOR PLANS VEGETATION SEA TI[fiTL"E&r INAIjiGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW RECEIVED C_OMPLET_EO__ Rev. 8/2/17 A , 0011%La aL Hosting' plumbing Est. Start Date oInstallation Work Orders EstX0,2 . Completion Date ��tz 1AV-\AC5 (772) 567-3100 Corporate Customer 2800 US Highway 1, Vero Beach, FL 32960 Relations AmerKan ResrdentW Smites of Fiord$ Inc License / CMC 11249753, CAC04WR CFC1428283 (866) 803.0879 EMAIL CALLSUP CUSTOMER S n ADOREss F CIiYISTATEI2 TI /f i 3 f 9e3 C. HOMEPHONE CELL P.O WORKPH0NE YOUR HVAC SYSTEM DESIGN i SIZE ,Z.. s_ TYPE CRC6 6' SIZE TYPE SIZE TYPE, EFFICIENCY LW- 5CG EFFICIENCY EFFICIENCY -. . $ OD $ $� $ �n n" $ SUBTOTAL $ A SUBTOTAL $ SUBTOTAL $ _ MONTHLY EST.' $ MONTHLY EST.- $ MONTHLY EST.' $ o- CUSTOMER INITIALS CUSTOMER INITIALS CUSTOMER INITIALS Warranty: 1110 Parts Labor Warranty: Parts _ _ Labor Warranty: Paris Labor —W—Compressor ._ Heat Exchanger Compressor _ Heat Exchanger Compressor _._. Heat Exchanger Refrigerant recovered and disposed of as required by law. Complete clean up including use of floor savers to protect your home and removal of existing equipment. All work completed is done in accordance with existing codes and permits, as required. SPECIFICS OF • + SELECTED OPTION: ❑ 1 ❑ 2 ❑ 3 ❑ Weatherproof 13 Connect to Existing ❑ Electronic Air Cle r f�lectrical SUBTOTAL $ � t Roo Disconnect ❑ Media FI ter Lifetime Equipment Slab ew Plywood Deck ❑ PCO t r � D �!.$ �Scund iso ation Pads Reconnect Drain Line ❑ UV L' I $ ❑ Liquid Tile Conduit ❑ Ceiling Saver Kit ❑ H difier (Pan & Float) ` TOTAL $ ❑ Start Kit ❑ ehumidifier in Drain Safety Switch Refrigerant LL Dryer Outdoor Unit Pad Refrigera t Pipe sal New Connections ❑ 1= tie Venting • ` ❑ New I�Reconnect ❑ Support Attic Equipment Ductwork Connections W❑ CHECK#❑ Refrigerant Pipe Cover ]Supply Plenum ❑ Fue' Piping '`❑ NewI ReconnectElectnca! ;CCAS �t� CC ❑ Expans;on Valve Wiring Al etumPlenum r$HomeService Plan—$'�a. RED17 CARD (LAST4#s) IP, New Reconnect T`1 Term (364 days) EXP APPROVAL,____._ OUR GUARANTEES FX Comfort Guarantee KlHome Protection Guarantee ❑ FINANCING' . 4•Hour Service Guarantee 100% Unconditional Money -Back Guarantee •Payment options available with approved : redit NOTES mck) 1`t «ova tin cloSt-}-� �tVC `}�`� �OtCCP,55 $1NtCl. t2� -V1n LKi 1-v • Written customer authorization will be obtained before beginning any unforeseen additional or extended woX a4 r'[7on • ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CFiPOTrF�! 858, FLORIDA STATUTES, �/{�(�`6' • BUYER'S RIGHT TO CANCEL: This Is a home solicitation sale, and If you do not want the goods or services, you may cancel this agreement by providing written notice to the seller In person, by telegram, or by mail. This notice must Indicate that you do not want the 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 hereof for an explanation of this rlghL • I acknowledge that my right to cancel has been explained to me orally and in writing, and without waiving my right to cancel, I authorize the performance of the work, subject to a' terms and conditions set forth on the reverse side hereof, plus any taxes upon complel on, Notice To Owner - Do not sign this home improvement contract in blank. You are entitled to a copy of the contract at the time you sign. Keep it to protect your legal rghts. This home improvement contract may contain a mortgage or otherwise create a Igen on your property that cou d be foreclosed on if you do not pay. Be sure you understand all provisions of thcontract before you sign -� a za -7 -7a2( CUSTOMER ATURE DA CO PANYR ESEMTArve 0-- / CUSTOMER SIGNATURE DATE ICAI DATE C 2017 American Raremial SaMces LLC. AN Mh1s msam L APr.1079 C 5C 817 (• L l Y / {„/� 6256 CERTIFIEr Certificate of Product Ratings AHRI Certified Reference Number: 9178277 Date: 10/23/2017 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 24ACC624A*0304 Indoor Unit Model Number: FB4CNF030L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING Region: Southeast and North (AL, AR, DC, DE, FL, 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, WY, U.S. Territories) Region Note: 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 region(s) for which they meet the regional efficiency requirement. Series name: PERFORMANCE 16 AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, Independent, third party testing: Cooling Capacity (Btuh): 23400 EER Rating (Cooling): 12,50 SEER Rating (Cooling): 15.00 IEER Rating (Cooling): ' Ratings followed by an asterisk (') indicate a voluntary rerato of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate DISCLAIMER AHRI does not endorse the product(s) listed an this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for. the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and AR !] confidential reference purposes. The contents of this Certificate may not, in whole or In part, be reproduced; copied; disseminated; `� entered Into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's Individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org. click on 'Verify Certificate" link „ r aka ill ksurate, and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which Is listed at bottom right. - 02014 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: �31532340fi580ssf37