HomeMy WebLinkAboutBuilding Permit ApplicationmLL mPr=ICAtIrEE Mary R+Iv3T BE COMPEETED PvR mrrtiCm-i lova 10 BE KCCEPi ED
Datc: Permit Number:
Building Permit Application
rlanning and development Services
nuildin-y and Code regulation vivision
r30-0 viryinia Avenue, Farr Pierce rc 3K,az
Phone: (772) 462-1553 Fax: (772) 462-.L578 Cummer6al Re3Pdential
PERMIT APPEILA i I—UN FUR: To Select from dropbox, click arruvv et th—u and cif line I
PROP05ED IMPROVEMENT LOCATION: I
Address:
legal Descr;ption:
rropcPty iu.. rl3 ;;:QAQQn . LOL Mo.
bite Pian Mame: C.0 Block No.
Project Mame:
betl3acRs
Front SacR: Right bicic
Left Side:
I DE I AILED UESLRIP 11019 OF WURK: I
Replace AC, exdCt change OI]t with ton, SEER, « KW AC C.;t
M 60(- k UJA 1`
LUN51 RUL I JU19 119FURMA 11019:
Additional work to flas
orme un erg .s pernlit-c ec a appy:
LJRVAC ianR OGPzPiping _Shutters OWindows/Doors
0electric 0 PlumCing 0bp7;riRicr� Generator Roof Roof pitch
I oral bq. Ft or Construction: 5Ft. of First Floor:
Cost of Construction: 5 ��C�.L]li�: UtilidesInSewer D3eptic Building Reignt:
uwl9 ER/EE55EIE:
LONTRACTOR:
IEame i
laa„—ie; Dennis ZaceR
A0111ress. _
Company: ARS r,merican Resisemiai services
City: V-66_C�'xXY'� SLaLe:7,,
address: zgu'v 05 Rwy i
Zip Code:634 Pax:
t_ity: vera 130.06 State: FL
PRone -1
Zip Code: 32960 Fax:
E -Mail:
Phone No. f rf- ra-+-1cw,3
Fill in fee simple Title Holder on next rase I if differenE
E-IOlail: U`t-
from Lhe Owner listed above)
Mate or County License: C13C1249753
If value of construtTlon is $c30'u or more, a RECORDED IQotiee wr Commc.-mc... ent 13 required.
50PPCEMEIq 1AE CFJla51 RUC HUN 109 LAW 11WO PIAI ION:
DESIGNER/ENGINEER: = Nut Aprlicabl;
MORTGAGt COMPANY: X Nut Ap,�licable
Name:
Name:
Addreaa:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: = Not Applicable
BONDING COMPANY: - Not Applicable
tvame:
Dame:
mddrebb:
H'aaress:
City:
City:
c.ip: Phone:
Zip: Phone:
I certify tFiat no worn or i�.stollation Ros commenced prior to tfie issuance of o permit.
3t. tucie County makes no represenLa0011 LhaL is granLine a permiq. will authorize Che permiE RolQer to Ruil'u iRe subject structure
which is in conflict ..,itR anx a plicable Home Owners Associotion rules, bylaws or and covenants that may restrict or prohibit such
strafture. Please consult witR your Rome Owners Association anti review your 3ee5 For an, resir:ctlons .RicR m-, appl,.
!n consideration or the granting of tRis requestea permit, I Co Rere5y agree that I will, in all respects, peRorm tRe worn
L. _ccar0.m.c .:LR the appP.:4 pj-7;3, tllc Fie. Riz Sailai.-,g Cai9e7, on8 st. Cac:. Coenty Arn.narn�nt,.
The followins ba.lains permit ovF1icat6-.3 ore oTic.�.pt t. am anUar6oing o tail co.-.uar,cncy review: room additions,
accessory structures, swimming pools, rences, walls, signs, screen rooms ane accessory uses to another non-resitiential use
YvARRIIRIG 1133 OvvilER: Tour Tailure to Recorti a Rlotice or Commencement may result in ,oar p-,IR6 twice for
improvements to yon, property. A Notice of Commencement must be recorded and posted on the jobsite
beftra the first inspection. If you intend to obtain financing, consult with lander or an atturmey before
commencing wog k or recording -our ICotice of Commencement.
_ b'sg-atere or u er/ Cessee/Agent Signature of Contra r License Holder
STATE OF FLORIDA
COUNTY OF . ima
The fglgoing instriqmera was ac nowlecisenefore me
n
tni, B ., of zD n,
=T-=..amt
personc c led�i..
re otTiatarvTtVic- State
STATE OF FLORIDA
COUNTY OF__. —. _u �
he forgoing instrument was acRnowleRge'u Oerore me
tR2, —a., or t0 _ By
Personally mown X OR ProtieceM IMentir.catioRPersonai!y Known _^—OR Pro'aucea leentincation
P ype of Identification rroduced ' � Type of Identification Produced
Commission No.C-AW-11535 (seai)
MT COMM13SIO: w utavr taxa
Revised 0711512Pi�`� ExPiRes February 7,,. zoz
Commission Mo. C-61251153-6 (Seal)
Fulr CWMr-_3j0R a OG'vr 7uja
WIRES FeDR1I1.—, 08. =1
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MAN NMI
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
1r r
Making it ovorti
NI_king it ng""
Insrallarion Wo. K v. �, Est- Start Elate 14 /19
1772) 567-3100
2800 05 Plight 1, vee meacn, rt. 321360
American Reaidenlie Service_ of R=rid_, brit.
dee..ev A a�.� ..a: a�, t7Sco.uoia. Cr•C,.2(1293
Ell. Completion Data
Corporate Cust mer
Re6.tione
(866) 803-v879
CUUMMLN
EMAIL
rnL,L- Sv r
—R[33
CfIYr;TA
r Dr
rgwmernvll!
CE ONE i
C SYSTEM DESIGN
WORK PNo E
.•.
OPTION
51Lt TYPE
sitC g r rpE 1;,itCltiGlr _
51cE I YPE
EFFICIENCY
EFFICIENCY
ErFICIENCT
SA
$
$
$
:1ii
$ IK 32.414—
SUBTOTAL $
$
5UBIOIAC $
MURTHLY E5T.* $
MONTAt:t =5t.* $
RIOMTHLT 151,*
C105T10-MER INITIALS
CUSTOMER INITIAW
1: U-i—o- CIER IMMIAis
Vvorra,.tyt Parra
Labor
Warranty: fQ Parts �G ElMr
vvarra-ty:y Part„ Labor
Canlpreaaar Haot E><changar
LS-Co,,,pressor/Q�'6J�ieat I'�cAsnger
_ Compressor_�Flsei Eitiyfon�,�r
unless otherwise noted, all warranties are Trom the Rea„ M_oI=nn%
SPECIFICS
OF YOUR
SELECTE[i vPT1vld: ❑ 1 2 D 3
vveatnerpmef
Moo.rinect
❑ N... Pir.,aaa Dock ❑ UV Citifii __w _
yy��►/��
SUBiUiAI. :I-, �fOW
u Reconnect Drain Li-miu
e ❑ HuiferT�__
Glfetime Equipment Slab
❑ Coiling Saver Kit ❑ Dellum dif.e;:,
❑ S. o. �d Iacl,,,ivn Pada
_ _
(Pan & Ploati ❑ Ciatiteoi! Unit P,.d
0 Dquiu r its M'nBeit
❑ Main Orrin 5a1ety 5=ami ❑ Flue Venti�iy
$
❑ Start Rit
yyC� ��` 1���al fQe : aRReet e- [3Deatwvrk Mrinacuvns**
1`�'�
TZAL $
[3Raf.Tye.a t CC Dryer .._..,
❑ Support Attic Equipment ❑ Cimnect to existing plenum
Deet MWf-tieno
In Rerrigerant Pipe
)Gappiy Plvnum 1, r.. New i-zcWe el work)
`c..
• '
E3Now CIRuvarineat
f Racnnv
C3v ai
�°'"' 0 Mew Deft Syst=R,
u;rA3M 17 CHECK# �+fl
❑ Refrigerant pipe vover
R=t-am Plenum
�+ O auto Ducl Work
❑ Ex ansion V f:
P a
v,' ❑ Raoanneet
" 0 Feel Pip:r1�
❑'vRf'faR %Cebu Ons)
116T -stat- r e
yP
0 rorilc Air Cleaner
❑ Elacincal Wiring
�.r,r�f'J r
❑ Connect to Exi ply
Servica Plan -
❑ WE:- Filtor - � Ft
EXPAPPROVAL
Electrical
❑ PCO r 1 Ieplrr 1364 dey,.r
OUR GUARANTEES
FINANCING* V/0
o Comfort Guarantee
17 home P fltection Guarantee
d 3
❑ 24 -Hoer 5a,.iee Go—ritao ❑ 100% UrmaFairional Maney13.1i Guarantee
y
eymenr.,pliurm u.,4Wlvith apprano c,eoe
rr%e" tj
%41R otrr -x Kiel
35-11
**AR5 is not responsible for preexist no ductwoR See T=wwo apld Condifop;_ an the 6aok 9 1Ri., doeenrant far dat..ilo.
• Written customer autRorization will be obtoi-ed before Be�,i....inn _V a3aitiariJ ar extended -„rk.
• ANY i2XIM5 FOR %.OR5TR0�110M DtFi=ifs ARE SuiEUt: l Iu IRE NOTICE AND CURE PROVISIONS OF CHAPTER 556
FMRIDA STAT u i ts.
• BUYER'S RIGHT TO CARCEC: Thi7. i- w h�rnv --licit"tfvn solo, rind If you do; -.at wont the yooda or zarvlcca, you may Cance
tnlo agreement By presiding .rittan .-.ettee to the -allvr h. parson, by telegram, o: br mo11. This notice mast indicate that got
ao plot :-nt tRv y-wea., 07.,,.rei— -nd -ust be aalizar-d or pw.trnarked Bafo.w mildnigh: of the third business day after got
-ion this If You eon.l tFls aa. arrant, the suffer moa, not keep all or part of any cash down payment. See tRc
ro.e me.,fao 6vroof for aii a pl.ii_tlon of thi- right
• I ockno :ladger:hat my righ-, iv v uu: h.- been avplainad to me orally and in writing, and without waiving my right to cancel, I authorize tR(
perfonuwnea v1 .Fie subject w a,l t=rms and conditions set forth on the reverse si'ue hereof, plus any taxes upon completion.
Notica To Owner - D. n.,r sign this home improvement contract in Illanlf' You are entitled to a copy of the contract at the time you sign.
Kao .o pratac� yoor) al lignt This home improvement contract may contain a mortgage or otherwise create alien on your property
th uli;be t cl s d on if do not pay. Be sure you u derstano all visions of the ■_nt�t Before Toe e;gn.
4 F31
CUSTOMERS RE DATE COMPANY
CUSTOMER SIGNATOR! DATE I?A E
0 2018 Andra• R.6dontiaa 5eaw• LL C Ar rjht. weened. ARS:079 1110:7 0....
o
1
r rg
Certificate of Product Ratings
PARI Certine'u Reverence Mumller : ,w50a5li Cate : u 1-uo-zul9 @loser states : Asti-e
AFIRI I,pa : 5P-A
Soria. : R41 OA AC SPP
;`,ut'uoor unit 6ranU (Came : CmRRII•R
050wer unit M4 ael IC=n—,Par (Conan. ser or single Pookag.) : 50LPC048-30"'
Rasion : All (AK, At_, AR, AZ, CA, CO, C v, 19C, UE, PE, uts, nl, IG, IE, IR, IFC, Ro, R w, EN, ILIA, IGIG, i41E, 101, MM, 1110, I1I5,
141 i ,ICC, MD, ICE, Ari, Mi, NIVI, Rv, MY, OR, OR, Ort, PA, Rl, 517, so, I R, I x, Q T, VA, VT, WA, WV, VVI, WY, U.S.
Territories)
Region Note: Central air conuitioners manutactureu prior io zPanuary v, zv v5 are ellgil3le io ue installed in all regions
anti! iaaa A 2'u16. 93 sinnirt9 Jely 1, 2015 -artist air condit;oners can only 6. installea in reyion(s) for
wnicn tRey meet the reylonav emclency requirement.
v Me manu,acturer ov uvis CARRIER proauct is responsil7le ror the rating or tnis system comUinaiion.
Rated as follows in accordance with ,he latest euition of mftlrFtARI z iMzwU witn RUUen'ua v anti z, Performance Rating or Unitary
Air-Conaltioning s Air-Source riu-i Parnp EMeiprtlont aria :, 5;eat to retiny ..sear. y by AHRI-spansarod, inaopenaent, third party tesliny:
Coaling Capa.ity (A2) - 5ingla or Righ 5toya (9517), btuh . 47000
SEER : ;;.LOUI
EER (Az) - 5ingle or nlgn stage (=F) : 11.50
t"Acti:o" Model Sta a are those that an AHRI Certification Program Partl.,:pani is covrenuy proaoang „ND selling or offering for sate; OR new models that are being
nt.rk.tud bet are net yet being pp.deved'Ppedection Stopped' Model Status arc thodc that an AHRI Canificaiion Program Panicipani is no l..ngcr pr000,ing BUT r5 suit
g
#f♦tln9 os %,t ora of=nied by WAS ind:.gt._an invulznt.rp re-rale. Tho n+j-peblish.d ratio-,g is 5h.-n alono with the pr&reiee .o. WASE young
DISCLAIMER
AHRI does ...t ender- the p.odeot(z) li-jtcd an -.his Ccniflea.� and makes no .aprc=m.dans, .:ar.anitcs or gu.raniccs as .o, and .assumes no responsibility for.
the prodectls; liet.d .n thio C.rtifl_..tu. AHRI dical.ippe all Il;ebilit; fur d,.ntaga: of any 10.4 ..riding ear of tho use or parforman.a of ;lle praaa.i;.h or Ina
unauthorized alteration of data listed on this Certificate, Certlfled ratings are valid ■ril; for mwd.l_ .rid ■.riflgepet6n: Hued L. the
P�rcdOry ai n.�...allriaira�iory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI, This Certificate =hall aril- be ea=d fop indi-ideal, pep--pi-I and
_
c. nruanilal r.r.rence purposes, The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminat_d;
entered Info a campu:or daiabasc; .r.;h�rwise eiiLseo, in any Farm yr manna, or Ey any means, except for the user's Individual,
pers.nol -rid eerrfidentlal references. AIRgenelTloNiflu, nE7r119,
uERTIFluATE VERIFICATION & REFRIGERA'"GN INSTITUTE
Thc information for the moorl ck.o on anis ceriirlcoie ca„ 0. Pcrineu of www..nridirectory.org, click on 'Verify Certificate' linkherter-
and ant.: the AHRI C.Aifl�d Rcfercnva Number and the data on Trhlch ;he eanificaio was Issoea,
which Is listed above_ and th= C=rtlti—te No., -hi■h is llzt.d .t bwttum Fight.
�c0 tyNtl-t:an�ftioning, Reating, o„ii R�r�igG�.,tivn institat� �EI�TIFICATE NO.: 131909064004059009
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