HomeMy WebLinkAboutBuilding Permit ApplicationACC NPPCIMSEE IMFU MID.) i BE COVAPEET ED FOR APPEICAi ION 10 6E ACCEP i ED
Date.
Permit Number:
Building Permit Application
Pranning onlY aeveropment zervices
uuhuing anu Cotte Regulation Division
zzil)V Virginia Avenue, rort tierce FL .3$y8L
Phone—(? -/Z) 4Bi-i»1 Fax: {i r�) u'n�-15x8 CuniMUI CIA Residential `
PERMIT APPEILA i lull FuR: To SE;Iuat from drapbuN, slick arlvw at the and of line jr_+ J(+ f
PROPOSED IMPROVEMEN i WCAi lull:
mddress: Ri'o De
Lesal Description: s _aural} y Club
Property i a7, ID n: Col Mo.
�1Ila Pl.n M...,e: Block Mo.
Pro;.et M-Fric: _ffla+hew5,_=homy S —
:i,etnacKs Front B.CR: RigRt Side: Left Side:
DEIAILED DESCRIPIIUN OF WORK:
Replace AC, t?xdcL change out witn _ on, SEER, W KW AC aviit f,-gCkay
CUI451RULIIUN IMFURMAIIUN:
Add Mona I work to be riertorrmecl en yr t i3 permit — eck all apply,
In
ORvHC 13 Gas iariR ❑Uai Pipin6 _Shutters Windows/Voors
U Electric 0 PlumBing 11�,prirlklcm U Generator Li Roof Roos piicrl
I otal --JQ. Ft oT Construction:
Cost of Construction: 5 _ &&C5
5 Ft. of First Floor:
Utilides:U Sewer Elseptic Builsing FleigRt:
uvvN ER/CE55EE:
CON TRACTOR:
Mame ma H7ews, T�'1rir17Qs
IQan�v: Dennis ZaceR
HUoress:J_6_ RJO DC „ „Pat IMM S_
Company: ARS mmerican ResiGendal Services
City: Ft 2eru_ Scale: I�L
Address: zauQ Cs Rwy -i
Zip Code: Fax:
City: vero aaar.R State: FL
Phone no.
4ip Code: 32960 Fax: r r z r y4 -7r as
E -Mail:
Phone No. 772 7s -r -+i iu
Fill in tce loseple Title Holder on next page ( if different
E -Mail: -- r mil rLS
from the Owner listed above)
)tate or County Eiccm,a: CM 1249753
it value of construction is sz3ov or more, a rimuRoEo Notice or Lammcnae...crit is, rcyei.ca.
5U M,
It LV. Dh
SUPPEEMENTAE CONSTRUCTION LIED LAW INFORMATION:
DEalIGNER/ERV3IMEER: x Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE aINIPEE I IILE ROEDER: x Moi /Applicable
001rIDIMG COMIPAMY: x Moi Hpplicat7le
Name:
Name:
Address:
iMdress:
City:
C;17:
Lip: PROM=:
Lip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
m. t.ucie Countyy mages no representation [Rai is granting a permit will authorize the permit Molder to Eailtl the aQ;Cct :tPoLterc
which is in conflict with any a plicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
stractarc. Plea.e cori;alt FlpTc O ricr� A5:5oriatIRn G. .0 re iww your, acca roe any rc�tr]ctlpn7 ry Foch Tay apply.
In evi,siaeration or the granting or this reqz;estea permit, I Mo nerea, agree that I -ill, in all r"peet�, pcRarm the .arR
in accordance Witri tFie approved plans, Me Florida Sailai..g Codes and 5t. [acie County Amendments.
he following building permit applications are exempt from undergoing a full concurrency review: room additions,
acec33o-,T ..IFWBFs.., :aTPnIRg pevl�, rv.-vee„ :all., Sib R:, :ereem welTl: an8acee..:e. j a„Czi t� ans[fle1. hare-F.A.Atial 03c
WARNING TO UvvMER: Your rode, -e to Rccora o IQ.,ticc of Carr[enei.ccrne..t .o.oy Desalt in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jubsite
before the first in3p�ction. If you intend to obtain financing, consult with lender or an attorney before
commenciniz worn or recoraing your laotace of Commencement:.
_ 5ign.,ta�c or O er/ Lr3ee/Hent
a i m 11! Or REORM/A
COUNTY OF :1e,aa
i he fo_ rVing instrume L was acknowledged before me
this a.y at 1iJ r
eenm —cert
(Mame of person acknowledging)
— �� T�r��
(aignature or Motary rul3:ic-a e or Flori'oa 1
s
Signature of Contra r/License holder
arra, E OR FEURI VIA
COUNTY OF ..=euce
i Re forgoing instrument as a:Rnowie'ageli Defore me
tni37-day at zu �by
eannis —Cees
(Name of person acknowledging j
(Signature of Notarq Public- ata a of Florida l
Ycr3a—li, Rna m x Ort P�:oaucca lae..[irieo[iv.. rersonaily renown ^ OR Pro'ouceG lGentification
type of Identification Produced Type of Identirication Produced
Commission Mo. BE�A1A DERBY Commission No.
..M . C-MM13SION 0 FF2209ju
Revised 07/15/201427"1122
°7"1122 iso
DEMEY
MY C13MM15SION 0 FF220930
REvIEWS
FROMT
ZOMMIS
SUPERVISOn
PLANS
vEGETATION
SEA TURTLE
MANGROVE
CUUMtER
REvltvv
MEvlEvv
REvltvv
RLVIEVV
KEvlEvv
REvltvv
DATE
CDIN'irEETE
INITIALS
Haoi RB • Plumis
uv�iumtN .—T
Eft. Start D..ta A
lirsfallaGairi WvrK Order Est Camplavaie Dai.
(772) 567-3100 Corporate vustomer
2600 U5 H:gh--.y 1, Vere Bench, FL 32960 Rel-lioria
AimPmm Resida%W Smcw d Flada Jm Lkm= # CMC 1249753, CAC045ti76, CFC (866) 603.0675
I EMAII CALL SLIP
CELL'
SIZETYPE .,q��/ ! UIZE_ TYP
EFFICIENCY �/�rr EFFICIENCY
$ _ a $
7,7 ••% `
DESIGN
OPTION
Slzl'_ TYPt
EFFICIENCY __ __
❑ Liquid Tile Conduit
❑ Ceiling Saver Kit
❑ Humidifier --
SUBTOTAL $ 62� (0 SUBTOTAL $ 8�c fJ /
r SUBTvIAL y
MON I HLY EST.' MOIL I R 51. • $
MONTHLY EST.' $
CUSTOMER INITIALS Cu ER INITIALS
CUSTOMER INITIALS
Warranty: ,��? Parts LaborW
nty. --j-d-9 Parts Labor
Warrant, Porto Labor
Comp. -.=or L�H.at Excharigor
s Compressor Heat Exchanger
------:Compressor. Heat Exchanger
Refrigerant recovered and disposed of as required Dy law. Complete clean up inc uding use of floop oa-wm to ppeteet ye p home and
removal of existing equipment. All work completed is done n accordance cith e-iatiF;g eedw- and pe.,..a7, ® -qe ped.
OF +UR INSTALLATION
roo-
SELECTE❑OPTION: ❑1 152 ❑3
❑ Weatherproof ZrConnect to Existing ❑ Electronic Air Cleaner_
SUBTOTAL $. 0
Disconnect Electrical ❑ Media Filter
8 Fuel Piping
,Q'Ilfetime Equipment Slab ❑ New Plywood Deck ❑ pCO,$
2,—' DC
�ound Isolation Pads [3 Reconnect Drain Line 13 UV Light
eq
p CREDIT CARD (LAST 4#s)
Ot-stat
❑ Liquid Tile Conduit
❑ Ceiling Saver Kit
❑ Humidifier --
• Start Start Kit
(Pan 8 Most)
0 Dehumidifier
TOTAL $
❑ Refrigerant L.L. Dryer-,,,-
❑ Main Drain Safety Switch
❑ Outdoor Unit Pad
❑ Refrigerant Pipe
Me
o.Seal New Connections
❑ Flue Venting
❑ New ❑ Reconnect
❑ Support Attic Equipment
❑ Ductwork Connections
❑ CASH ❑ CHECK#
❑ Refrigerant Pipe Cover
O Supply Plenum
8 Fuel Piping
❑ Expansion Valve
❑ New ❑ ReconnectB
Electrical Wring
p CREDIT CARD (LAST 4#s)
Ot-stat
[J Return Plenum
DrHome Service Plan -
❑ New ❑ Reconnect
1 Term (364 days)
EXP . APPROVAL _
Comfort Guarantee dome Protection Guarantee —rEELLjANCING"
24 -Hour Service Guarantee 00%6 Unconditional Money -Back Guarantee Payment options available with approved credit
PfGs� i cy gr.%j �o 443P6,K/
/a 1{/ ,
• PWJA-.)dL6A DW -
Written customer authorization wil' be obtained before beginning any unforeseen additional or exlended W -0m
• mMY i.OaIMb FvR CONSTRUCTION DEFECTS ARE SUBJE= TQ THE Ni TZl• RNG CURE PRuViSICNS OF CHAPTER 556,
FLORIDA STATUTES
• BUYER'S RIGHT TO CANCEL: This is a home solicitation sale, and if you do not want the goods or services,■u rite; eee.el
this _gmemeat by providing written notice to the seller In person, b, telegram, op b,- m-11. Thio native mo=t indi. Yte th-t you
d■ not -tet th■ goods op se -Ices _gid most be deli -eyed op'o.-t-_eked before id sight of the third beslrlari. d..y after you
-1g.. this og-errant If you peal thio as-e■menx, the -ell.. -oy net keep all or p -rt of any eeah da :n poymont. S— the
-ide hereof for an o;;pl "ation of thio, right
• I aclfuwleugo mar my righi 1w cancel has bwen wxplainwd io me .sorry ..nu in writing, no witllooi waiving my right to cancel, I authorize Ille
porrurm„ ncu u. i„a w.,rk, sabjaut to .11 Irma and conditiurm aur f.,,.,, n iiia rovers. Bion 1lereor, plus any taxes upon completion.
N=tloo To O-ne:. De net sign this, helve improvement venlreet in blank. Yee ..-. entitled to — appy of the aaRlmat at the tiara you oign.
Keep it to prat—t your luu-I riehtc. This humor'ee..treet mry want -in a Rrertgaga iaa erectv a liar .n your pmparty
that could be foreclosed on if you do not pay. B. sure you understand all provisioris of contract b ore you sign.
03 ER aics11 VRG Onrc GORrr'KnT Rq�R�a�IR u—ir�
es„�IlplR..see.. �RE DATE e. TE
c ZCti.v,wvirw nesiowl- w.•,.ve CCe. roll nglha rtiaii a. .,RM.70 173c0:7 a%eo
Certificate of Product Ratings
AHRI Certified Reverence Humber ; 7490504 Date 02-14-2018 Model Status ; Anti -.a
uld AHRI Kereibnee Numbor :
AHRI Type : SP -A
aeries :
Outdoor Unit Brand Name : CARRIER
Oard.r Unit M.dcl Nombcr (Cundenser or Single Packager : ;jOzl"C048-30"
Indoor Unit Brand P.me
Indoor Omit Medal Nembar (E-poretor andl.r Air Rand6r)
Farm -o. Moael Nalrtber :
Region : All (AK, AL, AR, PEG, CA, CO. CT, DC, DE, FL, GA, HI, ID. IL, IA, IN, KS, KY, LA MA, MD, ME, MI, MN, w, M5, MT, NC, NO, NE, NH
NJ, NM, NV, NY, OH, UR, OR, PA, RI, SC, SD, TN, I X. u I, VA, VT WA, WV, WI, WY, U.S, TQ "torics)
Region Note : Central air conditioners manuvactured prior to January 1, z01 are eligible to be Installed In all regions until June 30, 2016,
Beginning July 1, 2016 central air conditioners can only On Immailled in 'o7ien(-) for -filen they meet the regional effieia.my
,,..yelpeNreNl,
The manuvacturer or uJs CARRIER product Is responslMe ror the rating or utfs system comMnation.
Rated as follows In accordance won Me latest edition of ANSlIA19RI z101240 -hn Aadend- 1 u-0 z, Perfferinartce, R.Ii,.j of ❑Ktary Ali -Conditioning
& Air -Seems Fle-t Petnp E.,elptnent and abject to retie„ aeeo—y by AHRI-spomNored, Indurpe„dem, third pars testing:
Cooling CapaM ny Val - zingie or High Stage (9b!!1, elull :47000
SEER :14.00
EER (A2) - Singlo or High Sraye (95F) : 11.50
IEER :
T"Active' Model Status are those that an AHRI C=rtifivullon Pra-,mn P.rtldpnt L ■oF—Rtl7 proded..g AND Belling up.ffering for sale. OR nae models tea: are ening
rn,moleo Dal are —I yet Doing proud— Provoction Stopped" Model Status are those that an AHRI Certification Program Participant is no 10.59_p ppdZ.45 BUT i_ -W
still .a e� ulf ring for mal..
Roti-qs that are otcvrruaeni� by WAS Indicate on iriyd•.rlar4 •'gale. The ne,. oddished ralna Is s rwn ail-rij Win the prBvig lfe. W-S)ratinq.
DISCLAIMER
AHRI does not endorse the produ=tlel Ilel_d -n IN= C.nifl...t..nd Nrak■■ ;;■ repp.o.nt-li.ns.: arrantles.p gu-rti.n;v� 4 b, and assom.z no respansiDdly Tor,
me prouo�t(s) liste..n .els Cvnirl";u...RRI expressly disclaims all liability for damages of any kind arising out of the use or pert-rma;;.■ cf th, i;pedvvtjvl, ■p th.
■N.dho.l-ed .lt.ratlon .f d.ta ll,ted on this Cenlileela. Ce..lfled put are :.lid only for maoe.a no conegor.a.ns llatoa in ino
directory at www.ahridlrectory.org.
TERMS AND CONDITIONS
uMits c.rrin—tu and its contents are proprietary products of AHRI. This Certificate shall only be used for indl-ideal, per—n.1 .nd
.onfldantl..l referti :oa perpo. The eon:anN of this Canincab may not, in WHolo or in parr, Do roprvaa,ou; cupieu; disseminated;
entered Into a computer database; or otherwl= utlllz=d, In an; fwm up nr.nnep ■p b; _n; mane, ecoept top the szer's indl-ideal,
persan.l an. eonnoenrl.l rercran..e. .111- GIND111eNING, HEATING,
CERTIFICATE VERIFICATION IN........
The Infarm.,lon to, tfla mwcl .rtco on can De 9crrneuat w—...I1rI.Ir.ctury...rg. click on 'Verify Certificate' link x, ..ice life better-
and ent=p th= AHRI C■rtlflod R.f.p.n_. Number a: d the dot. on -hleh th..enifieata -as 1=, d,
w1`101 6lim....ee1F., an. Ine Certificate No., which Is listed at bottom rignt.
02018Air-Conditionins, Hearing, and Refrigeradon Ins►lrure CERTIFICATE NO.: 131630950970685870