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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE JNFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Aare: � Permit Iaum6er: l . - Building Permit Application P1a,,, *,,g Q„d Develo,,ment Se, ­ ces Bu,'1d'ng o„d Code Regulation Div,s,on 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772}462-1553 Fax: (772) 462-1578 Lommercial R-c3iperltial PERMIT APPLICATION FOR: To Select from drapbox, click arrow at the end of line PKUPUbED IMPROVEMEMI WC:AI ION: Address: ` P Ir Cegal Descr:pii�.,: SQ..� - ho QI 4'; - 4m PropeRy rax lu R: it � t ti 4 - } ' _ LoL No._&L ,ite Plan Dame: _ Block No. Project Mame:Lc�� C”, DeMaCKS Front 6acR: DE IAl[ED Dt5LRiP I lulu OF WORK: Rignr �i le: I Cert z)0.: Replace AC, aAact change out with ? Lun, SI'cR., KW AC unit CON5TRUC IUIQ INFUKMATIUN: Additional work to n0as orme un er t r; permit - cve o app r; In �FIVAC tanK 1:1Gas Piping nGenerator Shutters Windows/Doors Oelectric U Plumbing []�prinRler'.� Roof Roof pitch otaI :)q. Ft ow- Construction: SFt. of First Floor: Cost of Construction: $ cns(6 -- - Udlhies:11�ewer F-aeptic 8uh0ing FleigRc UwMER/CE55EE: Name Address, - ' City: G! - I State: �U Zip Code: 3 495 l_ Fax: — � Phone Nod-c3r�� E -Mail - Fill in fee simple Title Halder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Bennis Zacek Company: ARS American Residential Services Address: 2800 US Hwy 1 City: Vero Beach State: FL Zip Code: 32960 Fax: Phone No. 772 794-726 E -Mail:{!( )wtl )CLQ ti om State or County License: CMC1249753 lir value or construction is 5c500 or map., a RECORDED Nott,. of Commencement is required. SUPPLEMENTAL CONSTRULI ON ❑Eta QCW INFURMATIUI9: DESIGNER/E,vGINEER: - Not Applicable Name: Address: City: State: Zip: Phone: MORTGAGE COMPANY: X Not AppliLable Name: Address: City: State: Zip: Phone: rEE .-AR►IPEE I I I CE ROWER: X Mot AppliCalsie Name: A00ress: City: Lip: Pflone- BONDING CUIVIPANY: x Not Applicable Name: Address: Cty: cup: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. 5t. Cucic Coen[ rnoRC3 no Pcp. e-en[,.[iv.-. tmi t i3 ��on[ins o 1,.rrmit ill �atmarize tM. c. Tit Ralacr to Build tnc .v5;cet 3tractere which is in conflict with any applicable Home Owners Hssociation rules, Bylaws or an�covenants that may restrict or prollil5it such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In CVR3i13e, ativn at tnc gr.ntias at tR„ Pcyac3tvd pc. mit, I Ba ficrcOy obi cc trlat I hi JI i e.pect3, per_forni the work in accordance with the approved plans, the Florida Building Codes and St. Eucie County Rmendments. Me following Cuilding permit applications are exempt from un'uergoing a iul, concurrency review: room aasitions, wCcc33o,—j A a'ta'c3, 3Wim. mi.'g pool., tancc3,-11., 3ign3, crccn rooms ono oucessom uses to another non-residential use WARNING TO OWNER: Your failure to Record a No.ice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must Ge recorneia anti posteu on tRe;oosite before the first inspection. If you intend to obtain financing, consult With lender or an attorney before cCmmuncine yVurk ur rCCLrdine vuur Nutice of Commencement. _ Signature of 0 er/ Lessee/Arent I signature or Contra r/[icense Rol3e, bTATE OF FLORIDA COuNTY OF sit. -- i ne rorgoing ins mens w s acxno .IeBgeO erore me this day of • E �a �� by STATE OF FLORIDA CUUM I T OF SU=we Ific sorgoingin3'rf Ment wascknowledsed before me this Oay of 0c0AQ i3y C)eR_i .wk ( Wpersonwl n6a ie -tate v ®ria. } rersonally Rnown x OR Produced Identification Personally Known X OR Produced Identification I ypc at IRcntitie..tion Y. vaOccd I I,pc er 18entirie..twn Prvl9aced Co—mission No. It -'"1C -45-4k,6 'j (Seal) COL.EEN saCEIvAN MY t.vMRI=101%11 # G0071535 Kcvi„cd U/jl]/6 ! 7 I!,,PIRL•7 Februo,r 09. Zu21 Com �H.,..ivn No. 7 Z I �j 1,5 9(Seal) M, CunnMISSIOM N GGo,153] -ff"I"I Es Feoruary U9 2(121 REvIEvvzI FRvivi LOivil11'u )OPERVI.-JOR pmm"G vEGtIAIIUM SEA WRILE RuvE COUNTER REVIEW REVIEW REvIEW REVIEW REvlcvv Rrvievv OA I E COMPLETE III I IALS E 7/70-74Wt z 7� Mrkings=rwing R ^gm" Installation Work Order:�i"h-- Est' Start Date '` I & 41 (i72) 567-3100 2800 Da RigRway 1, vele B..ER, F[ 32960 r r1cm Residential Services or FRW Inc lie■..seRClllv��.e-a.,.vseo.ee o eFc.42R7Rq Ent. Completion trate limiw CuTpurate Customer Relations (866) f3o3-0879 caSSflRIeR EMAIL —LL al. P . enea� 1 CrTY1STAT8qP 3 Rome Rene GeR rnonYOUR r� _ / ,A YVORR PH,4NE. SYSTEM DESIGN OPTIONC 1 OPTION OPTION SIDE TYPE SIZc I , Pl! stet l TPE EFFICIE19CY EFFICIENCY l7 6QXr EFFICIEN T $ ice. $ $ $ ., — $ $ v 1L.W $ K&Q± $ $ 10 �$ .� 3'u151v1A[ SUBTOTAL $ 50B1UTAC MONTHLY EST.* $ RIONiHLY E51. $ CUSTOMER INITIALS C057OMER INITIALS WaRerlty t Pa v Labor Warrants -y: _� Farts _Ohitf Burp wage tr;r Parts C56or CaRepm-oi! Reot Excfianger fo Compressor rn wW-leat Excilanger _C,ampressor . tieot E"xoFia.,e.r 'unless otnerwise nolea, all warranties ale jpwn t o mm,efaeleFa� • • sEEEeTcD'uF1TvR:, �1 2 03 G vveatherpraar Di�oe..Reet ow- Plywo5a ueok ❑ Light Reconnect Drain [ins ❑ Hu iter sUBTOTAC Equipment alaB ' pi�letime Coiling 5a;r.r Kit IC DeRuml =r L U bound levlgii„n Pada an & Moat) ❑ Oela r O.. ad 0 uigsie I d� camBeit M.;n Dalin 5crfery Switch Fl Venting $ L3 Start Kit CC Oryer— rI❑ Seal Mew t oRReetieF e - y�o ""�pna� ❑ 5opport Attic Equipment nett to existing plenum TUTAC $ kRofirig.romt Pipe 0 Ne- VRoeemneet uct Modifivetierlaefrigerant 5eYrly iassne leve Nat_ For scope _ WoN Ne RReconnoc¢ r%euigerant Pipe lover 0 Mew Dept 5ystenl Po Duct vvork {� Returw PkR dim 0 �'suR � REu�R%� ❑ Exp....�iv . V ;b P-❑ Mow ECvRnaCt +' o 0 Fowl Piping _ _ — 0 p 'r ❑ vRE-uR �.v,RD {LASI 41ks1 Etat- I e YP D1�{ u nx: Air ever _ ❑ Elev:rcal Wiring ❑ Conned iv Ex13 hl ty �eB�o I; home 3eNICe Flan - f } q f ''T Electrical ❑ P 1 le- 1364 a��f �P "-rte= APPROVAL``!!��� OUR GUARANTEES � ❑FINANCING" ©D�(J lnfGC7 w 0 Comfort Guarantee C Home rrotectioa Gee. --tee U 24 -Fiver Service Gourentaa ❑ 1 WkF Onconarnal Moony -Back Guarantee 'raymerrt opliann ■ z L-NnZU�Lil ■ 1411 P"iXT M Y- .WV7 AgAt& o F4,40 d5tp1 czo aA d -"0;0*J * 2-10 ,9 AAa "ARS is not raspons.Qle For predilisting dectwerw 5ee 1e r C ....a Condil6mz an the Back of this 8ocamord for dvtaiia. • written customer autfwrizatie;; -ill N befacb 6egirlmi,.t, _v e..-.fe-atom oWitional or o-ondea wviK • ANY C,[RIM5 FOR CUN5TRUCTIUR DEFECTS ARE S0i3JECT TO IRE NOTICE AND CORE PROVISIONS OF CHAPTER 558, F[ORIDA 51A101 t5. • BUYER'S KIGFIT i O 4ANCEL: Tnis L... home.-.olicitation -ale, and if you do not want the goods or setvlces, you may cancel this ..gir cmunt 5, Frm7lding written notice t., the seller in person; by .olearam, or Ey mah. ■ Fels notice must mUlcate treat you ao ..ot wont the govaa or services and must be dellver am or postmaRle^a BUiare mlBnlgRz or tRe tnIM Business Bay after you .Ign this agreement. if you cancel .,res agreement' tRe seller may not Reep all or part or any casR aa . -.n payment. See tRo reverse side home For an explanation or tnM Tight. • I acRllowledge that my rigRt to cancel Ras Brien explained to -e uvula _r3 in -citing, ,.Ra :itFieet-..:zirlg my 6,91 to �amvol, r oathorae the peRormance of tRe woM suBject to all terms and enaitio= act forth e.. the iiv%reo side hereef, plus any iwae wpvn cpmp e:i..n. Notice To Owner . Do not sign thic her -..e impre:emlont Mentmat ;m 61amrL Yee oro entitled to a copy of .he convra. z d the zi a you sign. Keep it to protect roar leool cinhts. 1 ni= he ... a imperm..marelt comtract rmF..y vont,.in a mvnycyo w otherwise create a lien on your properly that could Be- tortitilv�ed on' ou dopay. Be sure you Uneuerstan'u el p isions of tRe contract Mrore you sign'. `n�3- A CUSTOMER SIGNATURE DATE C R ePmECeRb,. _e t! Ca..-Meii.-vm„ .ZmE DATE DA 0 2019 American Residarnul Services LLr_ AN Fighlz reed ARSI M a 111017 e_::o Certificate of Product Rati-nas mMRI LeRlne'a Reverence Mumaer : us43 r i 6 Oita : 11-1 t�-2u18 Rbaol 5tata.: A. ti.e ARRI i rpe : RCO-A-C9 Series : CQrvirulS i V; mC Cut'aoor unit Grana Mame: CARRIER Untaovr Omit 16lvael NUMBer (Condenser or Single Package) : lnCoor snit ICIO'uev Mumoer i Rvaporator anaror Asir Ranaler) : F64CMF'u3'cE Region : sowttio.w a.,o Mertli (AC, AR, OC, DE, FC, GA, RI, KY, [A, 1910, I915, RC, OK, SC, TN, TX, VA, AR, a%—J, C r , 119, IC, IA, IR, RS, Mm, ME, Mi. MM, ICIu, ICIr, MG, Me, MFM, M3, MT, On, UR, PA, RI, 50, 01, V 1, VVA, VVV, VVI, VVY, 0.5. I aRltamez) Region Make : Comiml air eenaltionara m.nefactera8 Yrivr to Janea.y 1, 2015 are eligible to be installeu in all regions until 3une w, zu i'o. Beginning 3uly r, zv rn central air con'aitioners can ami. oa imztalled in r.yieR(z) f r :fiicn tMay moat tn- royiwnal alf'c;oncy reyoiremenl. I no or tnis CARRIIzR p.adact Is rtspen.lble for the rating of this system comMination. Rate's as retl-wa in aooeFa-Roe TTitn IN I. zt Uillva of AMSIrARRI 210/240 With Addenda 1 and 2, Performance rtatlny of 'Unitary Air-Conditioniny a rcir-Source Meat Rump equipment ana suajecl to rating accuracy By AFIKI-spomunpea, iRaopeRUe,=.l, tniFu party testing: Cooling Capacity (Az) - single or FIlgl1 stag (vols), atoR : ;sj000 SEER: 14.00 EER (A2) - Single or MiMR 3taye k751111 : rz.vu r "Weave" M_.l Status are those that an AHRI Certification Program Partic pant is currently producing AND -1li;:;a ■p eff.d..g fur --to; DR new Rred.i7. th.t -ro being raw ketod but .r. rim y.; bei„g prodo..co.'P,ucc,"...r uIoppau" Model Status are those that an AHRI Certification Program Participant is no longep prodeeirig BUT :: still selling ap .Hering far tale. Ratings that are a:e nraaried by WAS i.-Aicatp an in.olontary re -rale. The new pu dished ralin7 i$ snown along with the rxeviqus (i.v. WASiratinaL DISCLAIMER „RRI .oas net.nvorsc e,, -,e proua..t(s) Irsled on this Certificate and makes no representations, warranties or guapant__w sen to. and -::erne, me pe,po..,lbllity tor. the productW Ils­d .n :his C.rrific ;a. AHRI ..prassly vts..i.ims all llalMiiy rvr uamages. of any kind arising out of the use or performance of the ppodect :r..p the ua.,cth.ri-.d olte.-alien of dot- Il:ted on this Cenifi—te_ Ccrtlficd r. drigs:vc ;ulld only for m9oJs an., c.,nagam.r. vis listed In the directory at wvvw.ahriclirectory.org. TERMS AND CONDITIONS "IMP Thl: Grllfi_ele and it: esntenLS.rre pr.pdctary proda.e of AHRI. This Ce.;ific.;c shall enly ue mcv ;.,r mawivaal, personal and confidential reference purposes, The cont_nts of thin C_rtifi■.t■ rn.; net, In -h.le up In p,.pt. bw rkprodueod; copl.d; dlssartrrn.tej.�� � entered Into a computer database. or otherwise utilaed, in any fearm or marines or b; ars; m..n__ _-=apt fop the ■:ep', Indl: da..l, eiiiiiam pers.,nal and connvcnji.l rctrcrrcc. AIR-CONDMONING. HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at __ ahpidip._t■p;..rg, cilck an 'Verify Certifio.to' link we m.rRe li,-e In rrrr• .no cn;.r tftc .errs, ,+.rain.,, Rararence Number and the date on which the certificates was issued. which is Il.tcd .boa, .end the Cerslfic.to No. TrRrcfl is 16-va .r 17viom ngfir, " ©2018Air-Conditionins, Heatins, and Refrieeration Institute uERTWIuATE NU.: 131867555843783175 CERTIREY' C,effificate of Product Ratings AMRI Z-,ertine0 Reference MumBer : dozFjr 18 U -to : 11-1a-z0ia Model state.: Active AFIKI Typo: RC❑ -A -C9 ael7es :.:."tTnFCet r 14 �. Oultloor unit tirana Iia.mv : CARRIER Otildoa, Omit Model Number (Condenser or Single Package) : z4RCCYz;GrE*U3v" In'uoor 'unit MoCel Mumuer (Evaporator anaror Hir Man'alery : FB�r%AFu3iiC Kegion : Svelnoa=t an8 Month (AC, AR, OC, DE, FC, GA, RI, KY, G4, M13,19115. RC, CK, 5C, TR, TX, VA, AK, CO, CT, ID, R', It;, IM. Ra, RIR, RIP, Rill, MM, 101", 1011, MEI, ISE, MR, M3, Mv, un, C;m, PA, RI, 50, 0 I, v I, vvA, vvv, vvl, vvr, 0.s. i �Rltvll��) Rv=,ivri Not.: Coo ,tr..I Jr cvl7lfitiam.r., Rturtelactamd prior to Jarlaw, y 1. 2015 aro Juible to be installed in all regions until 3une 3U, z'u ro. Beginning ouly 1, e0 13 central alr con0itloners can only Be Installetl In tblRvR(7) for .Richt they meet tFiv reyianal ottivic,—Y reyaire,neRt. I he at this CARRIER product is rtspen.ible for the rating of this system combination. Ratca — Tvllowr- in-vatrMam.a 7.1th the I -teat oditio.. vl ANSI1ARRl Z10124U with Addenda 1 and 2, Perrormance Rating of Unitary Air-Conuitioning a mir-oource Meat rump Equipment an0 suojeci to rating accuracy Ey ARKI-sponsoretl, intlepenaellt, thirD party touting: Cooling Capacity (Az) - single or RIgR sta,v (a5F), 6teR , js000 sESR : 14.UU EER (Az) - single or nlggl1 stage triuFf - rz,00 ,'Active' Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or .ff.rirty f■r aolu; OR we- model= thal ore be:ng markeled but art no; yet weing pravaccv 'R,Oaacllon 3toppe.," Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still ellcwg yr vffvling fvr .-1e. R.atinq5 th i jEq, jLv=rripQLmied ov WAS iridicAto an involom re -raze. The n a uvli hea rating is stlowrr aront wRh Ire pnevious fi.s. WAS ralin DISCLAIMER .,IfRI voce rive cnovrso tine produchsr listed on this Certificate and makes no representations, warranties or guarantees as tv, and assrwe_o we reepewaibel Iti for, :hc prbdv-(s) ll-s;wd on :his Cerdfi—iv....-Al c^prL'=Iy ais..laims all rraeility rwr vamoges of any kind arising out of the use or performance of the productls;, or the ■waetherl-ed alteration .f dot.. 11 --td ew thl� C.rtifioete. Ccrtificd ruings arc Olid only far madc6 dna comigurativns Ilrcv rn :rlc directory at www.ahridirecto■y,■rg. TERMS AND CONDITIONS RAMP, Thies Ccrtifieotn oed Its QewtYwts are propriclary plvdecw of AHRI. This Com. w tifl:c sRah only ec psea ror In.al9 opal, personal 'no confidential rete-emew pv_wse_. Tho e.wtewt= =f thin Certifleote o,- not. In -hek fir in part, by mpmdeced; eoplad; dlsscminatcd -a ` 11-1entered , nto a computer database; or otherwise utilized, In any form or manner or b, aw; wrea.ns. ■-u't f_r theing =a�r'e rwdladael, persvnal no cv„rwcntial reverence. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION a:rt!rlllvlRnnvR Ins— The Information for the model cited on thl certificate can be -.rifled -t--.-hrldir_■ter;-.erg, Blink .w 'VaFIf7 C.rtlflo..te' link life letter'" ,.r . ,eke env gnver lRc . HRI Certified Reference Number and the date on which the certificate was Issued, ..hich la Ils:ad abuqu, and .Re eertifl—tc nv.. wHi.M Is tlsca at OuL um rISMI. @2018Air-ConditionIng, Heatinr,, and Refrigeration Institute t;ERT1Fk;Al E Au.: 131867555843783175 Michelle Franklin; CFA-- Saint Lucie t..ounty PropertyRppriaur--All Iiq% ie5Crvua. rroperry laemincarion Si.c Aadr�ss: rarcei lu: Ac..mm #: 1"ap lo: uaa I."V: Zoning: r,ity1C"H .t': Ovvner.%hip N -til:_ PedvlAzy_ 1639 sunverry CIR F. n Pierce, FL 34951 Legal Description rOni OFINO SHORES -PHASE THREE- SPH 4.140) LUT 374 (OR 3011-5601 CurrFam Values Just/Market Value: N1J9.900 Assesses value: 381,461 1:��,,.i.t�ons: s5o,00tt iaxautc value: 531.481 t:.;;e5 I.r in'.- ru;ccl: SLC T T Callc,t— s Otiicc 12 Download TRhn for this parcm- Downjoah PDF 0 6124 Spri.-.g [.kc TER 1312.503-0147-000-7 155206: Ii, 1=N 0100 PUD S..:et Leer Cv=.-.ty TOtalArea* rinisne0Mnl1erA . (ar). 1,511 Iv it 3s Arc.. (SF)- 2,136 Manu aixe;acresf. 0.14 Lura s.�c (�ir) 6.098 This information is believed to be correct at MIS time Out It is suoject to cnange ant1 is net ..te$. is —opyrignt DO a saint Lucie County rroperty Appratszn All .Fnt,. ail,