HomeMy WebLinkAboutpermit app 5 VILLA BLANCAACC APPCICRBCE IAFO 101'u5I BE COIDIPCETED rOR ArPCIM 11014 10 BE ACCEPTE5
Date: Permit Number:
Building Permit Application
rianniny anll veveloumenr Services
vuhUiny and Code Reyulorion aivision
zaW viryinia mvenue, Torr Tierce Fr 3yyaz
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxx
PERMIT APPLICATION FOR: Menhanicdl
PROPOSED IIOIPR0VEIOIEIQ,1 100kIIUM:
Address: 5 VILLA BLANCA FORT PIERCE FL 34951
Cegal Description: sPAMIziF9 E7KE5 COCIMIRT 0106 VICCIAGE
Property i ax 113 +r: '30 1-00- 1 174-000-w Loi No.
Sipe Plan Name: Block No.
ProjeC! Name: a VILLA BLANCA AC CHANGE OUT
Se►hacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Au uFIANGE OUT 2.5 TON CARRIER SPLIT UMIT 28200B 1 uR -14 %EER
CARRIER 24ACC430A FB4CNF030L 5KW
CUNSTRUCTIUIV INFORIOIA TUN:
AdditlamG1 work co a orrnuan crt is permit—checka arP ,:
❑RVAC M GN5 I ❑Gas Plplrlg Shutters Q winaowsTDoors
�nR _
❑ Eiel• Tic ❑ Plumbing � iprinRlers F-1 Generator Root Plooa pi,CR
I vial Jy. FL of Consiruction.rT. of First Floor:
Cost of Construction: .$ 6451.00 Utilities: Sewer Septic building Reirnt:
uwtvER/CE55EE:
CGM i RAU OR:
Name JOSE BLANDFORD
Mame: DEMN15 LmCER
Address: 5 VILLA BLANCA
Company: A175
City: FORT PIERCE State: FL
AUara.»: 1800 US Hwy t
Zip Code. 34951 Fax:
City: VERO BEACH State: FL
Phone No. 201-707-5920
Zip Code: 3LuFM Fax:
E -Mail: TDABERKO@ARS.COM
Phone Mo. �L-�`J4-�LL I
Fill in fee simple Title Holder on next page { if different
C-Mlaiil: I DABERKuLAR5.00171
from the Owner listed above)
State or County License: CMC1249753
If value of construction is $2500 or ,..ore, a RECORDED Notice of Comme..rwment i. rcyairea.
15UPPEEIDIEM IA[ w105 i Rug 110M [11 EM MVV IMFuRMA I IUIV: I
DESIGNER/ENGINEER: _ Not
Name: JOSEBLANDFORD
Ad d re ss: 5 VILLA BLANCA FORT PIERCE FL 94951
City: FORTPIERCE State:
Zip: I Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address: 2800 US Hwy 1
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: DENNIS ZACEK
Address: 5 VILLA BLANCA
City: VERO BEACH State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
DwIlER/ CDni i RHCTOR ArFIOvI i : Applicativn r, Rc.0y rriadc to obtain a permit to ao tnG .orR and iriAalIPtion a� indicated.
I certify T.Mat no worn or installation Mas commenceE prior to tMe issuance or a permit.
St. CQ�icCvQnt n7pRC� nv .-Cp.-��cn[�tion [Fiat i; gr�niin6 a p.C�R1;[ mill aatFivri�� tno e. reit nelaar to o�ila tnC ,e6�od ;tre�tQ�c
wnicM is in conflict witM any applicaBle Home Owners Association rules, Eyiaws or and covenants that may restrict or proMi5it sucR
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In cvn.iaeration vt tl CiC sn mtl-.6 vt t5i. req a Gtca perrn it, I w I perC6y asr.c tn.t I will, in oll rc.pccta, PC. to rill tnc orFC
in accordance with the approved plans, the Florida Building Zodes and St. Eucie County mmendments.
i Me following auilaing permit applications are exempt from unMergoing a full concurrency review: room additions,
uccra30myyy 9tracturc., arv.RlTing pool-, TCnCC3, —Il-, nignn, aG ccm roorm. aria arce3.omyyy Qac. to unotlplcr iron-re.J0.ntipl Qac
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 mu5E be recorded and posted on the jobsiLe
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Commencement.
zignature or Owddry less eerontractor as Agent Tor Owner signature OT Contract /[icense FlolMer
3IHIE Or FEDRID �} I .*iAiE OF FEURIGw
AA
COUNTY OF " ,eQ4_- COUNTY OF-
THe t.,�6vin6 inatr mcnt Yeas uCl(Mo—led6Ca Butoi'c me
to isday oT AL:? My
IQanic Cron ....Ring t.tcrmcit
Personally Knowa><=. OR ProEuceO luentilicadon
izigriature of Motary PUDIIc- xate oAv o"riaa
�2?'/7 seal='rfs�Cl,i
Commission Ivo.. ) ) - ❑� 1.1.05
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. a/c/ii
ine "oLgoing instrument was acitnowleagetl oeiore me
this day of 204 by
Dame of p son maRing statement
Personally Known OR Produced Identification
(Yroaiure of No,ar} Pubtjy"5La_Le ofWorida�
1 y
Commission Mo c,� { � (Seal)
SUPERVISANGRO
REVIEWOR I REVIEW I PLANSVREVIEEGETWON I S Rev ERvv I MREV EWVE
BARSaboCTER
aOES
Est. Start D-to/i -�-
lnstallat►v,i WvrK rC7er E=t. Cen,plet:eR D.ts/
`/ /1) 55/-a 1 VV Co.p.d.ie Coziomer
2800 05 Rgh. ay 1, V m B..ch, FL 32950 Rel.tren.,
.,ncn= Rca.cntel,,,;..:,c. ai rieu;a lm Rc = 7 C...C:..9753, CACe.5n eFC-_.s263 Wl!ij 8030879
CUSTOMER Em–le
�12 M01
HOME PHON!!j O
CELLP QE a
YOU -
WORK PHONE
OPTION 1
OPTION
SIZE_=?�TYP
SIDE m�7�5_ TYPE -�^ '
SIZE TYPE
EFFIt;IENCY
EFFICIENCY se,
EFFICIENi,-Y
$_
/ $
$
$
I
$
$
SUBTOTAL $
SUBTOTAL 'i S/
5
MONTHLY ES S
MONTHLY ST• $
' $
%USTOMER IIeITIALS
CUST ER INITIALS
ZMC;NTH
ITIALS
Wan'aniy Pani Labo,
W .city: Pone Labor
P.rte Labor
l_C.,-preraoup - He.t Ex■hange_
Compressor _'Hoat Exchangersor�Heat
Exchanger
ReTrig.rani reeavcrcd and d aposed of as rcgei, ed by 1.-. CORiplate etc -n op inefeding cee of floor aa -ore to protect yon. home ..nd
removal of existing ugoipmunt. Al work compcied -a done in .ccurd.nea with e;zlatirig aade:� -nd pernil.., w mgo:,cd.
SPECIFICS OF YOUR INSTALLATION
SELECTED OPTION: ❑ 2 ❑ 3
u Weatherproof XConne,.i iu Eximing ❑ Eleci•..rre Ai: Clcuncr _
SUBTOTAL $
Disconnect Electrical ❑ Media .-iltcr _
FJ Ctfot a Ega,p..,arit SI»b JoMoT. Plywood Doak G PCC;
_ _ $
Sound Isolaton Pads Iu Rucvnacci Dr.in Li -o 0 UV L ghl
0 Ligc d T.te Curidert G C■ihng Saver Kit 0 He; i dif:e
❑ Sian Kit iP-m & Fle.tf ❑ Dchencdlfic'r _-.
TOTAL $
Refngerant L.L. Dryer,_ 0 Main Drui,. Srl.-.y 9mIc_. ❑ Ooldoor Unii Pud
,0 _
fifRofrigor.nt P1pa Sea. New Connections ❑ F. a. Vanung
• '
❑ Nov, JXRecorinact ❑ Sapporl Attic EcImpniert C Ductwork Connections
Il CASH ❑ CHECK#
Refrigerant P pe Cover Z supply PI e um u Fuel Piping
IzfExpa :clan Vol- In Now)Xconnect 0 EI_ctrcal Wring
uCREDIT CARD SLAST 4#ef
Z T slat -Type ❑ Reterri Plcrern Herne Sez7 an Pl.n -
0 Now ❑ Reconnect 1 Terre (384 0_y=1
EXIN APPRvVAL
OUR GUARANTEES
ArComfort Guarantee $Rume Protection Guarantee
FINANCING' VA
JZ(24-Hour Service Go.r-rilva X100% Un�ond:liw__I Money Back Guarantee
•
'P_,mvRL phwriz _-_d=bie with approvod owl
• Wella- caa;eriier .othari—lion wi I be oblained befe- begim-mg ..,, ■nl■r_o■r ..dditi■nal or extended work.
• ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558,
FLORIDA STATUTES
• BUYER'S RIGHT TO CANCEL' Thin I.... horn.7..Ilaltatla-. _zlo, and If ;■= de, n.t want the goods or services, you may cancel
His agreement by prtFIding nritto . notiea to the ..atter in person, by tolegir—m, .r b; mail. This notice must indicate that you
do not want tde goods or services and mos be dalf..red or poatmaik..d bola:. midnight of the third be-ineec d.; _ftor ;a=
sign this agreement If you cancel this agreement, the sell.. may n. -s keep .11 or p.rt of -Hy cosh down payment Saw the
nr.rse side 1lereof for an explanation of this right.
• I , ckna-ledge that FRY ghl t� variant has been explained to me orally and in wriling, and wit ,out waiving my right to cancel l awhonze the
porfo,—.rico of the -o.7k, -object to al term= ..nd ■■ndihons set forth ori the reverse side hereof. plu- an taxes upon completion.
Notice To O �,tyour
o not sign this home imprummn, 1 �vniravi In bl.nk. You .ro amillad io . y of th oorilraet .t the time yo= =Ign.
Keep it to legal rights.This home Improvement contracl may cunt.in . mung or othcrw ere.to . lien on year property
that veal fd vn if ou do not pay. Be sure you understand all provision. or u „nime.t b ore yon aig,
MER sir NATURE
CUSTOMER .,o.nI J nE a^. R DA` E
0 2017 Am.,km. RmidWial S• ;C". L,L.C-AQ6pF-e iesarvw. .,Po 37r7u 0:00:7
Certificate of Product Ratin
AHRI Cartiflad Rat. -run -.a Number: 9474297 Data: 12/7/2017
ProducE: oplit oystem: Alr:rooled Condensing Unit, Coll with Blower
Outdoor Unit Model Number: 24ACC430A"030*
Indoor Unit Model Number: FB4CNF030L
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER
Revlon: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA
MK_ CO_ C I . lu. IE. IA. IN: Ra. Mm, ME. mi- MR. MO. m I _ NU, AE; Rii: imi.
NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, W, WY, U.S. Territories)
Region Note: Cef,tral air conditioners manufactured prior to January 1, 2015, are eligible to be
Installed In all regions until aune 30. ,e0=1a. Beginning auiy =1: x0i8; centmai air conditioners
can only be Installed in rebion(s) fur .which they meet the regional efficiency require tent.
Seriea name: COMFORT 14 AC
Manufacturer responsible for the rating of ti11s system com5ination Is CAj%MER AiR CuNuITIONING
Rated as follaws In accordance with AHRI atantiartl c=ld,ce0-,00a Tor Unitary AlrUondhioning and Air -Source
Heat Pump EquipF—,ent and subject to verificatiun of rating accuvacy by AHRI-„ponsored, Independent, third
party testing:
Coulina Capacity (Btuh): 28200
EER Rating (Cuolinvy 12.00
SEER Rating tCooiingy 14.00
1EER Rating (Cooling):
* Ratings followed by an ..=teri$k (') Indicate;-. l nrrete of previously published dam, unless .ccompanree Bier . ,—,.w, wNun GluRalea an R101aonmry rerala.
019aMIMER
AHRI does not ondoree the product(s) lis.ed u,, Oils wrciflvare .no rrmftfl3 no representations, warranties or guarantees as to, and assumes no responsibility for,
the predect(=) listed on this Certificate. AHRI expressly disclaims all li.bility for d..masee of any kind -OW.,g unt.f we use er perform.; -,ca or tn. produMysr, or the
unauthorized alteration of data listed on this Certificat.. Certified rad.-.gs -.-W valid e..iy fou model. and vanfig:.rutions listed In the
directory at www.abridIreutory.org.
TERMS AND CONDITIONS
This Certificate and its co .tents _m pmprletary products of AHRI. This Cartificate sh.Il only be ysed for Individual, peraa.-,al .nd
confidential reference purposes. The contents of this Certificate may not, In whole or In pati; be r■pwdeced; ..plod; disseminated;
.n—rad into a computer database; or otherwise utilized, In any form or manner or By any means, except for the user's Individual,
personal and confide.-,.I.I reference ..Ia ,...RpR1oI1rI1a, ncR„11a,
CERTIFICATE VERIFICATION & REFRIutJ -..oR 1l�
The Information for the model cited on this certificate can be vedfled at www.ahridlrectory.org, dick on'Vefiry C-_rtificat■' link m-ke He be :er”
.nd .nter :hu AHRI Certified Reference Number and the date on which the certificate was Issued,
:high Is listed ..bone, and the Cedffica-- No., which is listed .: bo—..m rlsnw
02014 Air -Conditioning, Heatlns, and Refriseradon InSLlalLe Lo 1F�PC1 E NO.:Vra r97 r,u9er roau r ,e