HomeMy WebLinkAboutScanned from a Xerox Multifunction PrinterHCC APPCICArsLE 114FO 141Qz i 6c r 0IVIr[I!T["i f uR RPFE1 G .TION TO BE ACCEPTED
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r,anniny and ueveloumenr3ervicos
euhdiny and Cade neyulotion Division
z.wC•viryinia Rvenue, Fort Tierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-15-,8 Com
PERMIT APPLICATION FOR: IdeCh.iniLal
PROPOSED IMFRUVEMEN i [OCATIun-.
Address: 1901 N 37TH STREET FORT PIERCE FL 3494(
Permit IdumQer:
Building Per -i t Application
Cegai Description: 5CIMC7rvD +aHR"r"S
Property iax iV ii: zziu5-1501-75104-500-2
cite Pian Name:
Project Name: NEWTON AC
Setbacks . i [' it Back:
mercial Residential
F{i�r,t 5i��Cert aiRe:
Eot no. IJ614
610cR Ido. f
DE I AIDED DESCRIPTION OF WORK: J
CARRIER MINI SPLIT' 38MHRQ i8m- -.5 z+17MHi 18Q13---3
CONS -i RUCTION IWORMATIuISI:
Addifl,,mvl-t I k to flas
orme un er t is permit --c e: kUFIvAC i ani< ❑Gas Fil in;;
UElectric UriumMing llaprink.er,
zhutters Windows/Doors
Generator Roof
I e[rl bq. Ft Or Construction: 5 Ft, of First Floor:
Cost of Construction: $ 4728.00 17t1°itie.::0.�ewer 1:1aeptiC
uvvRER/LE55t:E:
Mame t:057 VEMEvviUM
AMress: 1 y' t IC ,sr I R 5 i REiz i
Cit,.: FORT PIERCE Naie: FC
Zip Code: 3.950 Fax:
Phone No. 4 -1-46 i- 1a5o
E-ICaii: I C) AnERKOLrtRS.7=1
rill 1.-. vi -e simple i we noiaer on next page I It- uiffereni
from the Uz,iirr listed
CONTRACTOR:
Building Leight:
Reot Pitch
Name. 0=19191u z %CER
Company. HRS
ttQtlr2ss: z$QU 05 r'fvv r i
Cit,: VERU REACH Mate: Fr -
Zip Code: 32960
Phone No. 772-794-7221
c-Mlail: i QHoERRU-mR3.LOM
Mate or County Cicense: CI41GC Ic4ar5a
It selee of nstreetivi-i i- $25uQ or .ere, z KECORDE13 Natiry e: Curnmenzement Is require'o.
SOPPEEIVIEWAL CONS iRuUIION LIEN I—Aw 11
FORmAnum:
DESIGNER/ENGINEER: —Nut Appkabie
tvliaR r GAGE C0IOIPAM Y: _ MOL Applicable
Name: E-cENENEWTO`,
Name: VENN, ZACEK
Address:; a n:;TT19,9TREE-Fr'RTPIERCEFL34947
Anjaress: 19_1N37THSTREET
City: FO-TINIERCE Sta[7.:
I•ity:yEROBE=CH ]La Le:
Zip: Phone
1-i p: Phone:
r -&F alITIPuE TI i LE MOLDER: NoZ Applicable
BONDING COMPANY: _Nut Applicable
(Game:
Marne:
H4Id re5s: 2800 US WY 1
Address:
ci Ly:
City.
`Lip: Phone:
c.ip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Rpplication is hereby made to obtain a pen„it to do tFie ..ork ono installation .3 inairata8.
I certift" tBl iz , o v.orR a r in7tvli.tivm n1.3 cormrmcne2C1 prior to tlft ;.3:.-,.:ce yr a permit.
3t. rucie county makes no representation that is granting a t,ermit will auth— ire th.4 e, mit Rolaer to Saila 0C'us;rct -trvt ture
v.l-iich i. in �oritllict -ith any applic. olt Re a 0.n=r. As.ecratior. rules, ayiaws or antl covenants MaL may restrict or prortibit sucn
structure. Please consult with your porne owners Fxssociation and review your deed for any restricdons which may apply.
In consl0eration of the granting of this re -quested Kermit, I do hereby agree Lhat I ..1111, in oll respcoU, pcRorrn tRt, .orR
:n ,.eeeraance ritM t'ne approves plans, trMe Flori0a Suililing Cures anu at. Fucie County Rmendments.
Tl,. tollowIGE GzIlains perrn7t appli�atien: are e-emnt Trom un'oergoinE a lull concurrency review: room a0idons,
accessory structures, swimming pools, fences, walls, suns, screen rooms and xxesso, r a... to .nutricr non-reaidcntii l a3a
vvARIGIMU 10 UvvMr.R: your failure to Record a Notice f Commencement may result in your paying twice for
mprovements to your property. A Notice of Co1„mencemet.i muse Me recorded and posLed on Lhe jobSiLe
oerore ifle first inspecTion. If you intend to obtain financing, c–un.-,ult with fender or an atturricy before
commencintc, work or recurdin[l your Notice of Commencement. p
Signature of Owner/ t see/Contractor a3 Agent for O.nc. Signotur. or Lontractor ' ense nolaer
STATE OF FLORIDA
coo IV I y or INDEAN RIVER
I ne Torgoing nstrurhent was acltnowredget; before me
this d v, NOVEMBER
DENNIS ZACE
Man a or person making statement
•Persohally .� o -n xxxx OR Proaacea lacmtirieutlon
type OT IMfl Ii iration
Prouuced �Ji - ti _
bTA I E OF r•[URIDA
Cu U NTY OF IRGbw. Riv I'R
i I.� torbeirig in,trument was acltnowleoge0 Oerore me
tRis May of ReaeeleeR zC_ by
DENNIS ZACEK
{darn= or person malting statement
rersonally Rnown OR Produced Identification
Tyr.,. tlde tltai
rrot�u 0 i !
(bipz- Are of ' ot.ry Pu6lie'-�t..te o' � " t'`"`' irnature of M6 arg Public-
t`��?t�3'..�°j5�r;1.te.t1rGlcaU�PFL M�i�iiLa r Statttfjlorida-)C"
.T;.
gVA
CornrMi_io:, 7. FF126494 Commission No. rte,-.o__�
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RtvlCvvs rRomI curMIMG aCFERVIauR PLL -+NS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEw REvltvv REvIEw REVIEW REVIEW
RECEIVE( 1
L-utyiPEE o F
Rev. 61271'
a,3CrAK":W::'J rIRAr,.a.M-31lAsih':
certificate of Prad - c.,it Ratings
AFIRI Certivietl Reverence number: tO0513146 Dat>r: 11/13/2017
ProduC►: V-lriable Speed Mini -Split Air-;::onditioiier, .viii, Herrlote OatBeer Onit-Air-source_ Free uellvery
Outtloor u it Model Number: 38MHRC,i BA --3
Intloor Un't Model Number: 40MHHC18---3
ManufaCLurer: CARRIER CORPORATION
Trade/Brand name: BRYANT; CARRIES PAYNE
Series name:
region: 50t1ttleaSt and North (AL, AR, DC, DC, FL, GA, HI, KY, LA, MD, MS, NC, OK, tiC, I N_ I AA
AK, Cu, C 1, ID. IL, IA, IM, ins, MIA, ME, NII, MIM, Mx, M 1, M 17, NE, NH, NJ,
NY, OH, OR, PA, RI, SD, 111, V I, VVA, VVV, VVI, VV T, D.U. Ierrhories3
Region Note: Central Wir aorfditiarfers Ina„urwcturea prior io aanuary i, c'u Io, are eligible to be
installed in all regions until June 30, 2016, Heyinning ,;al, i, 2015,antral air contlldoners
can only 13 instaileu in region(s) for which they meet the regional efficiency reyuirernei-it.
Manufacturer resl,onsible for th. ruti;ij; v iflim _yzt.rr; nvrnl3ir.adon is CARRIER WnPURAi ION
R -tet] as follows in accorEance with MHRI Standard 2101240-2008 for Unitamy Air -Conditioning ana Air-soarve
Heat Pamp t;gniprnernt an -0 =el3;ect to .-jr:Ncaiion or razing accuracy By AHRI-sponsored, independent, third
party testing:
Cooling rapacity tl5tunt: I I 311
=�R Rating (Cooling): 10 b0
':':�ER Rating (Cooling): 11.00
CERTIFII•Fj RATINGS FOR VARIA8rI•-uPEED, MI1a - AND rmULTI-SPI.IT SYSTEMS ARE VALID FOR All COMBINATIONS OF INDOOR UNI 15
(BASED UN COMBINATION TYPES) WITH THE SPECIFI7, uUTDOOR uNiT L137P-D AMOVE AND IN THE AHRI DIRECTORY OF CERTIFIED
EQUIPMENT. VIaIT WWW.AHRIDIRECTORY.ORG TO VERIFY THAT 1 HI5 COMBINA I ION IS AN ACTIVE LIS l ING AN13 THE DATA L13, ED ON
THIS CER -1 IpIC,+ E IS-CCURATE. SEARCH ON THE AHRI REFERtPICh 4 TO QUICKLY LvCATE THIS COMBINA 1 IUN IN THE DIREC i ORY.
R..:ing, fr.11e:.ed by aaloduk (') i,.di-=t■ ,.7elent-r119 61 111_-v�_es17 p-blished rdta -nlosS aceumpanled .with a WAS, which tnuicales an Inoulonwry ram1w.
'DISCLAIMER
AHRI does not en. .:rse the producti5r lislen vn tills ecrtlrlaotc an„ rrd..c9 no rcl razenla,iorts, warrE;, 63 or gv. rantees az to, and o,eerwe= me pe,penalbillt; fo.,
:hc procec.fa) li;a=d on :ht3 Ccrtifleele. AHRI ecPpmll, dieelr.In:o at I-bilit, for C. -.I -ogre =f =;;, kind =rising out of the use or performance of the producttsl, or the
■nauth=pized alte-ration of data listed on this Certificate. Certllledlratings are valiu only for nro.leis anu . on„9araavn3 Ilstea in .fie
uirectveyat`,, >.aurlr„roea•ry..;g,
TERMS AND CWTITIONS
',ds Ccrrirlc..l.. a ib co,,;.rz me propacary prodoct-j of AI IRL-ThiS C=rt:l a-te shall enl; be ;.-ed fop Indlcida-I, ,=pe -nal and &4M ■enfidelrli-I We t -_ p-pp•eos. The cont=nts of this Certificate may rot. in whola or in part be reproduced; copied; olSseminatco;
entered into a co! .titer dulavase; or vtncrwlso adlizoo, In ary ;orn: or rrr,racr r r gy any rn .ups. c,cvp: for ;he 1=6 Incli Idoml,
perzo.�wl ,.nd eer Iidenaal reference. Rzw'; -e,
me;-, iIrlvw. C Y n I! Ie., iv11 a REFRIGERATION INSTrTUTE
The lefe.pn-lien Ic: the ...edel wit■d vn tl:io o_ptifi__t= w.. be -erlfiod at 4.ww.: hri flreetar, a rg, clld: on "Verify Certificate” linksrrer-
and enter the AH' 0 Certified Referoncu Ru ... ber an. lite oatu vK x,11-11 ine ca tirkaf0 :.as rSse-a.
WHO ie 1lsicd M-7%. and the Certllle No., %hleh i- limted al betler:: Fight
(01014 AfrG.reltiv:ril�$, Hcotlrlg, uNa Retrig.nalon InNutuit, CERTIFICATE NO.; 13100v'oa95075666r0
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EXP APPROVAL
W47-.ANCING'
* vvHqtti cuatcr ar ajhormj*,h w o Be oor:w M before bew ming"urkMeeeea additional or adended Work
. my CtAwS FOR GMNBTRuur ON aEFECM ARE'SUH1EOP To tW NOTICE AND CURE RROV00NS OF CKAKEr< .6a
PWRId1A STATUTES =
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if1� spr*��eat•I:�J �osnw'Ap 1lotlp t0 asp e+ehllenin palsalr.� �.ie6ne+n, os' bif .. �I1. 'Phis noHaa rnttstladisat� tt„tyott
tf4 teobaranbthe to*Wyk— .nd mustmdafherrd orpWMM*ad ttefate tnf0n-Eghtot.ute thIN huslae day KtbffT ,_-
s{pn "xvMwt If you .noel this agrranerr4 &A up" i nary W kow all-ar part of .try wi� down payment Soe+tho
MMrsa SN,a Ireraaf riwwu espta.-•atlon Of" Fight _
i,a cnwled�e illrct my;right to carne . tma been a ila�r r� j sto tsre or»�a iy and En wdt '% HM without war ng nV right to cants, I qq,}t ofs za ttta
pooh. W. w" of the work owborl to Au terms W corw;,ra ser forth rm fire .. ,.. side hereof, P ua any la=s =pori ewe mua&
Nbttte 3u t7w*m -foo not sign this home contraetin MR You are entitled to a copy ani tha contract m the urnQ, LL
'"� O, to pMiaoyourkga rola. ThiS home sr:arw�entcwrdract may. Contain a mod9p4e or otmwisa Create s Win an r.,.ar pr�erty
bffi cores on #pou do nol pay4 f35 --m you undera^and all W0105ne of l'e mWent before you sign. -
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