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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permii NumRer: Building Permit Application YIQ,....r.g ....tl 1Jc4dvFj ". t bc...cc� ifo.11irr.g v..B boat Hcy Qfvt.vr. Fort Y.-, cc FL -1495Z PRone: l//Z] 46G-1553 Fay: //L) 461-15/21 Cumr"eFcidl Residential X PERMIT APPEIC.AIIUIV FOR: Mechanical PROPOSED Irv­;PRuvEiviEla I ,-OCA I lull Atlaress: jouuo AvE 0, FOR i PIERCE, FE 44x4/ Legal Description: SUNLAND GARDENS BLK 22 LOTS 3AND4 (.36AC)(OR zar- qac ij Property la7, 10g: 2405-601-0393-000-5 Lo► No. bits Pl.RIdp,�,�: Block No. Project Dame: 6ARR AC 3et0acRs From 6acR: RigRt bide: [en bide: Dt I AIEtD OBLIRIP I IuR OF WORK: AC CHANGEOUT INSTALL 4TON CARRIER UNIT 24ACC648A0307FV4CNB006L 5uX =R5C- Tull WuRmfm Isla: r0ona workto e e Orme under tispermit—checka appy: HVAC ID Gas Tank ❑Gas Pipingjhutters Li vvin0ows/Doors Electric 0 Plumbing []Sprinklers 1_ Generator Roof Roos pkc0 Total SW. Ft of Construction: SCI. Ft. of First Floor: y Cost of ConSLruCdon: S 430 Utilities:11 zewer 11z�epdc buil0ing FleigRc OWN ERR%EESSEE: CONTRACTOR: ryaTe LINDA BARR Name: DCAAIa z-K%CR Address: 3505 AVE O Company: ARa City: FORi PII!RCI! ,tate: FL Address: 2600 05 RvYT -1 Jp Code: ,54a41 Fax: City: vER0 BEACH State: FL PRone 1Vo. 7/2-465-8457 Zip Code: 32960 Fax: E -Mail: Phone No. r rc-r�4-rcc i Fill in fee simple Tile Holder on neat page (if different E -Mail: 01A6ERK0(gAR5.CUl7 from the Owner Ilstea a5ove) Mate or County [ic,nse: CmC1249753 IF value or construetlon Is $zsuu or more, a RECORDED Notice or Commencement h r�yeirei>. sUPPEEIZER I AI_ SUMS I RU T1uR DEIv Mw IigF=uRMA 11—UN: DESIGNER/ ENGINEER: _ Not Applicable MI OR 10/40 E COIMPwRly: _ Rol Applicaole Iv a Me: LINDA BARR IG a m e: DENNIS ZACEK A013ress: 3505 AVE O, FORT PIERCE, FL 34947 Autl ress: 3505 AVE O CILy: FORT PIERCE ]Late: CILy: VERG BEACH Jtate: cip: Phone cip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: 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 certify tRat no worR or insral,aiion Ras commences prior io the issuance or a permit. st. Cacie ComAy maRe..,a rep, e.entotion tHFt i. grontiniso permit will oatF-rize the—ermit Holder to build the sub;ect structure wnicR is in conflict witn any applicasle Rome Owners Assoclauon rules, Eylaws or and Covenants that may resiriCt or proniRit sucR structure. Please consul with your Home Owners AsSOCiadon and review your deed for any restrictions which may apply. In con.i&ration or tRw gra�itin6 or tRi. re-yaeoted permit, I do Rere5y agree that I riill, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and at. Eucie County Rmendments. I Re rollowing BuilQing permit applications are exempt from unUergoing a cull concurrency review: room aEaidons, accessom r structures, swimming pools, tences, walls, sirns, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may resull in your paying twice for improvements to your property. A Notice of Commencement must Me recoraea ansa posteia on tie jonsite before the first inspection. If you intend to obtain financing, tOnbal,. with lender or an attorney before Rev. s/Z/lr "<_ k signature or Owner/ fes /ContratTor as Agent Tor Owner -iLk 7)ignature or Contractor/Eicens ola.r �IAIE OF FrRIDA ]IAIE OF FEORMA COUNTY OF imumia Invert COUNTY OF in -am RIrm- The forgoing instrument enawledsed before me I Re rorgoing instrument -as a Rno-l=ag�a ilererc rl,e tnis4� gay or N /1712 By .his d L day of C zC fes► by Rome of p=r.on Ing 9totc,i,CaA -- Dame or per on aging statement Personally Known OR ProBucea Isendilcation Personally nnown OR Produced Identification Type of Identification I ype at Iaentitleation Proaacet] Prooucea tzigna ure of Notary rulllic- �t to r FloriEa } Tsisna,ur6of No,aa�ry Vublic- State of Ffoilida } wmmission Ido. ad ZFS /3 1/' (Seal) wmmission Mo._/�; Lr C) ~l S�� rl (Seal) s % t4ota., PUN - state of Florida REVIEWS FRONT ZONI =.� RER1AFsf"l#' �tC� t EGETATION SEATURTLE MANGROVE CO01D I ER REvIE `4,� t?"" V ' _ REVIEW W REVIE REVIEW DATE RECEIVED OAIE COMPLETED Rev. s/Z/lr _ a I tet. Sr -rt Date Insrallarion Work alder E&= �mp[```-" mate A • Co. —,--'to vuYerner _ • Reay."- Hmdrg • pun's • Air 28vu US Highway t, Veroel3�i, FE 32900 2&%3 (88618e3.0875 Affol r.Resiftn=W-cmarFkrci4Nc.l9O�Mr�Me :-A753C�`�� - Gd ,11P CMLWMMfR . `. cn-nsrJiitrz P n-rtiiE !'H�-- --—e-LA�ONE SIZE 4" TYPE. �J_ TYPE EFFICIENCY EFFICIENCY EFFICIEN,:, ,_. 506TQTAL S'+�d 'auff=AC $seI SUET AL $ MONTHir E5T." $; �-- IaaNIH[r T' S uDSrply IRff1Al.5 COSTOMER IRITIALS C.U5Tir f� iNITIALs N ' 2 F9 rM -- Lair warmly: 1�- Pens L_ Labor � War ty: L`� - Parts - 0055,� , t ornp+esaar _H, ,l: ager - r,� Heat Exchanger pI M"'Pr— r -/�neat Exr�F, —gor Re[rigeras,t neae•ere�r 'and d-MP—d IW as-re*.d by Paw. -C-emplete a lean up incleding a -e el floor savers to "r.;0.1 J-e� h. -e and r� wf exiating.-WD* 1XIMpUed is done in accordance wi-,h cximang colic aw o"a permits. as required - OU • . SELECTED OPTIuIC: U1 M [:13 ❑ r.-erproof Disconnect )OILlfellme Equlpmmt.Vz= 3 ^P13 l55-mL+orrlreaa ❑ LkEu:d i no Conduit ❑ Start Rt ew�t�CC.,D�---,•- Mwhig mnt Ape E3 MEW 2Mewnriect. 'Wkeirigemnt Pipe f over xPhKnw-m VSIVe ,I f`Cannect to Ung E of EFE fa ❑'New rrywom Dark. 14WRIBCD meet-OfErl'IJna 0 Wing Swyer KR Fln-IK Moan -,-Drain Bel* sWkm ,42rSeal Mww Gwrectiane O Supparf At%a Equipment ,4Supply i�anum u'.N",01econnect ❑ Petum Plenum ZiNew 11 Reconn;7, OcDmiort Guaran,e+a ,r -A4 -Hour Berm; :o Guarantee tomo Air Ckrane ❑ Riedia Miter iJ Pcm E3 CM agllt 0 HamidiEsp 0 LION ... idjfi- ❑ IDet odor Un:l P -a ❑ Fine Vv ii.,g ❑ Ductwork Z:; ,ections 0 Mel Piping 0 Electftal Win -g All'Ivmv 5erriee PI.., - t Turm (3134 a.ys) ome-Fmtcm11 n 13-woreNtae ,w, am uncoMitional MwarBack Guarantee UBTOTAL $ a" s TOTAL $ y 0 CAsrt ❑ CHEirK# ❑ CREDIT MRD (MbT 4#s) EXP WTINANCIMu•4 � *Payironl options avaik"w ai;h eppfeM crad;t 1 Inm-- antareaaen additional Or extended -erk. • vvfinen customer WVLO Ut en w� I "re Wak*d Elffcxc nr ...l • ANY CLAM FOR 1308 mt1i� ION DEFEvio rdM SUBJECT TO THE NOTICE maD GuRE PROVISIMMa OF CHAPTEm 5zB, WtlDA 3TAfura SIJT�I��" Rliil�'f ILO ""' 7 nrs � a Marna �,.Italtaaonsalo, anii R yvu'ao not wo..t tF10 goods or aenl..Q,, you m„y cancel #h!s a;,r*ernWitty,rovlulM W Itten notice io the i�tor I : person, d4 teregranr, er 6, moll. r nLR nous= ust inUicate that you d� not:wont tyre so. Ii can [etlrls 'menti file seller m . n� 6etwre •.�,Idntant or tfla third r,uslnam say ager you ! rntrn i keep all or part of an, cash down paymeny. sea the i sign this aurae fvr aft expl..nanoo al thfa_r-I„nt: s1a6 rco a. to me wkT aha m wrtmg, ana witnoet waiving m r� thaxmy'ligM40 rrana ::naa h+�er+ expl >3 Y •n,Fi� to cancSl, 4 autfio+izs t • I ackalaw 0, = er;# d -o teras and er�ndrtions het tortn en ups reverse aloe marvel, plus any tea o �rfraRry of u,e Gillj t isa�ir ifict in omnf. rou aro entinat7 to q sept of 1110 cant. w utIN tlars. Modce ovae[ ,'n'�t lgn tflis he?i?ty impno're' "r- contract may contain a morl,,..r,,. or oaremit loxia el r t@ �r :hqh" Tt,le RQRfE u� understand all provisicne of t racl lit a a hen an rvur property l;• itrtr! p Q Sed c[+,� ,impay. Be:— y s m lir u#d'6S:Icva GOMPIN1. R ESE Rr[ �' Nrs,� esoelr I his combination qualifies for a Federal Ener ay o CERTIFIED,Efficiency Ta,L Credit when placed In service Between Feb 17, 2009 and Dec 31, 2096. Ceffificate of Product Ratings AHRI CaRlfletl Reference NumDar: y--W410z Date: 12/17/201 r Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 24ACC648A-030= Indoor Unit Model Number. FV4CNB006L Manufacturer: CARRIER AIR CONDI I iONING I rade/Brans name: CARRIER Kegion: southeast anti NoRli QAC, AR, DC. DE_ FC, UA, Ri; KY. LA, mu, 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, n T, On, OR, FA; RL 50. 0 o; v I , vvA, vvv; vvl, YY T; 0.5. I erritorles j Region Note: Central air Contihloners manuiaiRureit prior to January i. z015, are elinibie to be Installed In all rwgiona until June 30, 2016. Beginning July 1, 2016, central air conditioners can linty Be InstaheE In regiontsl Tor wRIcR they meet irne regional emciency requirement. series name: P=RFORMAAic --Ia 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 Unita, Air-Conditioning and Air-Source Reat rump Equipment ane sunk= to veMcauon or rating accuracy By Afivl=sponsored, Innepentlent, trilra Parry tuaating: Cooling Capacity (0108): Z1601) EER Rating (Cooling: 13.11tJ 5EER Rating jCooling): -15.00 ITER Raking jrooling): • RaMp followed oy an asterisk r) indicate a voluntary rerate of previously published data, unless accompanied _Ih. WAS, which indicate= an Invol-star} terata. DISCLAIMER AHRI d■.. a_t eed— th■ prod_Eq_y llsted ■n this eerthicat. -nd m.kaa n. mptas Matians, -chanties ur gao..ret.aa .-to, .nd .— � nu responsibillty far, the produtgsi listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or pudfoin -num of th■ prodoMv), ■r th■ unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and conllguratlons listed In the dlrecrary at www.anddir.ecory..rg. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and curamona.; refere..ca purposes ..w c.nians os ons eerdi—=w may no., in whole or In pa.4 be reproduced; copied; disseminated; - -- - entered Into a eorputer d..tabase;.r otherwise utill..d, In .Fly fort .r r.n..er.r by arty means, ez;--IR tat: <ha Baer'. Individe.l, 1� r_rweol and wrtfldwtltlal rrfwlartw. AIR-CONDITIONING, HEATING, cEN IIFIe..TE :cRIFIcW.lon &REFRIGERATION INSTITUTE The info.....tlon for th. modal cited on this eortifl—to ...n be oriRed a.—.ohridire`.ory..rg, click .n' ., by w-41—To" Imlll we make life rlcr- and antes. the AHRI Certified Refetarree No;--bar —d the date on which the aortificato ....., Issued, which Is listed above, and the Certificate No., which Is listed at bottom rignt. ©1t71ZF AIrcuOnaiduning- ReWting„ anti R.Trigeh.tion IRStitute CERTIFICATE NO.: Ts75tfU,3riTSTy137Ei134