HomeMy WebLinkAboutBuilding Permit ApplicationMEE HPPE EMBEE IMPO IOluas BE wITIPEc t ED Puss wPPEIM1 I70i9 10- VE ACCEP i ED
17a1y: Isle Permit Number:
Building Permit Application
rlanning and Development cervices
vuhding and Love negutation Division
zautr viryinia avenue, fort Fierce F[ .34yaz r
Phone: (772) zi&-,;)aa Pax: (1 r2) zI6/_-17la LUMmeFrial REAL-ndal 1-/--
PERMIT APPLICATION FOR: To Select from dmpbux, LIILk arra,,, at the end of line
PROPOSED IMPROVEMENT LOCATION:
mddress: t p XI'l ke -
-
Legal DescriFtion: OAS
p
— -- - —
Property ia;; ID ft:l i L. C Eat NO. R
5itc Paan Manse: A. Block MO.
P.v�c�i IQpITIc' ~� �
Jvt0.rR:; Front B.J: R'5ht Side: _ Left Side:
DETAILED DESCRIPTION OF WORK:
Replace HC, exact change out with Ston, SEER, KW AC an;t
CONSTRUCTION INFORMATION:
111v..v Work t rtormed under this Fermi. —11c, a apply:
OFIVAC 71 Gas Tank ❑Gas Piping_ Shut.ers ❑
vvindows/Doors
1! EkGtrie 0 Plunmbiris Sprinklers l Genera.or ❑ Roof �soa1 pilem
i vt�.l x,. Ft at Cvn�truction: SF.. of First Floor:
Cos. of Construction: 5 -� 0dlities;fewer Eacp6c Suilain5 Re;gnt:
OWNER[EESSEE:
CONTRR�IuR: _
Name n C�
Name: Dennis Zacek
Address:55= Sk. ,UC•Q IVW&
Company: ARS American Residential Services
City:Qot .C' State: �r EL -
Address: 2800 US Hwy 1
Zip Code: Li Fax:
City: Vero Beach State: FL
Phone No.&bXr-m•arOtk _
Zip Code: 32960 Fax:
E-Mail:
Phone No. 772 794-7203
Fill in fee simple Title Holder on next page (if different
E-Mail: GCM
from the Owner listed above)
State or County License: CMC1249753
IT : 10v er venzt.-action is $2500 or more, a RECORDED Notice of Commencement is reRulrem.
SUPrCEMtla IAL LUM51 RUL I IUIV LIEN LAW INWRMAI TUN:
DESIGNER/ENGINEER: = Not Applicable
MORTGAGE COMPANY: X Nut Aliplicable
Name:
Name:
Addre3,:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING i0MrArvy: MCIE Applicable
rvame:
Marne:
Address:
A05ress:
CILy:
Zip: Phone: _
City:
Lip: Pnone:
I certify that no work or installation has commenced prior Lo he issuance of a permiL.
ZL. rucie county mages no representation that is granting a permit wih autRorize thepermit Roitier to'uir'ttle su';eet stracterc
which is in conflick with anX a plicable Home Owners Association rules, bylaws or and covenanLs thaL may restrict or prohibit such
3t, ecta ,.
c. Piea,c eon.alt itl yea, RQrne O .ncr., A3,vc:otivR MCI rc7ic- roar aced Tor -My rczt. ictivn, ..nivll ...ay Qpply•
In consideration or the granting of this requested permit, I'o Mere'y agree teat I will, in all . c,pcets, perTOFlT7 tRc :v. R
in accordance r.itn the app. oacd plan,, tFlc Florida 6ailding Cvacs ai-.a 5t. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, rences, walls, s;gns, .cracn rcram.,onta oc�c�w, , a,c, to anvtFic ..vn-rc,iCjcnt..l e,c
WAR191IQG 10 OWIQER: You. rilarc to Kara. a o Notice or Commencement may result In your payinr, twice for
improvemenLs to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the fir3t inspection. If you intend to Obtain financine, consult with lender or an attorney before
commencing work or recording your notice of Commencement.
5
_ 515nate.z yr 0 cr/ Ccaace/Agent Signature of Contra r/ticense Rol'uer
a I A I E OF F[UrdvA I
'$rAr E OF rEORIDA
COUNTY OF ar EL.. COUNTY OF 31 Lucie
he f rgoing instrument w s acknowledged oefore me
this day of e 20 Ob,
Dennis Zacak
( ame of person Rnowl 'ging T
(ui6na e. a v, IQ dw P ie- SI.-tc of FIaK13 . �
i lie rorgains i;;.trsmcnt -x_ ..RnC :Ic'gcd 6eTore me
Xs day of PjYt1_0: , 20 by
Dennis Zscek
(game or person atk'�Owletlging )
(igna[ure or Mot P . tic- tate or rlori'a )
Personally Kno..n x OR Produced Identification P.r�-vnally K" --..n X _ OR Proaaccd IdcntiCcotion
I ype of I'entirication Protluce' I i ype or loentiricat:'on Pro'uce'
t-OTTi'-3ion MO. -t kb (Jeal)
Commi'-Va 140_ L -L J X y5 jseall
t;O�.CEn aijFz&_IVAN
Revised 07/15/2 = nny CL�IRm133ianY R GG071535
My CUI911911aSION IF GuOr 1330 .+~,
Om F r_ArInE3 FeLPmar9 09.2021
REVIEWS
Iem
FR
CUUMiER
-lm= reg
REVIEw
REVIEW
PDAMa
REVIEW
A110
REVIEW
MAMURUVE
REVIEW
atA MRiCE
REVIEW
GAIL
COMPLETE
Ilal I IArs
1 �
,ng it right.
Maldrrtl i1 ^ rk. Malo
V 1 4 (pis- 1 -✓V
Installation Work - 0 V
Order
(//Y) 531-3100
2800 US Higftway 1, Ver, Beach, FL 32960
American Reeidenlial Senree■ of Florida, Ire:
CEllfee $ CMC1249753, CAC04587e, CFC1428283
Rt. 4rAn DA;e 1 Inv/
Esi. C„mplet on Date
C!5rporate C.vatvm.,-
Relations
(866) 8030879
CusTOMER Ee•■!
d
amu, yl. p
O„
PH � Eli, Z Z. P
HOME
HOME PHON vet Tell!
W RK PHONE
• +
UR C SYSTEM DESIGN
OPTION e •
OPTION
51ZEA: TYPE v ��
• UIZE i 1 PE
SI4E ` .._ TYNE
CFFECIENVT EFFICIENCY
EFFICIENCY
Loi 8 v�5�� 'Fg'I$ $
$
-. .Jo $
$
$ — $
$
$ $
$
00,
505TUTAL $&Z 1!5_5 7 SUBTOTAL $ .2
5UBTOTAC $
MONir1CT EST* � MONIIiLY T* $
Mvl4rrlLY ST. �
CUSTOMER INITIALS %Iir5TO ER INRIALS
CUST ER INITIALS
W rranty:t-Ae- PArm Labor
Parts r Labo..
W army?„ _- _ _ PAnA Libor
JyVap6nIy:-j1'r=
!p Corrrprewer !v Weat Exchanger
- Compressor Heat &changer
_ .
_�ompresaor ,,,,__ Hsvt ExohAngur
tU nIu.a oiharwise noted, all warranties are from the manufacturer.
• -grgkg
SEXECTEDOPTION: z ❑2 ❑3
❑ Wo-tharproof ❑ New Plywoou' Deck ❑ UV Eight
Disco„n.c; 0 nG
R_e■nvet Drain Lines Humidifier,
SUBTOTAL $
-
gi Lifetime Equipment Slab ❑ Ceiling SAaar Kt G Duh=nlidif.e.
ffSocndleelal;enPAda (Pan & Float) ❑ Oetdvar U; -,it P..d
O Liquid Tile Conduit G Main Drain 5A6ty Switch 0 Flee v�riting
$
G Start Kit ❑ S.AI Nov? Connecions 4 Ductwork trornactieno”
TOTAL ; 1o.93 T
❑ Refrigareni L.L. Dryer— In Support Attic Equipmvrlf eoCavlect to existing plgnum
Ci Decl ModiC.6ons
G Refrigerant Pipe �5epply Pla ,am
_ acme w wow
N� 0Resennael •.eveRim-n
❑Naw RO1:a1raG1
D Mew Duct 5ystenr
❑Ref,-:gensn; Pipe Cover �Retum rlenum 13 No Duct Work
0 t.�lq 0 CHECK*
r e
Q Expansion Vale New Rase -eel 0 Fuel Piping
rye�'et..l -TYP ❑ Egartmie Air Cleaner _
fir+ p Elech Wiring
[3 CREDIT CARD (LAST 4#s)
_I
��
?Connect to Misting ❑ Madis Flier.,_. _ e.. Rome Sa :Lea Plan -
EXP APrRCNAL.
Electrical El PCO 1 T.nn (364 i3 f.)
'UR GUARANTEES
O FINANCING'
�Comfon Guarantee gnoi9iQ".
24-Hour Service G=�raniee 10�
ymem oplie ecwws wnn ,P„r,,.r, aedd
**ARS is not responsible for preexisting ductwoM 5■■ T —a _d Condition„ on the back of ,fim documcr a for d r pilo.
• Written customer authorization will 1% oElained b■f■- begi;-,ni..n ....y a..tere.....on aWition.1 or awmna.d work.
• ANY CLAIMS FOR UONSTRUC-110 q DEFEL:1 ARE SUB]ECT TO THE NOTICE AND CORE PROVISIONS OF CHAPTER 556,
FLORIDA STATUTES.
• BUYER'S RIGHT TO CANCEL: This is a home solicitation sale, and It yea ds not :ant the, goods or _rrices, you may cancel
this r9mumom Vr providing written notice to the seller In persons ZR teleflimm, or by mall. ThIs notice ...est Indimter that you
do not want the goods or services and must be delivered or postmarked befom mild -.fight of the third bu-11-eaa d•.y After you
-ion tril, asrer m-rit. If rrou cancel urns ayreemenr, the seller may not keep all or gaff or any eamiH da :n par. -ant. see the
7ftm amide hereof for an explanation or tRls nght.
acknowledge tftat my right to cancel has been explained to me orally end i;; -.:ti.-.g, _d =thoel -Airing my righ::o cm,cal, I Ap;hork-w .he
performAnoe of the wars, subject to all terms and conditions set forth c;; lh■ recuse aide ha..—f, plum a<.y to„eA upon completion.
Notic■ To Owne7 - Do nor riga this home improvement contract in blank. You ars untitled to o copy of the contract At the tile. yea sign.
Keep it to pro;um your legal rights. This home improvement contract may contain a m■rtgagae,—rae ale . lion e.-. your preip.rty
;h gold be foreclosed on it you do not pay. Be sure you un5emt_nd all pra-iaiena of th entt 6vt.re yo Aign.
WIC
-ummem 310mrium, DATE COMPANY RI.-ne
CUSTOMER 6rf3,...! ori DATE
O_•...am6w em= —rioix mssvv nnslaro 1111117 e.¢J
Certificate of Product Ratinas
AHRI Certified Reference NumEer : 17ate : r r-'ur-z'u10 M100el 5tatus : Active
ARRI i ype ; 5P -A
Series : R41 DA AC 5PP
Out0oor Unit Bran- Dame - UpiRRIER
Outaoor Unit Motlei MumBe. (C;eR0vRz.r a, sin91. Paek-9�) : 501F U0z4--30"
R.g6m : All (AR, A[, AR, AZ, CA, CO, CT, DC, DE, FL, Gn, FII, ID, IE, In, IM, R5, Rt, OR, Mx, mI3, MI!, Nil, MM. 191-, i015,
Mi, MC, M13, ICE, ICFs, Ai, AAI, 19v ICT, aR, OR, OR, PA, RI, 5C, 50, 1 M, I A. U 1 , VA, V I. VVA, WV, WI, WY. D.S.
T.rritol .$)
Roti. n Nota: Central air conditioners manufacture- prior to 7,anuarr—y i, zv 10 are eliyillle to Be insralletl in all regions
until aune 30, zuiu. 6e9irini ., ,rel, 1, 2015 centr..l -ir canditianara can only Be irralollca in rayion(s) for
which they meek she regional errlclency reyulremem
The manufacturer of uds CRRRII•R pra'uuct is responsiule ror iiia rating of tflis system comCination.
Rataa as follavr. in a..cordance with the latest ediklon of nMSI/AMRl z rUrzwu wltfl Auden'ua r any z, Pefformance Rating or uniiary
rcir-Con'oluoning a Air-5ource Reat Pump Eyeipmv,-.t ..Rtl ce6Jeat to RstiRy -ever-z y t), ARRI-,pon,ar,od, indapar,7ent, third party testinw:
Cooling C -pacify (Az) - sinyla ar Aiyh 5tayo (95F), Binh : 22400
SEER: 14.00
Er -R (nz) - 511ngle or Rigfl 5tage (unF) - 11.du
t"Aeti:e" Modcl Staten -re thn a th-1 an AHRI Carrificmion Program Participant I. corranny protea,. ng AND selling or offering for sale; OR new models that are being
marketed bet -r. ri■t ; el being pmdeeed 'P. -de -tion Stepped' Madel Stales -re thvw that a.-, AHRI Cerrifrca,ion Program r-anicipant is no longer producing BUT is st II
selling or offering for sale.
tl need WA i le rove - _Th Bbl hed tin i c ah -' i _1�NA5 min .
DISCLAIMER
AHRI dee, net endorse the predaut(s) Ilstcd on this C.nific-to and .,,akes no r�prescw,.0on3, warranties or guarantees as to, and assumes no responsibility for,
the produetis) listed on thl_ Certifi■_b. AHRI =-Prowl; dioel-l-z all li-bllity far d-mm.gcs of -my kind -rising act of the as. or permorm.ncc or tno pr—o..t;51, or elle
unauthorized alteration of data listed on this Certificate.. Certified ratings aF valid ■RI; f.r rm�del_ and ■anfigaretleR, Il;tcd L. thv
arrectory at www.allriair...:tory...rg.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certifie-t= �h-Il eRh be e�ed ter IRdi:ideal, personal and HE -14
conmiuendal romcronco purposes. The contents of this Certificate may not, In whole or in part, be reproduced; copied; dl=vmmJR..t=d;
en.ered Ince .. eompa:.r d-caeasc. or ammo, wise oullzea, in arty morm or mann., ur by any means, except for the user's Individual, An wig!]
parse --I -rid eenfld.Rlial rcfvreRce. ,.IR . vn:.RleRlnv, RD�Ra,
..ERTIFICATE VERIFICATION a REFRIGER-T1on INSTITUTE
The Information mor rn-ocl c..ca on Errs ccninca.c can be verified at www.ahridirectory.org, click on `VerNy Certificate" link „s MAL Iiia i».rrar'"
-nd enter the AHRI Corllfied Rcfcroncc Nembor -nd the dace on nhl.h the cen:ll'i cats was Issaca.
which Is listed ab_:e, .Rd the C_rtifle-te Ne., -hieh L- li,tad ..t bott�rm right. "-
Uc1315Hlr-Contfitioning, Flawing, arra Refrigeration Institute CERTIFICATE Nv.: 131660697014156555