HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit wam6.r:
ELI
C:;�- -Building Permit Application
/if. ..,,aUev�iwp... e„tse, , ,es
u.dd,,,g .,,a Code Regulation Dir.;s,on
2300 Vr, g;nia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 LU,r uncial REaMEntiai
PERMIT APPLICAT115N FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPRUVEMtN 1100kI ION:
Add
a
Property pax ID p:
Lo► No.
site Plan Dame: Block No.
rroject Dame:
aetbacks Front 6acR: I RigRt zliac: Cern bias:
uE I AICED DE5LRIP I IuN OF WORK:
-
Replace AC, eAact Change Out with Len, sr=ER
1 u Csvc-k
Cu145 I Rug 1I ION IWO-RMA I IUN:
A(WILionat work to Elas
Orme un er s p«nm,t —e e� a app y:
Ejmvpii ianR ❑GN5Pitli% _Shutters _Windows/Doors
11 Electric ❑ PlumRing 0�pririkIcr3 Generator L Roof Roof pitch
oral aq. rt of Construction:
Co.t or Construction: � .= 7
uwla ER/1E55Et:
Name
Address: itlyw
City:. State.
Zip Code: Fax:
Phone Not1�� ' A�
E -Mail:
SFt. of First Floor:
Utilities. newer Elaeptic ouil5ing Meigllt:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Dennis Zacek
Company: ARS American Residential Services
Address: 2800 US Hwy 1
City: Vero Beach
Zip Code: 32960
Fax:
Phone No. 772 794-72(D9
E -Mail: t�Q _SCS
State or County License: CMC1249753
if value or construction is;pziW or more, ;-. RECORDED Nuti,e of Commencement is required.
State: FL,
SUPPLERIEN I AC CONS I RUC I ON 11LN LAW INFURIOIA I IUIV:
DESIGNER/ENGINEER: 7, No[ Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: PhumE:
Zip: Phone:
FEE „RRrEE 111 Et nVEDER: ^ Mot Applicable
BUIVDIIGu CO1VIr'KMy: x IGot Applical!lIe
Mame:
Name:
Aiaare55:
Ai38reav
City:
City:
I -"p: Pliam�:
cip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
�t. Eucie County maKes no representation tRat i. granting a permit -ill aatflorize the—erm'r MORIC. to 0eil8 tnr :5e6;eet 3treetar.
which is in conflict with any applicable Rome Owners mssocladon rules, bylaws or anXcovenants thai may restrict or prolliRit sucR
Art%ta. C. PICase carhalt WWI year Flvmc OYY,.erS A.=J. tiart oma re:•icw year ae.c to, any restrictions which may apply.
In yr Inc 9raniln6 ar Uib rcyec3tea pe.mit, 18a Mr-rcS, agree trl,.t I -ill, in all c.Ypcet„ peRv..., the tea. R
in accordance with the approved plans, the Florida Buildins Codes and St. Lucie County Amendments.
, he following building permit applications are exempt from undergoing a full concurrency review: room au8itions,
-ecc33a. y trnctnr.,, ;,�Imm:n6 p..b, trricc ,Yrall,,, 376n3, 3crcen rvarl9 Dela accc337, y a3C3 tv unvthrc. nvn', C3laenti.1 e.0
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Monte of Commencement must be recorded and postea on tRe joBsire
before the first in.,pectizin. If you intend to obtain financing, consult with lender or an a[[ornr-y before
commencing worn or recording your Notice of Commencement.
_ Signature of 0 er/ Lessee/Arent ' zignature of Cancra ry[icense Roller
Ji Alt Or FCVKIDA
COUNTY OF S«ude
i Me fi�rgcllng insp owletlgedberore me
thi day of zt, by
De is jacek
ame or person kn ging J
Siisnatarc at to 1e- State Qt Fl.,r;ao J
Personally Known x OR Produced Identification
I ape of 18e..tirleativn e, a8ece8
Com i�s I0-4155 fSpalS
COLEEN SULLIVAN
WIRES February 09. 2021
b I A l E OF FLORIDA
COUNTY vE SAJ7.
In. tvrgaing in�trem�n[ aakno-kasca 6ctore �,e
,.his< 5 day of �' C` ,C by
De IsZarek
me or person Rnow a Ing }
Nin�
alvff @rfj a Pe ' - btaie ar FIar;Bu )
Per.onolly Kmawiii X OR Produced Identification
Type or 18entirica[ion Proaucea
Can1T. 1
jj%;, COLEEN SULLIVAN
l
-'i.. ,,� EXPIRES February E9, 2021
RCvlEvva
Irr[vlm1
40 MjM73
3I7PtRvI.30R
PMM-1
vEGtIAIIUM
bEA 10RIII!
MIAMISROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
OA1E
COMPLETE
Iml I IACS
0 -oft -C',
id we
Making i; ..
�.k Mok Pig ling A
TYPE
$�
309TOiAC $ f
IMON I RLY E5T, •
CUSTw-RIER INIIlAL5 t
Insfa►►arkiin Work Order Est. start Dat=
(772) 561-a 100 EEL C.-Pla2,on Date
2800 DS Highv;4 1, Vero Beach. FL 32960 S vorporate I_:eutemer
Amerwr Rridwgt:ol Sailor; a. Ronan. Inc. �"`�'��l. Re'aG Ons
Z-:..nse a cMCI249753 CAC045878, 10% -seep„ t -i (8661 803 01379
e. -Ie
CAu Si it
1 I sin n- r7
t HVAC SYSTE
OPTION',
NMI
151076."-
Gt i ._�
51Z E
SQtslV C $ SDBI�IAC
RION1 CY ESI.' $ MONTFIL I
v'u �+MERIIvtIlACS i,QSll�firtE!
Warranly: partE
fio, W rranty:l_� P..rta wbor W/a� Rly:?
ComJAQ-pressor _rr� l Eicehanger Uompreoaer . H.ar Ex. hanger Cop
TDRIe.c oIharwi.v noted, all warrant es are fFurn thv m-nafacturer,
13We-thorproof0
vc
uv Ltgnl
Disconnect
Re an ec ralR Li 0
❑ Hclnid;fier
0 Lifetime Egeipm,n; Slab
C3 Geil+ag-Snverxit
❑ D.harniclifer
-Sound Isolation P -8E
(P„n & Foatr
❑ Outdoor Or -it Pad
Ligw.d Ti;e Conduit
Main Dr -in S-Wy Switch
❑ Flue Venting
Start Kit
❑ Seai Now Z7onneel ens!f
(Ductwork onReetie..,•'
`(Kvfege... t Li:. Dryer
C3 �
5ypp,4rent
Connect to existing p6rism
- Ref-gep-r.t Pip.
15 Supply 126nern
Deci M.clifications
No; VReconnect
❑17v.XRc.onnect
wcNO r-_q„e1=rk)
efrigv-Fit P:po C,,-;o,13Return
Plerlarn
U N� Duct System
❑ No Dnvl Work
Expunsb ar- Valve
0 Ne- 7Ro.o„n.ct
❑ Favl Plp,ng
'IT st-I-TyprVM�-C-
❑ Elcctronlc Air Cleaner
❑
Connect to t'.tlisting
In Media Filter -
Electrical vvitiR;
`Sm. Iva Plan -
electrical
171 PCv.... Y
/�He...0
term (36, days)
TYPE
iT.' $
INI I IACs
Parts _I r r� Mb.-
- ______Heat 19changer
a1!5LE7-TE0uPTION: 1 02 03
sUBTOtAL $ LQ��TXY�
£�-,
r
,0 Aa W
0 i;A51i ❑ CREGK#
❑ vREDFi wiRD (LA5T 4#o)
EXP . APr-ROVAC _
OUR
FINANCIN73' +
rt u6-F.Rlee ome Proieetie ' . i r
tr 50, .ice Guarantee -}GOgb Unco„ditional Money6sk c5eamnteo Pe , lions a
ymen oP variable=th.Pproyed.ma m
CCr1r1�x -moi '`'AnV �L�Ctf i�cCi _ Ck*(� er
r rC.lh/
"ARS is net resPens;blo for preexisting ductwork. Sae • 61%-s ..,,d Cvnd tions on the aR of thlc devem Ivr details.
• Written eNEt mer oetftprixa; on will 8e obtained bete. Dag,; -,,.;mg any unforeseen additlopiol up, extended k
• AMY U1711415 FUR CONSTR'pvrrvl4 Dr-rEt—i ARE 50 EJECT Tv InC I4uIICE AND CURE PROVISI7,N3 OF CIPAPTER 558,
FLuRIDA 51ATUTE5.
• BUYER'S RIGHT TO .=..RCEL: This Is a he ... a-olicttotion sale, and it you Oa not N-nt the goods or services, you may annual
till- ogroe..,c..t by proviuing written eetiW to the eller In person, by teleg;--rn, or by mail. nils notice mu -t irldiento that you
de not a„nz .he goods or services and ..,u -t ba delivered or postmaii;ked baT.— midnlgflt of tfle third ouEina-z day after you
zig., tfil. agreement. IT you ca;;wl thi. agreement, the seller m -Y net keep all or part of any casn dw-n pzyw.onz See tRe
rev.r- side Hereof for an a-pl„.-.0110., of phis right.
• I acknowledge that my right to —ral has been explaine8 to rw� a-Ily and ,n wAing, and without w.i-ing my ,;ght ;v cancel, I authorize the
performance of the -epk, ccbivot !a a!! ;cans and conditie;;E -at forth an rhv rm�erse side hereof, PINE any tomes app,-, completion.
Notice To Owner not s;gn ;hr. home Improvement eentrect ,n blank. You are entitled to . espy of tho c.rrTmci at the t me you sign.
Keep it to lect - I�yQi rights, r iris home ImP,9-e... ant con:mc: may con I a mortgago �r otherwise create a Igen on your p�pert,
thRl a Ee 1]se n ' do net p,,,, Bo sere you unnUerstaannd all Pilo el tris co,,; a ore you sign.
sl AT E �e��=
C R opnTnrTvE
Ce.—MER U10111—RE-
e 7:1'a a„v n Roeidenrinr S.rvree: LLC. ..A rip':., rem^r o, ARSI070
9256
Vrww,3liridireclt+ry,rrrgCertificate of Product Ratinias
HRRI C.Riueid Rofe,once Number: 95Tr3r to Data: 10-25-2018 Motlel5uu:: AetiYo
AHRI Type: nUM-m-C6
Series : COMFOR 1 14 AC
Outdoor Unit Brand Name: UmRRIER
OUtuoor Unit Mio0el Rumoer (Ce„denaar oP 5ingle Packager : z�,RC4�i3lSH"u30'
Indoor unit 191.0.1 Aum6Q, (Evaporator anuror mir Ran5ler) : FB4CMF0s5E
Region : SOUtftea5t and NortR (A[, AR, DC, uE, FE, GA, HI, KY, ER, MID, M3, RC, uK, 5C, 1 M, I A, VA, AK, CO, C 1, IU, Jr,
IA, 119, KS, RIA, RIE, Mi, MN, W, To i, RD, RE, RFI, Air, Ry, OR, OR, PA, RI, SD, u r, v r, VVA, VVV, VVI, VVT, U.S.
Territoriesl
Rwei.n N.,te : Leniral air con'oltioners rrta.,ef-ateted pRor to January t, zi, IU are eligilsle to 15e 1—tallea in all regions
ental .lune 30, 2016. Beginning duly i, A15 central oir eonditiano.. can only Qe Installer in region(s) le.
wllicn iney meet t90 rog:orl-1 emcieney .e-yuirement.
Vic manufacturer of R11s U mRRIEK p-Ztleot Iz re..ponsible for the rating of t111s system CoII113iri.,tioR.
Rotad as follows in accoMance with Me latest edition of ANSI/AHRI 21u/2:0 wlui mI70eRtla i ana it, t-ei'formonce Rating of Unitary
mir-Conoiuoning 2; Air-Soeree Flctd Pomp Equipment am suoject to rud„y aeeere;;y 6y AHRI-sponsore'u, In'uepen'oent, tRll41 party tosting.
uoeliny C.p.city (A2) - Single or MlgR stage (naF), atsR : 33000
SEER: 14.7m
CBR Piz) - 5inglei or High Stagy (95F) : 12.00
i "Active" Model Stat=a ole these th.t .n AHRI eernfication Program Parliei,.nt i_ eene.,tly producing .,AO selling or offering for sale, OR e- models th.t mzra b.ing
ma -.ted but are not yet be ng'redeced 'P -duction Smpp..' Model Status are those that .n AHRI Ccrtifea =n Program F.rticipant is no longer prode.ing BUT is still
-oiling yr olfc, ing % sale.
R find s Inst rn �vca ledty VAS indicate an n:ol-jn'. r ro-rare Tn„ new PLbl shnd radna is showy ales, %.1h the prirvot s i.r,.451A3] ra,int�.
DISCLAIMER
AHRI does not endorse th■ rrode.t(*) lis.cd on l.-ts ccrimicate and makes no 16--pr■vent..tl.e3, :,.rr..n;h or go.rontees as to, and assum■o n■ P--sPvnsibilily for,
1— pmaoctisr listed on this Certifle..te. AHRI c..prcasly di30.1-3 .II liability for damages of ..e,- kind-rizi„T, co; of M. e3o or performance of the prode_t;er, er th.
Idl.-olh-rl.ed-h-raeran .,f data listed on this C=rtifl■ote. C.rtiflcd mdrigs or. valid only for models and ,enfigerstl.n, 11 --ted in ;h.
Fusta ot--..hrldiro.zory.vrg.
Tis Cc AND CONDITIONS -
This an., Iw Contents are proprfetar,- predeets .f AHRI. This Gcriiiic.le Shell only be used fpr Iridicideal, persvn.l end
e■nfld_nd l rcfe,ence purposes. ,ne contents of this Carliflet. rn
-tip not, In wh..l... in part, be reproduced; copied; dioe.wri�otcd:
entered into a ■■rnretw. dat.b-..; .r o.Rcrwlse utilized, in any form .r twann.r or by.ny mens. cwccpi for the user's individual,
personal and Confidential refervr-e. AIR-CONDITIONING. HEATING,
CERTIFICATE VERIFIo-7. IvN a R -CONDI IO I N HEAT NG,
The Inforrri_ti... f..- the m.dol clic. .n tll,s certificate can be verifi.d -1--.ohrldir-etory.org, . lick on • Verhy Certificate` 11-k
TE
and enter the AHRI C.rtifl■d Rafercnco Number .nu Me date on which the ce.,tlfi■ate -as iss.,.d, ar in.,ke the ftctrcr'
Rnicfl is listed above, and the Certifivote W, which Is Ilatev 111vu-m right.
02018iklruoneltloning, Flv.,ting, and Refriseration Insthu�e CER7fFICATE Nu.: 13113494377877680,9