HomeMy WebLinkAboutbuilding permit ACE APPEICA#EEIN00 RIDS i BE CUMPEETED FOR APPEICR i lUM ry BE HCCEr i ED
Date: Permit Number:
y. j _
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-- -an a=t
— Building Permit Application
manning ana ueveropmenr services
nuituing onu Cone neguration uivision
c_iaD wrginio,vvenue, Fort Pierce rL jz;ysc
Phone: (rrc)�nc-laa� Fax: (i/c)415cr17/a Commercial RebiBential
PERM I I APPULA I IUM FUR: TV, SGIeLt frurn drDpbD.., click aftuvv at the end of line
PROPOSED IMPROVEMENT LOCATION:
Naaress: CS Le
Legal Description: —
Property Tax ID#: �( _ LOL No.
Site Plan laarne: Block No.
Protect lQa���e: —
Svt6acRs Front B.cR: RieRt Side: Left Side:
DETAIEED DESCRIPTION OF WORK::f II�
Replace HC, exact change out with `� ton, SEER, - unit
`V,CKc�� � U �`�-
J
=LONSTRULFION INFORMATION:
rtoir
this permit—
139VACYor to7G..+,i'onR an er 0Gas P piny ec a Shutters Q Windows/Doors
Elecuie El PIaR l5iml []�prinRlers Generator Roof Roof pitch
i otul bzi. FL at Con.tractio,.: Sq.Ft.of First Floor:
COSL of ConSLrucdon: (7 `,_ _ D�ili�ies: LnJ3ewer zeptic nuil0ing neigRu
uw10 E>i�CESsEE: CONTRACTOR:
Name I9ame: vennis r-aceR
Address::-_gs mr2a t&e -_ Company: ^RS mmerican Residential Services
City: ` C' Q States. rnddress: c$u¢EI5 Rwy -i
Zip Cade: � Fax: �, cil": vor.so.an State: FL
1
Phone No. �a _`(aj > Zip Code: 32960 Fax:
E-Mail: — Phone No.
Fill in fee simple Title Holder on next page(if different c-IClail:
from the Owner listed above) State or Cou,.ty License: CMC4249753
IT value or construction is$csUl7 or:ore,a RECORDED Notice of Comrncn«merit is required.
5UPPEI L19IACC:UNSIKULI1UN LIEN [AW 119FUKNIA I IU19:
DESIGNER/ENGINEER: =Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip., Phonz:
FEE aiMIPEE i I i I_E nOCDER: Mot Applicable SONOING COMPANY: 7 Not Applicable
(Game: Name:
Atli]re5s* AtIt1ress:
City: City:
Lip: Phone: Jp: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
at.[ucie County manes no representation that is granting a permit will authorize tRe permit Roltler to Quila tRe suBject structure
which is in conflict with any;E7plicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
�trarter—Plco:ie evn,elt.itn ,vex Flornc 0—i .-er.,A3 eeiotivR o;-,tl Fe:iv- ,oar deeM rv;7 FR, PcZIP :LI.R� ..111efI R7o, appl,.
In consitferation or tRe granting or tnis requestetf permit,I Mo Rerefly agree that I will,in all respects,pefform tRe worn
R In accoraace witlp l t5c;rip.ovca plan7,the Fivrlaa 8ailaing Coac., Leeic Coentr AmenBTcnt3.
The following building permit applications are exempt from undergoing a full concu.i-ency review:room addit;ons,
oeee..o—,=tFz;etaFes,s rimming pools,rences,walis,signs,screen rooms ana accessory uses to anotRer non-resisential use
VVAK19119S TO OwIGER: your iollQ.-c to Rezora IQvtice or lCon+n+uncement rn-, rGaert:n your,,a,ing twice for
improvements to your property. A Notre of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain finonzin6, %-Zn;ult with lzndlr ur an atturnzy bu ure
commencing work or record!ag your Motice of Commencement.
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bignatera 0 .i:/1t 531ec/Anent Signature of Con Lradgrl license Holder
3IA I E VF FCVKIQA 31 A r I!OF rEURIDA
COUNTY OF _�� i, COUNTY OF
he forgoing ins t s ac owledg afore me one�o oing ins t um nt as cRnowle0ge ejore me
t9Is day of 20 07 tMi:day at 20 �5,
i
De . Zacmd eennz-ece
( - jur
erso edeing] ( m person ac no a ng
{4" a' N ary)WIN' -Mate or rloritia j { ig ota u c-s' nda
� J
Pc�,vally KRo rn x OR P�oaacc8 lacntitiration Personally Known uR Proeuces inentirication
type or i'aenthication Protlucetf Type of Identification Produced
C �15
Commission Iva, (peal) Commission IEo al
;•;:*��''•., COLEtEN SULLIVAN `��� COLEEN SULLIVAN
+-
'= MY COMMISSIONs+
Revised 07/15/2014 EXPIRES February 09,2021 '•,gt„.• EXPIRES February 09,2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
TA
Installarion Wom Cps ftl ��� Est.start Rafe-�
M-I"Q (i,t2) 567-3100 Est Cemeplolion D..:o �Oj
2800 03 Aighwa, 1,Vere Basch,FL 32960 Corporate Customer
Marox,0i ,morivan Residential Semc.=w1 Fl■rid.,1-. Rvlailans
MnRi.-.g d W,4
d rk Ucen-N CIVIC,2.,a7e5 GIMP»057o,CFC1428283 (866)803.0879
ee.,�I11cR EMAIL CALL SLIP
ADDRE..n � CITY•ST iP
132-73- a. 7 s1f
HOMEPHORE _�tt p170nE _ zRR�RvRe
- iCrO
YOUR DESIGN
OPTIONOPTION 2 OPTION
slzE I>i PE SIZE ::I 7W r T Pr r ArnC r 51ZE f YPE
3PFii_IENCY EFFIt;IENCY 'A- EFFICIENCY
$
dfa
J� F . $ C�—
A� $
s $ 4 !L3
BTVIAL $ __ _ SUBTOTAE $ Cc,.,con- sIJBICiiAL $
RI'v LY Est.' $ MONTRLY EST.* $_ MGiNTHLY E5i." zii
Moir j TER IIQnIALs CUSTOMER INITIALS
Warranty.T Perk !-aBor Warra..ly:rr_Parts T Labor Warranly? P-tw Labor
Compressor Me-t Exeh.ngar _ a Compr iisvr Huai Exchanger compressor Heat Exehong.r
10n1oaa othorwiao n.«d,all w—relies are from the manufacturer.
INSTALLATIONSPECIFICS OF YOUR 5ELECTED OPTION: ❑1 P2 03
❑Weatherproof u New Mywood DecR G UV cigmt
SU8TZAL
Disconnect $
❑Re.on++ect D+ni+,Line ❑Hanlid,fivr
)LLifetmr Egzzrpmvnt Slab ❑D.;hurnidifier
cif In�ikrlg Sower K'4 $
❑5ound Isolat on Pads (Pon&Flout) 15 iutaoor Unit Pau
Ld Elgeid Tito Coridei: y❑�miain Crain safety switch u Flue venting
17 3lart Kit IqsGaI noY�Cortnuciivi+3 0 Ductwork LeMeel:eri�"* i V&AL uv
❑Retrigvran.LL Dryer_,,,_ 10 Support Attie Egeiprt,a.,t Wonnect to existing plenum
❑Doct Modifica.ians
13R■f0ge-:IPipv ePPlyFlk.apom
om (we Notes for—Na—rkJ
I7 No- 0 Rev..Rncv: ❑NewReconnect ❑Ne y puc,Syale+++
❑Refrigerant Pipe Cover �ole.n > e sect Work ❑ ASH HECK#
❑Now Reconnect Spa �u�t
0 Expane an i Valk ❑Fpe1 Pip+ng 0 CREDIT I:W (LA5T 4#a) T
.1 slat-Type]1 0 El�.IP&Aie Ai-Clv,ftr— 15 Electricai Wir ng
�E
Connect to Existing ❑t dia Filwr s M Home Sewiee P an- EXP APPROVAL
Electrical ❑P:.v Tl Term(364 dayo)
OUR GUARANTEES G FINANCING"
Comfort uuaranlee XlRomw Prelealierl Gears-rrtec
24-Neer Sewiee Geaian.ne 1004h Unconditional Moneylsack uuarantee Pa,..._nt.ricrowaJabro-ine� roveae.edi:
NOTES
13 OTC1(iXrt ; '\ �� � r'f(f1�f =r
**AR5 is not responsible for preexisting Duet-o-k.See T RR.,and Cesaitivna an th b-,k of:hia document for details.
•Written customer authorization-:II be eblain=d bofor.Seair'ni,.g any enlore-Cen aadilioaal or extendeu work.
•ANY i.L IMs FOR CuN5iKUC;;110N 13EFEU(—b ARt_517BJECT TO THE NOTICE AND ZnRE PRv03ION3 CF CRAPrER 558,
FL%1RIDA 5TATUTE5,
-BUYE8rs RIiiHT TO i 5iNCEL:Thls in..honlo solict.a-don sale,and if you do not want the goods or services,you may eeRecl
tflis agmemont by pro:fding 7.Atton notice to the sailer in person,fly telegram,or by marl.This notice me-t Indfeetw that yve
de not: mt tFio goods of.-rvi"m and mo.:be delivered or postmarke'o Before mrdnight or the third 19e,inv-=day afte.yea
-Igo thin agrwmvnL If y..a r iriccl.his ogreerneny me seller may not keep all or part of-my ee.-h down poymrs..t.Sea the
„.-raw Ado,hereof for an explanation of..,is right.
•I acknowledge that my right to cancel has been explaineb to m■oratty-ma i�;-ritieg,and-iIhouI.ai-6,+g my r ghi w cancel,I authorize the
purformanee of the work,subject to all terns and conditieR.,set ferlh lhv re-vrso Bide horeaf,pica any taxes upon completion.
Notice To Owner-Do not sign this home impw-ement eo-treat in bl..;-,k.Y a arc en:;;ted To a copy of the contract at the time you sign.
Keep it to protent your legal right...Thin home impre:e...errt vontr-of rmay am lain a mortgage or otherwise create a lien on your property
toot eel$O�fvlecleseaenrt y0�iio not pay.By saro you tmderstanu ail pr visions taT the contract before 7�e oign.
veu� i:R of R.,t1R� DATE COMPANY RE aESE..:..'+'.e �
r
as�TelrRR IeR wR� DATE e^
e 7.+;e..merresn esiaenrw aarvk:es L,L Fr •a�ia raenrred. ARS10711
Do
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Certificate of Product Ratings
AHRI Certlned Reference Humber;7490504 Date.10-19-41 B Model 5tatus:Active
ARRI type 5P-A
Series;R410A AC 5PP
Outdoor Unit Brand Name-CARRIER
Outdoor Unit Model Number ('Condenser or 5ingle PacRagel:504P%048---30"
Region: All(AR,A[,AR,;k4,CA,CO,C I,QC,DE.F[,GA,Mi. ID,iC,IA.III,n5,KY,[R,MA,MD.ME,1911,MN'MO,015,
MT,N4,NI3,NE,NH,NJ,NM,NV,NY,OH,OK,OR,PA,RI.5C.5D,TN,TX,UT,VA,VT,WA,WV,WI,WY,0.5.
Terrilor;e3)
Region Note: Central air conditioners manufactured prior to January 1,2015 are el g ble to be installed in all regions
ant I Jerie 30.2016.Beg pining July 1,2016 ventr-1..if veriddtienen a-R only be installed IR ragian(7)for
which i;hey meet i;h=regional effi..i=r,cy require—crit..
The manufacturer of this CARRIER product is responsible for the rating of this system combination
Rated.,a tollavrs in waara.Rve Witn lfle later e01on at A19511AFIKI 21or140 7.0 ABavnda 1 ziM 2,Perform-riev Rating at Unita,—,
Ai,Condltionlny&Air-Source Hvat Pump Eq°ipme, aria abject to rating occoro..y by AHRI-sponsored,indepandem,third pal—ty M.ting;
C.oli,—rg Cap—ity(A2)-Single or High Saga(95F),b;ah,47000
SEER 14.00
EER(A2)-SI..gl=or High Stage(95F) :11:50
1"_ctive"Model Smmz.m rhos.,hat an AHRI Cenif...ao„Program P micipan.Is.errantly prododng AND selling or offer ng for sale;OR ri—moods:R...n.Krei„g
pworkebd but.—n■t,7=t boins prodooud.'Prod=■lien Stepped"Model State_.pu th._.th_t_n AHRI C■rtifioabu-Ppuspdnp P.rbuip.mt is pis Iowsop p..duoins BUT i__till
selling or offering for safe.
Rd}bnr,.5 1fIgI grq puGnmpZr bu.*..y WAa Inulgplg nqw pugli3hau rating ig aRgwq,plop q++iih.[h9;rpyic.:5(i.e_WV Si ranno.
DISCLAIMER
_RRI o.es n.t rworse trlc pmeoctisl Owe..rl this VURI.M.l..no m.&.n.r.presvn..R.ns vr.rr.nZ—o.go.rom,pis w,.no oossamcs no rspo..slQlllty tor,
the rpsde.t(zI Il=tod_n this Cwt:fl_at■.AHRI■;:Ppousl,d.=Lint=.11 IL.bllilr for d.m.g—of.rr,kind aplaing.ot of th■ea.or perfeppri-n.vt of the prodo.tfn),up tho
unauthorized alteration of data lasted on this Certificate,Cerufled ratings are valid only for models and configurations listed In the
directory rn ...hridirovrury.er9.
7ERMa AND coNDITIvR3
This C.niflect..nd Its contents.rc p.�oprl.tary products.f AHRI.Thl.Cvrtlflc.lo sh..11 enir be a,.d for Irrdi.Idu..I,r.p,.aoi.ad
confidential reference purposes.The contents of this Certificate may not,In whole or in part,be reproduced-copied;disseminatod,
en[meo inch.corppot.r.a.aa.sa;or xRcrwise alk—a,In any form or manner or ay.ny m=.pis,e.o.pt br.R.oser's inolvioo.l,
pspsonal and confidential r.far.—m. AIR-CONDMONING,HEATING,
CER'I11Iv..-E VERIF.vA'ION
v R!r'nlol.o.:.n InSfPrvre
Thu inf.p;-_atiun fur the model oil.d on thi_oert!flwl_e-w be vodR.d l—.�hrldlreet-r,-..pg,slick wit-Ve-It;Certif6rts'linktxirer-
and ent.r the AHRI°.rtifleu Rot.ranc.RamRer-a tn.o.t.on wRiuh th.Gartlflc.t.was Issue..,
which In Ilm;ed.bev.,..d the Certlfl.-t-N..,which Is listed.t bottom right,
OLO1t5Aif=CvRat1la..iRg,Raaang,o..a Rerrlge.adan IR,iltut. CERTIFICATE NO.: