The URL can be used to link to this page

Home My WebLink AboutScanned from a Xerox Multifunction PrinterACL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit (Cumber: Building Permit Application manning and uevetopmenr cervices Building and ioae xeguiation aivision csER7 virginio Avenue, Port Pierce mi. zrz;ya[ PRone: (i rd) Z;6Z-i331 Fax: trrza zT6z-i3rs CvmmerCial Resiaenddl PERIDII I APPCICR I ling FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Kddress: `76 v--> W" 61 C. o I `t et> 1 Cebal Description: L-4� f— Property rax ID ;;:, ,) �Lot No. zite Plan Name: ProjeCT Name: Setbacks Front Back: Right aide: [ert aide: DEIAICED DE5CRIPI 019 uF wORR: CONSTRUCTION INFORMATION: Additional work to rformed under Lrspermit—c ec a appy: HVAC Gas Tank DGas Piping _ Shutters ❑ Windows/Doors 11 Electric Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: S r " " Utilities:11jewer Uaeptic Building ReigRt: �� ' uw19ER/1Bst:E: (Came La -r -r-, L-Vyl iv— 611 nv-. Address: -26 0,7— . e_f)� ci CV IG-- D City: C-- Stater zip Code: 1 Fax: PRone ICo. E -Mail: -r- f Gc_C5. Cil Fill in fee simple Title Holder on next page (If different from the Owner listed above) CONTRACTOR: ICarn�: :'IUJIi�N f.s �� Company: i0c Address: City: . . , maie: cip Phone No, ` ~ 7� _7�— E-Mail•= T— a c�L Mate or County Eicense: -.C-f&(t_La t 917 If value of construction Is $cAg or more, a RECORDED Notice or Commencement Is requires. 5UPPEEME19IAL%,GNSTRUCTION LIEN CAW INFURI01AIIGN: DESIGNER/ ENGINEER: � nOL Applicable MOR i Gaut CUITIPAN T: _ Not ApplicabliF Name: Name: Addrzss: Address: City: State: City: Slate: Zip: rhOne Jp: Phone: FEE SIMPLE TITLE HOLDER: not Applicable BONDING COMPANY: _Mot Applicable Dame: ivame: Address: Address: Ci ty: City: Zip: Phone: zip: Phone: OWNER/ CONTRACTvR AFFIDvi e: Application is RereSy made to obtain a permit to do the -„orR on8 in..Tollation as intiicatea. I r.Ftify tR..t ria :orR or installation has commenced prior to tRe i33aonce or o permit. 3t. Eucie Counkmaup. no repre7cmation tRat is granting a permit will authorize the perrnit Fioldwr to Saila the subject structure aRIcR :3 in confitL7 witn any appitcable Rome Owners Association rale,, 6ylo-s or and covenants tnat may restrict or prohibit such structure. Please consulk with your Rom= 0 -nor; Association anti review your deed for any restrictions WflicR m�rar apply. In consideration of tn. Sranti.-,g or tMi, requeste8 permit, I do hereby agree Lhat I will, in all re.peet,, p0rorrn tR� -orR in accortlance with the approved plans, tfiie Florida 508ing Coties anti m. [ucie County Rmendments. i ne Toiia-ing 8uilaing permit applications are exempt trop+ an8ersoins a TUII concurrency review: room additions, accessory structures, s.irnmins poor, rences, walls, signs, screen rooms and accessory use. to amotR�r non-re..i8e;-'tial use WmRNING TO OWNER: Your failare to Recora a notice of Commencement may result in your paying twice Tor improvements to your property. A Nutice of Commencement must be recorBed and posted on the jobsite Before the first inzpectiun. If you intend to obtain Tinancing. consult with Irnder or an attorney before commencing work or recording_ our Nodce of Commen4Cment. 516natarc oT 0-ner esseelContractor as mgent for Owner STATE OF F� w01� 1 T OF 4 ` r Me f eoina ins"rume . a t rieRno.l-8g erore me tHi3ir8..y vi ,tiJJby M N -L 5 e�G Name of person maxin5-tatcrn.nt Pero: oily Know U Produced Identification yNe ydentif' ation Pr cad l (sis .tare or {votary Puolic- state of rlorida Commission Ro &Tf-j 7Y C, •�� & � !+"^,''•i fir: � REvIEvv5 ;`OICRP[ET Re;. S/t71i 5i6. -.tare at Corntro r/ricense RoiRer STATE OF rLOR CUU N i v OF L ✓�i�I — TRe tices in�t.a nt w RnowleVseS before me v v tRis day of 20aby Iv..mc or person maRing statement Personally Known Produced Identification Typeof Identiticati of Notary Public- Skate 9 loo. W ! Z9j�1 V/ FRONT ZONI�C'�"" `5okRvibaR FMRla VEGETATION SEA TURI COORvIER REVIEvv I REVIEW I REVIEW I ttEvltw I REviEvv IARGROvE REVIEW La. ME- Po- lbirig' A r Hewing' C)w ��Es!.Start Date _y_tle TTO - ►►►sta►lation Work Order Est. Completion Date ' �-`[GS �� X� t3t]/-3 I VO Cert]or lv Ca3tomc, 2800 U5 Highway ; , Vero Beach, FL 32960 Relations .v,,.ai Rtimorn=MrmesulFlorida,IncL"mcrCmCIN9753,CAC045MCFC1428283 X866) 803.0879 "-'"" """'� 1 CALL SLIP ADDRESS Pe cm. .0 IP Ito 05: A. HOME PHONE r -RR MORE YOUR HVAC SYSTEM DESIGN OPTION OPTION 2 OPTION SIZE E .pt�>y i T 51cE I TPER)�u V__h SIZE TYPE EFFICIENCY ti 1!rFICIENCY A50_SeE2 EFFICIENCY $R OD Mct $ $ gL $ Y N t irp iDl1 5 4f �L•�7�a 1 _ l7iLt7'��T rte® $ __L — $-- 1-IYL$79- 1l3 508TOTAL $ _ SUBTvin! $ �_{✓J/ 5Q6rOTAL $ MONIFILY ST.' $ MONTHLY EST." $ MvNTRET E5T• i'.35T EK hill IAt_5 _ C05113MER INITIALS C;03TvRIER INITIAES Warranty. Port.. Labor W rr�ntr. �� Purta , _ Labor Warranty Parts Labor Compressor neat Exchanger 1iZCompm7zor Heu-, Enchangor Compressor Heat archanger Rafrigert.-1 r�ea:v,. va � a diapoae� of..3 required by law. Complete clean up incluMing use or floor oe:o� to pml�et year home on8 r.moml of v,.winu eqa pment. All work completed is done in accordance will1 eaahng eedee -nd pc..,, t.., a.. regairc7. • SELEvr Ev vPTION: [:]I taj 03 Weatherproof i-wwgRoot pr1,�i� lyo� Roet to Exletmg €lecimmo Air Clea.. �r U SUB i TAL � CiColri ❑ edi.. Fihm � kfeiime Equ pment Slab I�New c. $ -- (rev 111//IA5ec-d lee'oheR Prda kRoeawieci Dr. n Line (V Eignt ❑ Liquid Tile Con'uud D ceding Saver Kit ❑ Herrrdd. FPL DEsja � T, _ r✓ ❑Start Kit qP- n &Float) ❑ Doh idifier TOTAL Refrigerant t L Dryer_ Ma n Drai„ Saret Switch y G O door Unit Pad )E Refr;gerarit Pipe Sool Ne- C:ennectiane In Fia� venting {�o : ❑ acs n = Re Pips Cv:e ❑ Support Attic EquipmentDuet work Connociiona ❑ UA51..I G C;MI!C,K# Igerant wapply Menem Fuol Piping ' TMD © Expanai.n Volvo O Ne : VRoconnociIn Eloctrical W tin g ACREDIT CARD {LAST #s) �J.] �Sl l Etat -Type 1 D Return rlenum N - 0 R�eeRneet deme Se -:ea PIH- - U 11 Tone {364 doya} EXP APPROVAL _ OUR Q % %r a yrs Cumf.,n Guarantee fnome Protection Guarantee u FINANCINia• 24 -Roup SePrieo Gearaaee 00% Qnvenditionel Mumcy-Back Goo. mcc 'Payment options availabte with approved credit -- tt nr�s�cr • UV tvhV aou--t7 —0 ne.Ma zj-kS+61(11 — • Wri!lv.. cziSto-er amho..0 aura wilLbe .,birthed before beginn.ng any unforeseen additional or e-t_ndwd -ark. 40. y • ANY CLAIMS FOR CONSTRUvi vIV D-ccFECTo ARESUBJECT Tu TRE NOT]- AN -URE PRVVI AGNS OF CHAPTER 58, FLvRIDA a ATUTES j LP+ (p �� } ti4 (_� 2 H V • BUYER'S RIGHT TO CANCEL: This is a homes-ulieit-tfei .male, a..d if You dw ..at . nt the goods o. Derr cos, you may cancel this agreement by ;;=:Iding -PIHRn esti. to th--alto, in pvrnon, by telagrem, or By mail. This notice most indicate that you ae ..et .-nt the goads ar . arricvs and mu.t be delivered or postmar'ne'u Before midnight of the thiftf Business Bay after you .wig.. this agreamo ; If you cancel this agreement, the seller may not keep all or part of any cash de-.. p-ymenL Sae tna reverse side hereof for an explanation of this rigML • I acknowledge that my ngRl to e..rroel h -z 6cen a;pl-irled to me am ly and in writing, and wiih.,ui .hiving my right to cancel, I .,uthonze the perfo—once of the irk, ccbjcet to J terms and ea .ditions aur forth on the ronerso side ,.ereof, plus any taxes upon completron. Notice To Owner Do not sign this home impro-mmunt o•RCoet :n blank. Yoe aro entitl.d to .. copy of the cortimel aI the iimv you aig.. Keep it to protect your legal rights. Thio home imPp - e ..ent wn4•.ol RI - y cent -i,, a me .gage or oihorrrise .ro.iu n liun on your prapuny that coulp ON ferele=e8 pR.If tea de net p»y. So eerc yea andorm.nd o11 prvdaio..a of the contract before you sign. -� 11/742' a„ E CvRIPnn EPRESENTATIVE. I t• CUSTOMER SIGNATURE ® GATE Mr. C 20:7 A...er n..v-enlimo r vo e=er. dijh�r.onrr , ..111aia7c uSoai7 6258 This combination qualifies for a Federal Energy Efficiency Tax Creels: when placetl In service Between Feta i r, zOOy ane Doc 31, 2096. Certificate of Product Retinas raRRI CeRlTleti Reference AumBer: 7941343 Data: 11/8/2017 Prollaot: split system: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1630AJ1 Inaoor unit Model Ruml3er: RR --i I s6-1 rs 1 AN Manufacturer: RHEEM SALES COMPANY, INC. I ratleflsrantl name: RREEM; R0130 Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, Gr►, RI, 117, li_, Ir., IN, Rs, RT_ [R_ MA, mD, ME, MI, MR, M7u, Mar M I, imC, Ru, nE, Mn- Ra. RM. Rv, IVT, DR, OR. OR, PA_ RI, XC su. IN7 TX, OI- VA. V 1, VVA, VYV, VVI, VY T, i1b. IorritoF:aa) Region Note: Central air conditioners manutacturetl prior to aanuary -I, zt4Ta, are eliglEle to 6e Installetl In all regions until aune s0, z0-io. Beginning .Iul, i, ziti6. venni -ir conditioners oan only 6e inat-fled in rwgion(s) for which they meet the regional efficiency requirement. aeries name: Manufacturer responsible for the rating of this system comBInatlon Is RREEM 5A[E0 CDMPART, INC. Rated ad Tollo :z :n Wwooll'11a111vo Witfi ARRI Standard 2901240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, Intlependent- tltirtl party testing: Cooling Capacity (Btuh): c9uuu EER Rating (Cooling): 13.00 SEER Rating (Cooling): 113.00 IEER Rating (Cooling): ' Ratings followed by an asterisk (') indica,_ - -01=1apv iiiiii,_t■ .f pwiv■el pabli--hed d-ta iii L= ...peps -hied - th - WAS, --hich ineiea;e7 .n i„ olenmry rura;e UISCI.AIMER AHRI done no; om.orgo tflo proau...(s) latee un A3 curunv.re and makes no representations, warranties or guarantees as to, and assurrr— _■ ipm-p■wolbility f_R the ppoduct(s) It_ted en thi_ C■rtlfl_ot.. AHRI di-l-Irm> 1111-bllky for da ..gee of tiny kind ..rWrig vet of !Me ox or perrarmance or rfl. pruuect(sj, or the onuothunzed aiteratior, of data listed an this Certificate. Certified ratings are valid onl; for m=d-L- .pd ■epflg=p..tt_n_ Il_t■d In the dire.t.ry at—.ohridi;.ctary.vrg, TERnm ..no u.M of lanz Thle C.ptlfleete opd Its oorito;AS -re p,.p, Ic..,ry prodec= of AHRI, -13 e.rtI;-._to s,,.11 only Be useo r -r Inaivraa..l, p.rsu..dl end conndentlal reference purposes. The contents of this Ceptlflwt■ rw_,- not, In -h=1e .r In p.rt, b■ r■predpi.ed; ■.pied; di_,crnln..md; catered int� a compoter a.,...Dase; or o,llerwlse a;llicca, in «ny rerm or manner or by any means, except for the user's Individual, persop-I .pd cepfld.pti.l p.fep■pee. IR�er1s.,..Rtpa, Rr..:Ra, CERTIFICATE VERIFICATION &REFRIGERATION INSTIME The Information for th■ prod=l -1ted en thi_=rtlfl_.t■ ■-p be .a.Iff.d ..t—..hpldlr.ete.y.erg. click on `V.rlfy C.rdfL..iv' IInR ..nd winter iRe mMRI earrineu R.ra.m,ce Number and the date an which the certificate was issued, .. high i= Dated above, -rd the Certificate No., which is lined .., bo..om rigp;. - - -- @40i4 Ai.=E;entl1t6MIMI9, Re..ti..9, Wna Re[,Igcretion Institute CERTIFICmi E AO.: 131v46235890131z"w