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HomeMy WebLinkAboutBuilding Permit ApplicationACC APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 0151 101Y Permit lumber: JWM .. _ Building Permit Application B0,1u;"g mz coag R.g.1.6. , 4100Fv,. F, I. FL J4982 PRone:(rr/_)461-1553 t-a;z:(/t2)462-1578 Commercial Resiaential � PERMIT APPLICATION FE)R: To Select from dropbox, click arrow at the end of line PRuP05ED IMfrRuvERIt N I EULA I lulq: Address: r 1, �� �. Segal Description: `-�tF :fiN 1e�-r i Properly pax to F,: �A-bcq •UkL-G1 t Lot No. Site Plan lame: Le � f fc�., � ,Z 610J Ivo, Project Name: (-D c 4'.Z Setbacks Front Back: Right aiae: Een nice: I DE I RILED DE5CRIP I lull OF wuRR: I Replace AC, a,tact change ciat with ton, _J�]_SEER, 10 KW AC anh L.Vlg5I Rut~I10M INFuKMAI ling: Add idonal work to be nerformed under this permit —check a 11HvhC 0Gas yank uGasPiping Electric U Plumbing E]prinitlers Total Sq. Ft of Construction: c, Cost of Constrartio.,: uWiMER/EE55EE: appl,: ]Re11Lcr3 Q windows/Doors Generator L - 1 ROOT Foot pitch ] Ft. CPT FIF..L rlooF: _ Utilities. nSewer ]Septic Name Z�-�'{Y1A- (] C' Z✓ Address: City:,reck State:F_L Zip Code:q� Fax: Phone No.��- -(o E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) LuN I RAC: I uR: Name: Dennis Zacek Building Refight: Company: ARS American Residential Services Address: 2800 US Hwy 1 City: Vero Beach State: FL Zip Code: 32960 Fax: Phone No. 772 794-723 E -Mail• C Suw&Lt 0') o,( S- C.CXY-N ._ State or County License: CMC1249753 If value of construction is $xaG6 or more, a RECUKwEu Ret WT Mcnt is rc.,uire8. 50PPEEIOIM I AE Cu175 i RuL, i wN [IEN Mvv WuRRIAT1019: DESIGNER/ ENGINEER: ` Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name: Addre5j: Address: City: Stat-.: City: State: Lip: rRone: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPFtIOT: �AoL Hpplicable Marne: Dame: mddress: Atr0ress: City: City: yip: rRone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. at. Eucie Count maRes no representation tRat is granting a permit will autRorize Me permit Roltler to Buils tRe suo;ect structarc which is in conflict with anx applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such strectare. Pleo.= eonsalt ..;tn ,oar Rare= 0- :er A;7ecl5t1v19 o..a rc.ic- year acc17 Tor ...y rc3trict:on3 —_ROFi r;noy oppir. In consiaeration of the granting of this requesteO permit, I Oo nereQy agree tRac I will, in ah respects, peRo.-FR tRe :e. R in accora.ncc :itR tfie r.Fpro;.a plvn.,, triic Florian Beilaing Coac. ona bt. Lacic County Amendments. The following buildinb permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, wails, signs, screen roop,s an0 acces3e.—, e.,e, to F.Fa icr nen-resiO.nti,.l ase WARmII11113 i O VvvRr-R: roar r-;ia, a to Keeo;' 11 Z Rat2wre aT Caffi ie. a—ent may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, con,ult with lender or an attorney before commencing work or recording your Modce of Commencement. bi6n.terc of 0 ter/ Cc„cr:/Agent Signature of intra4r7-icLensi Molder aIAIff GP FEDRI13F► aiHiE DP iFLURIUA COUNTY OF „zea COUNTY OF 3«n 4 he forgoing instrument was acknowledged before me tFiis any or K— 20 t% br Dennis -wk (I4� e o{ arson acknowl ging / 'goft) (%jgnats-r—eY I9ocaryub c- bt a oT Floria.. ) Me forgoing instrument -as acRne-le06ea Oeiere m, this day ofVk0(P9M2—C' V� 20 IL_ by (M Dennis Zacek OT P.F.onallr Kn.—m-, x Off Produced Identification r='..oFJI' Rno-M x OR Proaeccd lacntirication type or i0entincadon ProauceQ I Hype of ICendfication PraGuce0 irort,rrE; fen I4e.L�+ (bc, l) I Commission No� Revised 07/ 1MY COMMISSION * GG071535 14. EXPIRES February 09, 20211 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS r1t= LR" T -G- ` r -d hirstallafron Work Order G IZ) or) 1-31 OU 2800 US High :-y 1, V.m Basch FL 32960 Ameriwr R•oidemtlal Ser•iew of Roridq Im Murma a vmlm 7.e7aa. CAoo..ee719. CFC1426283 tst. Start u;:;le I /9 Est. C�ple:ivn D,..o Corpora " te ustam mRvloti,. (666) 803.0679 CUSTOM EMAR v�a.S.,IP Z � G NO EMEVY y oG as2r., ns vRRR1y1vE •UR HVAC SYSTEM DESIGN OPTIONOPTION 2 OPTION SIZE SIZE :5- E e` /7 SIZE STYPE -tet..-rr4 EFFICIE5y�EFFICIENCY EFFICIENT , v$tiUSTOiAC "$Zriz $ -Z 917 /, SUBTOTAL $MORTFID EST.' � O �-' � �� MONTRLY $=3tv@IER INITIALS C05 -To IAITIACS Warra-ay;.1a Parts I Labor Wa Parts Labor Wa tyj PartsME ,,pr2=u, L 0 Fc..t ExElianger I Camp. -our _ice Heat Exchanger wmpressor Heat uchanf -Unless otherwise noted, MI warranties are from the manufacturer, INSTALLATIONSPECIFICS OF YOUR SECECFEDvPTIONe ,__u —2 f ❑ Woo:herproof XNew 0 UV Light . Disconnect m Uwe O Humidifier i Reeemmeetei SUBTOTAL �G trfetim= E�,.:..-tet 51_b ❑ Ceiling Saoor Ki; G Dehumidifier $ J6 Sve .d leol9:ioi. Pada (ran & Float) p O=td■mr Unit Pea G Liquid Tito ionauit m Main Dmin 5-fety 5whER 17 Flue Vent ng 5 fiff5l.rt Kit J6 Seal Now Connections M Ductwork i ,annections- J6 Re,rigerant LL E3 sol-prt Attie Egilpmmnt gConnect to �.rqd plenum Dect Medlinsdia-m TOTAL $" ` `-� Refrigerant )[.l g IM Supply Plenum t•ee Fume rat •cap• M world ❑ N.- 51IR-mart-act ❑ Nov h Recurinecz Li Row Duct Syst_ra Refrigerant Pipe Cover p Return Plenum p No Duct Work ❑ =19 t3M9I! R# e.._..- jam rxpa.-.=inn V_b. © Ne- ❑ R=.emm.ot 0 ruel Piping E3 Electronic Air Cleaner [3 CREDIT CARD (OM 4#a) T -slat -T a [ . - -Type C3 EI■ctri=_I Wiri..g l.e: meet to Existing C Media Fller _._ .. Herne 5erviee Plon - 11a g � EXP APPRvVAc El-etrioel G PCO 1 To.... (364 day=) OUR GUARANTEES t;amiort Guarantee Home Protection Guarantee X24•Reer Serri.o Ge-rantee 'mer options rmil" with appmven cedil **ARS i_ pi=t peaponaibl= f=F pr_m_isting auetwoM 5ee To .. ,a Cho :ditiem_ on the back of thic d _crm�nt for dotaaz;.. • Written sectemrec aetR=liuetiem -ill be WDLa R_a befog bee:mnime _Ftr emf.re..eem-dditie;;al or extenaotl --VM • ANY CLAIM5 FUR CON5TRUCTI0N DEFECT5 ARE 508]t=CT 1u I RE MOTICE ARD CURE PROVISION5 OF Ct• WFER FLORIDA STATUTES. • BUYER'S RIGHT TO CANCEL: This I_ .. hmFrm cmlldtativ;; =..le, ..led If y.= ds net .ant the g_.ds.. =rriooe, yew m -y e. this aaremmmnt By'rr_idinw -Fitt■w notfem t_ th= -_limp 1-.. pm--, b,- telegram, ■p b,- :ail. Thi_ :.time must Indfo.te that do not want the goods or services and must be delivered or postmarked before mldnight of the third business day .ttep sign this agreement. If you cancel this agreement, the sealer may not keep all or part of any cash down payment. See reverse side llereor For an expianation or tills FlgHt. • I _cknuwleds= the -y right to me,.■ml h® bo=w mxpla;;od t= pee ural y �.d in =ting, d-ithoet v;-. ing Fly .:ght to �ncel, i =thug performance of the woIK sub ect to all t=pros and cmmd:tioR= ==t f=rth on th= remora■ vide h=p -_mf, plec --y t-.eu upon mumplmtimn. Notice To Owner • Do not sign this home improvement contract n blank You are ■ntitl■d t of thm em�;tnit=t at th= timm yon =is Keep it to protect your legal rights. This home improvement contract may contain a age or othelw, create a lien on your propert tR$l aapl f.reclased aP ify_e dm m=t pay. Bs =ars ymw ��deretamd s3tl pre , ' e er t Dent _=t der gee CUSTOMERSIGNATURE s TE eeml m CUSTOMER SIGNATURE DATE DATE 0 201a Amarim ReydamW Swvice• LLC. All iehta mowmd. ARS107a 111017 CERTIFIED ,p Certificate of Product Ratings AHRI CeRified Reference Number: 9549117 Date :12-04-2018 Model SLOWS : MCLIVO AFIKI l,p.: RLQ-A-CE Series: COMFORT 14 AC Outuoor Unit Eran'u Name : 4RRRII•R valao.r OHit Meael MBMDer or Slrlele PaeRa�e) : L�HLC�COA'OJ(1' Indoor Orin Model Na icer (Evaporator andlo, Air Handler) : FI34CNP0601 Region : 3outheasL anu IEoRl1 ZmE, RR, CC, CE, RE, GA, Rr, RT, [R, RIC, Ma, IvC, UR, aC, P M. t A. WN, MR, 1-v,1., 1, IA, IN, R5, MA, PIE, Mi. PIN, PIU, 1911, NI3, NE, NH, NJ, NY, DR, UR, PA, RI, 5D, UT, Vi, WA, WV, WI, WY, U.S. r erritoriesi Region Mote: Ventral air conOltloners manuracture'a prior to zianuary r, cU in are ellgll7le to Be InstalleR In all regions until June 30, 2015. Beginning Jul, 1, 2016 central air conditioners can only be Installed in region(s) for wRicll they meet the regional emciency requirement. i Me manuracturer or nils CmKKIErc plum Is responsiDle Por tMe rating or tills system comOinaRon. RateO as roilOws In accoMance whit uie Latest eMiRon or RR31imri tl z r urz4u witn rw'aen'aa r an'a z, Perrormance r[aung or unitary Ai,-Conditioning & X Soeree Haat Pump Eyeirmant and vabjaut to rating occurn..y 6, AHRI-spwsoreed, Independent, third party testi,. qj: Cooling CapaChy t'n¢) - arnyle or RIgR alaye tublal, 5tuM : v500 SEEk : i4.u0 EER (A2) - Single or High Stage (95F) : 11.50 P "r.cti-va" Irlvaal Ztalos are iN.,se Mai vn x R-I ea, uawe.,r•, Program P.mcipant la ca antly prvoacing „ICD salting or „ ff.ring for sale; OR n� .ri-_-dol.. mi.. arc being Pri_ k.t.d bel dr. n.t yet being prodeaad,"Prodeation Stepped" Medal Slates _r. there th-t -rn AHRI Certifi..tlen Program. P-rt6pa :t I= me fo ;ger producing BUT Is milli -elline ■p-fisflne fop :als. R.lingo that ra aaayrnDanl_d by WA5 Indivalo an Iprolant-ry pv-PFty. The.-.a-.. Dabli_hed Paling i= --he= alone =th the op.-Som: (I._. WAS) Patina. DISCLAIMER AHRI doze no; ..,d.... the pmdom(s) llsrcd on .his Cer.iflco:c and m.kee .-,o mpres.R:atio.-.s, wrrramic. or sear..mc.s ..e b, ...-.d ..=em.r no responslbilly for, the pr.daal(:) lictvd vn thl= C.rtlfie-tv. AHRI e..pN._ly di_vlai : oil liability fur d..Pe_goe of any kind arl_Ing Pat of the a-v or pvrfvrm-wee of th_ pPodact(e), up thm unauthorized alteration of data listed an this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.ahridfrectory.org. TERMS AND CONDITIONS This C=ptiB==t■ and Its contents ape pp■ppl=tapip products of AHRI. This Certificate shall only be used for Individual, personal end confidential reference purposes. The contents of this Certificate may not, in whale or in part, be reproduced; copied; disseminated; enter... Into a compo.., oamBlIz.; or otharwise otlllz.o, In .ny T..m or m.,an.r or By omy me.n., e..cpt Por MM personal ..nd ..nfld.ntl-1 refer.no.. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for Ine model cited on this certm...t. c.n Be v.rluea at www.ar.rielrori.ry..rg, . Gclt on ":.rlry eerari,.a..' linl! Pre m..Re Ark uetrer_ ..nd an,..r :h. AHRI C.rtifivd Rof.rv.imc Number rid thv d..:v on which :hv e.rtifia-t. -a- Is=e.d, -hleh to II_t_d ..bad, ..nd thu Cartlfhta N_., -hlvh la 11-ted at bottvRP rfgnt. 02018Air;uo..tlIEIanh�i g, Rc-TIRg. UFO Kurrig,.raon Irlatlma FGERTjFiE;ATE NU.: 131883981783536858