HomeMy WebLinkAboutbuilding pemit ACE APPEICR6EE 119FO i BE C0141ri.ETED ROR mrPQCAR 11011 v 0 BE ACCEPTED
Date: Permit 19umoer:
Building Permit Application
Planning and aevelopmenr Services
ouilding and Code rre-yyularion Division
z1Da viryinia mvenue,Fort Pierce Ft 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Mechanical
PROPUSED IMPROVhMEM I LUDkIl IUM:
Address: 3608 SLEEPY HALLOW LN PORT ST LUCIE FL 4052
Legal Elescrlpuon. 5iAvmM m CCUS PnN5E a,UR aisa-ru5c
Property iax ID#: 3gc3-f0043occ-00513) Lot No.21
Site Plan Name: 6IocR Mo. 41
Proje-Name: JEANNE JOHNSON
Setbacks Front Back: RigHt Siae: [ei[slip:
[_DETAILED DESCRIPTION OF WORK:
At; CHANGE uu I r-YO DUCTS 10 KW HEAT CARRIER PACKAGE UNIT 50t-pCO36
3 TOIL 14 SEER
[C-ONSTRULA710U; INFURMAI IUM:
Additiomalw.RLO orrnC un er v is permiT-check a apply:
In
OFIvAC 0 Gas i anR ❑Gas Plping _ahuriers Q vvindows/Coors
tleERric 0 PlumGing ��prinklers l ueneraLor Roof Roof pitch
i oval zzoq. FL or Construction: 1q. 1h.of rirsL Floor:
Cost of Construction:$ 6740.00 Utilities: sewer E]sepvic 6uil0ing ReigRt:
uwivER/CE55EE: CONTRACTOR:
Name JEANNE JOHNSON Name: DENNIS ZACEK
Address:3608 SLEEPY HOLLOW LN Company: AIRS
City: PORT ST LUCIE State:FL Address: 2800 US HWY 1
Zip Code: 34952 Fax: City. VER9 BEACH State:FL
Phone No.772-794-7221 Zip Code. 32960 Fax:
E-Mail:TDABERKO@ARS.COM Phone No. 772-794-7221
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 constrac-lion i.$Z500 or rnora_.HECORDED Notice UT CorRFRCne.Rle..t 1..r.yulren.
5U.PPE IOIEN IAC CUIV51 RUC:I ION DEN LAW IRFc.a MAHUN:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _not Applicable
Name:JEANNE JOHNSON Name:DENNIS ZACEK
Ad dress:.—SI!EePT RM1O-ON PORT ST LUCIE FL,e52 Address: 36M SLEEPY HOLLOW LN
City: PORTSTLUCIE State: City: VERO BEACH State:
Zip: Phonz Zip: Phone:
FEE SIMPLE TITLE HOLDER: _NOL Applicable BONDING COMPANY: _Not Applicable
Dame: Mame:
Address:2=USHWY 1 Aftress:
City: City:
tip: Phone: tip: Phone:
OWNER/ CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify tRat no work n.R installatioao coTimcrlCccl P.for to tRa i-05rica at c.permit.
zt.rucie County makes no representation that is granting a permit will authorize the-permit holder to build the subject structure
viRich ie in conflict 7,;tn on,l e-plicuBle Flo...a 07.Rar,A3.aei�.tlarl..-alen,6y1u or ontl ee:e..on[�[R,.[Pna, r..sritT vp proRi6.1:arm
structure.Please consult wiXylour nome owners Association ann review your'taeeU,or 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 aeearnance wliR tRe approves plans,rile Fiorift SuiRling Coses ann at. rucle County Amennments.
Inc Tollo:ins 6e1181ns Permit Pe a--en,pt TFam ariaerse:ric a Tell caricurrency,review:room alanitions,
accessory strutTures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
vvmRNING TO OWNER: Tour failure to Record a[VOLice of Commencement may resuk in your paying twice for
improvements to your property. A Notice of Comm-ncement must be recorded and posted on the jobsite
before the first inspeLTion. If you intend tD obtain financing, consult wiLh lender or an dLLorney befog e
commencing work or recording oar Notice of Commencement.
Sisna,ure of Ow /Lessee/Contractor a bent for Ori..er 515natare of Cvnt�oc /Ci[en.c Rolaar
STATE OF FLORIDA STATE OF FLORI �M
COMM I y OF CDUIY I T OF
i Me forgoing Instrument was acknowledged before me I Rc Torsains in:trament-ate ocr(no7.leagaa Satara me
this a day of DECEMBER 20_ 6y tMIS o Say Or oe�eiotee� zla_ My
i
DENNIS ZACEK DENNIS ZACEK
name of person making statement R a at per�a..moRiFis,tatefant
Pcr�onall Mown xxxx px PrJ13 a IOcntiTie..tian Personally nown ^^^ Un rrosucen Inentiucation
I ype oil enth ication Type of Id ntification
Produc Proaeeea
Wrirf.lurr of Rota-y Pa ' - pta o arias} (signs re or Notary Pualic- t Le or F Drina}_ vAStnKv
v DAB=h",
COPPIPrli3.611 Ra. FF128494 4111 ,rn taedlio�f 1'jr'Llc'JA
�c tyuLlu
''($eai�lluKr FU�LIi.� LeRIRli�aen Ma. FF1284S4
ruDA
a REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION aFm iuRitE MIAIEGRvvE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
UAlh
COMPLETED
Rev.8/2/17
t§t Start D..te
` a
hrstallativrr WWX Order Ect.Completion Dale
�'�
ZA ' vorporale Customer
P1ernb;ng•A:r 2800 U5 H;gh:.y 1,Vero$ouch,FE 32960 Relation.
pI■ad.-g' Ameroirr Reaenfla Service:of Fbn"ne SMa;wne;-. r,53,vab,587Q (BOO)DGu-00779
me EIIle! GrgC eQ�
ADDRESS lS7ATE721P
v
nvleEPrloRE cE E WORKPHONE
DESIGNYOUR HVAC SYSTEM
OPTION 1 OPTION 2 OPTION
SIZE i"-? TYP�Gy_r-.-,� 51ZE TYPE CA+-r-,.' -SIZE TYPE
l!FFICIENCY /!r EFFICIEN= EFFICIIeNi-,f
r0 $ w $ $
d 5 S $
a ,�1 cS 2 5
$ $ $
SUBTQfAL SUB. AL %_ SOBrVIAL $
MONTHLY E3T.• $ MONTHLY 3T.' MONTW EST,• 3
MSTOMER INITIALS Cgs ER INITIALS CUST MER INITIALS
W ne.ty: 1-P—P-rta Labor W. .,nly:,lam Psis _L Labo. W panty: Pan. _ Labor
�[ iompresa om or eat Exchanger t� pre_so.�__-- Hv_t Exchanger t:onrprecc.• He-t ExoFangor
Refrigerant rue..ered and di.,posed of W required by Ia-.M...plde clean op including use of fl.,or sa'vma.o pmzce .your home and
removal of.;:.;;..g equipm.m.All rrork co...ple;ed is done in acGo.d.nce vr4h e:is;ng codes and purnihs,as required.
SPECIFICS OF SELECTED OPTION: O t 0 2 08
❑Weriiherprroof OConnec.To Eziating ❑Elec=u it:AL Clcacr_ SUBTOTAL 5
Disconnect Electrical ❑Med'a Filter
,KU61imu Ecisi art Slab u Nw�-.Plywoud Desk 17 pCC
,Z Sound Isolation Poda ❑Reconnect Drain Line p UV Light
$
In Cquid Tite Conduit G Ceiling Saver Kit 0 Hemr clifie.
❑Start Kit (Pan&Ftoatl ❑Dehernidifor To;--- $ • re
Q Refrigerant L.L.Dryer— ❑.;.-❑M. .Drain S.foty 5:ilc-Fi Owdoor U,.i:Pad
❑ROF gent Pipe JdSeal New Connections 0 Flue Venting
❑Ne- ❑Reeerrne�t ❑Support Ah;e Ega:pmest C Ductwork wnnections
❑Refrigerant Pipe Cover �Sopply Plenum IJ Fuel Piping u CASH G CHECK#
G Exp..no;on Val-e New ❑Reconnect G I•ctri•..I Wi'i.,9 1J CREDIT CARD(LAST 4#.)
XT eT..-Type �R..lerrr Ple.ern 7es+e Sorr;vo Firm-
Ne: ❑Raeenneet 1 Te,-(364 d.y.) EXP APPROVAL
OUR GUARANTEES
JEComfort Guarantee oma Protection Guarantee ❑FINANCING (�
24 H. 5erric.Guarantee 100r.t Unconditional Money-Back Guarantee •P_ymer.t opliano a_'table-th apprmed cr,7&
'Wc v
•Wettvn oaeterwer.sih�risetierr-ill be ebta:ned bef=m begi;;ning a,y■nfereaeen_ddit:_rral r extended-•rk
•ANY CLAIMS FOR CORSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558,
FLORIDA 51ATUTE5.
•BUYER'S RIGHT TO CANCEL:Thlu 10 a home-,oiicitatiwn....la,and If you de not-.;;t the good.,or—;--Ices,you may Wncel
this agreement by priding::itten notice to the seller in person,by telegn m,or by mail. Thls notice ma.,t indk.te that you
do not want the goons o.moo.�Icaa and.T.u%-,bQ doliv.-d.,r postmarked before.-rddnigh:of the:hard business d..y aRor y.u
sign this agreement. If you cancel this agmemen.,the seller may not keep a.i a. part of any cash down payment. See the
reverse side hereof for an explanation of this right.
•I acknowledge that my right to cancel has been explained to me orally and in wriling,and without waiving my right to cance,I authorize the
performance of the work,subject to all terms and conditions set forth on the reverse side hereof,plus any taxes upon comp'etion.
Noaee To Owner-Do not sign this home improvemeni coni..ci in bla.k.Y.a wo amided;o a copy of The contraci.,;he a-e you p;gn.
Keep it to protect your legal rights.Th's home impFW.eme..t contract May contain a Mon ..ua. wise create a lien on your prvporry
that coit
be fo777�
u do not pay.Be sure you understand all provision the contract afore ycu sign.
) 1�`fir"r -,
cu r� 51(3NATU m GGr•4R rrr .rn7� /
v 2o77 n._i�rre.i..■nr®_ic s Qec.,.r hgga rereneo. .R1 . 7.
'231 C E RTI F1 E
Certificate of Product Ratings
AHRI Certified Reference Number: 7490503 bale: 12/6/2017
Product:single-Pacnage rtir-Contlit;ioner_ Air-Cooletl
Motlei AumOer: a0cPC03n---30==
Manufacturer: CARRIER AIR CONDITIONING
I ratief6rana name: CARRIER
Region:All (AK,AL,AR,AZ, CA, CO, CT, DC, DE, FL,GA, HI, ID, IL,IA,IN, KS, KT, ill, MM, ME), me,
MI, MR, @IC, M5. MI- AC.- AU- AL, AFt- Aa- MM. IVV- MT.OR,SIR.UR, PA, RI_SC, sD. iR- PA.
131, VA, V I,VVA, VVV, VVI.wY, O.s. I arritarica)
Region Note: Central air conditioners manufactured prior to uanuary I, eg 15,are eligiBle to Be
Installea In all regions unill June s0,zOT6. iseglnning.ruly i. z0-115.central air awrialillellorz
can only be installed in reyion(s)for which they meet the regional efficiency requirement.
series name:
Manufacturer responsible for the rating of this system combination is CmmRIER miR UUME111 I I01rING
Rotes as In-orwrila,ree.■im ARRI Standard 2101240-2008 for Unita.y 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): 35000
EER Rating kCooling): I-I.5u
SEER Rating(Cooling): 14.00
IEER Rating (Cooling)-
R.,,ings b,iaweo 0r a bL.H%R(')ino..�ace s,,uluniory ran.tv yr previously poul6flw saw,onluss aucompaniou-with n rrno,wflrcn,nuinaias an involontary rerate
elscmim-imm
AHRI d—But end■roe the preds■t(a)Ibt.d on Ihlc Certifle.te.ed m-kem es repro-etatlee„-.rreetiem up ds.r etaes oc to,end r=rrioa me Nape-zibillty 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(sl,or the
e.-ao.horl.od ullor..tion of d.:..lis.00 on Ala CarthicaTe,earrlaon r..tings ore Tali,.only;or...ovcls and conegoraavns IiYco In.Ra
direct-,.t—.=hTldir=-tsq.■Tg.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRI.This Certificate shall only be us■d f■r I-di_Id_al,personal and
con Nan¢ial retrcnce purposes.-e conicnp yr x1lis corilovota may nvt,in wRole or in part,Oe roprouccoa;wpiov;aissominatu.:
_elbred Into.■umpst■r d..t_b.=;=r■th■...lae etlli_ed,In or i for...OF mae ter or by-W,moue=n a-wept for the eser'z Iedl.Ido-l.
personal and confidential reference, ..IR«aRORlanln..,ROrna,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The information for the model cried on this certificate can be verified at www.ahridirectory.org cl,ck on'Verify Certificate'link ue make life Dauer
-nd enter:h.AHRI Cunlfled Raferenae Number snd.ho d..tv vn:hich.he e.rrifl-'m-gas isss.d,
which is listed above,and the Certificate No-which+s listed at bottom sight. -'
v.dU.L*mir-T.onUlrioning,nearing,ana Refrigeration Institute CERTIFICATE NO.: 1315r039127i9te8t3