HomeMy WebLinkAboutPermit App BOWE 2412 N 43rd STALL APPLICABLE I MUST BE COMPLETED FOR APPLICA t 1:,111 TO BE mCCEP i EV
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Date: CR Purrnit Nwrn6cr:
J
Building Permit Application
Planning and DeveloKmenl Services
Building and Code Reyulalion Division
2300 Virginia Avenue, Fort Pierce FL 3Y9az
Phone: (772}462-1553 Fax: (772) 462-1578 Curr rme,cial Reaftntial
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PRUPUbED IIVIPRUvtIDItN l LOCATION:
Address: c7 z 1 d ,!y 9 3 ra S+- . ipo—t Pl Brae, P�L— 3" yto
Cegal Description: 14arinonsiiN L-diS 2 N
a 9.0 a F=4 n II~ 44 �- 4 79 - Vert - 476-9.�
Property iax lu �: _ - 0j -- alb- - _ Lot No. 1s z, 3
3ile Plan Rame: Block No. i y
Project 111ame:
Setbacks From Back: RigME title: Cen viae:
DE MEED IIE5CRIP I ION OF wuRK:
Replace AC, 8AaCt change out with 3 f A ton, )CO SEER, _Y KW AC anis
CQ.-r a e'c- Z5y Li k- v riU- — "C ULkr'4 L'00V-Y
Cju- aQ&11-16+6yaM -41N FVL1rwFoo5L_
LUR51 RUL 11014 IMFOKIGIA I ION:
Addidonal wor to e e Orme under is permit -check a appy:
XMVAC fluas iank ❑vas Piping _bnutters Q+ rvindo..s/Doors
Electric Plumbing Qaprinitlers Generator O Roar Keor Piton
TOLal Sq. Fn of ConStruction: Ft. OT First noor:
Cost oT Constrectivri: 5 i d°J� - QQ Utilities:] Sewer Q Sep.ic Building Heigh:
OWNER/CE55EE: Cu I RA' [:-10 R:
NameVenned L% ef=&OGR
Mame: Dannia [acali
Conlrany: ARS American Residential Services
maaress:gV
�J
Lit,: 24 r 1=me State: V L-
Address: 2800 US Hwy i
Zip Code: _349 N(r Fax:
City: vera Beacn Mate: FE
Phone No. it 7 ;.• 44!&S - 1 DI o
cip Coue: U950 Foy:
E-Plail:
PRonc Igo. -1 f oo• X951- 720m
Fiji in Tee simpia i Idem Flolaar an next pore ( if different
E-Mail: C rn% 11,W D W T, HES. Ci-1II161L
from the Owner listed above)
SLaLe or County License: C�Ci��ar5�
If value of cons.ruCtion is $z3GZ; or more, a RECURIDEV Motice or commencemenz Is requlretl.
WPM M,Et TAL,GD.NS-ftU fD-Ni LIEN CCW -Ili R,MATION:
DI~a1amegeNuINEER: X Mot applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Add rEbz:
Add re,b:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEt AMIPEE 1I1 CE ROEDER: x NOt applicable
SUMMING C13IMPARY: X Not Hpplieaole
Name:
Name:
Address:
Address:
City:
City:
cip: PRonc:
4ip: rnone:
I certify that no work or installation has commenced prior to the issuance of a permit.
x. lucic Coe.. -,t m.Res no r.presentailon that ii granting a permit w:ll authorize EMe permit Rvlaer to MuilM the sua;ect structure
which Is in c0ict with any a plicable nome Uwners ymsociatdon rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult wit 1Fyyour dome Owners Associ..t:on dna Na -Vic -1, your deed for any mstrictiom3 —.0f71CF rm.y apply•
In eon3i8.rotion oT tRC Srandriu of tRi3 rcyee,tzi9 per ... it, I Us iicreB, ..r,. ee tM..t I -ill, in all rCapect.,, peRarm Inc .orR
in accordance with the approved plans, the Florida Buildina Codes and St. Lucie County Amendments.
, he following building permit aNNlications are exempt from undergoing a full concurrency review: room additions,
accez3W. yy Wit.accte. c�, a-1TRling poo13, renee�, -03, Sign, 3erecn rvaT3 dnaaCCC,30. r C3G tv amatne.- non-rc3iaential a„c
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paring twice for
improvements to your property. m Notice of Commencement must be recorded and pasted on the jobsite
before the first in5pectivn. If you intend to obtain financing, consult with lender or an attorney before
commencing worn or recort ing your Notice of Commencement.
_ Sirmatare or Cler/ lessee/Agent
�iA1r OF FEL1RiuH
COUNTY OF siwae
Me rorgoing instrument was acRnowletiged before me
this 2.S day of �`„¢bf �c i 20 11by
zacek
otare ❑'tPIOT.n: F=Iir ]t..tv or
ul,nature of Contra r/I'_icense Molder
31 a 1 E OF rEDRIDA
COUNTY OF :-,RL.—
Personally
rm
i Me rorgoing instr mem; was acRnowleagea Berore me
this 25 day c rogx. 20 11 by
Personally Kno.iii. X OR Produced Identitication Personally Known x OR Proaucea IOentirica;ion
type ar laenthicadon Proaucea I Type of Identification Produced
CumFM233ien 19a.'�C (seal)
Revised 07/15/2 MY COMMISSION k GG071536
EXPIRES February 09. 2021
Commission foo. Elc-)5 (Seal)
MY COMMISSION # GG071535
EXPIRES Febriary 09. 2021
REVIEWS
FRONT
COUNTER
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MAN ROVE
REVIEW
ZONING
REVIEW
DATE
COMPLETE
INITIALS
n�
M „g h right:
1pl.king it
'" Installation Work Order .ter Eat. Start Dato1
1,<4p-`jFS (fIZ) 56r -s100
2800 US Highway 1, Vero BeaQ1, FL 32960
American Reai.entim...rviaas.r Florida, Ina
Licenw 0 CMC1249753, CAM—W711, eroi. 227,53
EMAIL
-1U
SIZE I TPE
EFFIvICM.Jp M M1:_ �.
r at$
—1V0
soBIU1AC
MIUM 1 RCT EST.'
C.vo 101MIER IMITIACS 26
a, - IMLt -
SIZE -3 � TYF
EFFICIENt;r*A C
un -A -MI
--
AC fice �
SUBTOTAL $ $ Z�
RI0NTFI1y EST.' $
CUSIURitR INITIALS
vvarrancy? Parts Calor Warr>rty?WW�L- Parts ba&mc rzoar
compressor _Meat Eilirlianner P-%V-'C5ntp..saorjWHeat Exchanger
10.,1.ss oiho. r.iae no -ed, all warranties are from the manufacturer.
❑ W -the, -proof
Disconnect
t'f.t:nty Equipment Slab
5.=.,h Iaal.tion P..a-
Liquid Tile C.onuuit
O Start Kit
eThgerant CC Dry...
.frigyerant Pipe
❑ New Peconnect
kh1.f.ieerant Pip. Mrer
0 EApaRci.n v..L-.
tT-stat -Types
-.n.el to Existing
ew Ptyw.va Daek
71'econnect Drain ane
❑ C.il:na S.:.r Kit
(Pan & Float)
C Ov 11,ht
❑ I�lamiclifi.r
In Denu ' ier,u�.
V U=ta..F D. -.it Pma
IKIQmn Drew 5ofely 5rtch
❑ Flee Vo, -,ting
*eal Mew vonnections
IJ Ductwork Mrmi.ctio..s"
Lu 5urt Attt ,,, „ant
Phe Eq-�r"
�r+r.dlrlect to existing plea—
u I Plenum
PP Y
0 Duct mmircati_Fi=
Me- ❑ Rceanne.t
(Bee Nv.ev fa scope m woo
O new uuct 5y..tenr
1'Retum r�lenpum
Po Duct vvolR
❑ Me- r"'` oern..t
0 Feel Pip mg
❑ Electronic mr er
❑ Qectti, al Wiring
uIOleilia Flt
p Rome oervice Plan -
p Pl:
1 term (364 aa,=)
Guarantee Rome IREtection Guarantee
5eppi.a Gs.mnlee l OU b Unav„ aitienal Mon F.•E
Est- +:ompletion Dat. 011 1
ca.-Voai. Customer
R.latiens
(866) 803-0879
apes ver
514E r Tf r
$�ssut�ngc
$—1 n 15V
5D61UrAC $
ICIuMT n E57r.' $
�.uaiOMFER IMRIRC
vvamanty:, Part= Eger
wmpressor __R.ot St fl,.ni,vr
SELECTED C MC;N; 01102 V 3
z'uBTOTAC 4i
r
$
7 t9TAE� $ o! V _
In 4AsM M CRECK#
GCREDRZr,Ru[Mi4�rst
EXP rilYRiWAC.
NG" AjC1L?.n50
Guarantee a 't'1 pwin options available with spp� credit
—N� •
"ARS i. not responsible for preexisting ductwoft See Terms and %ond:ti.n= .ri th= back et tM6 d.ee....nt for deiQild
• Written customer authorization will M oCtained before oegi. :rig army arlfere. —-aaiti.nal or ext.na.d work.
• ANY CLAIMS I vR ZZNSTRU7MZ;M DEFE= ARE'g6WEUi lU THE: I cm6t= AND CURE PROVISIONS OF CHAPTER 558,
FLORIDA Uliliqi u r E3.
• BUYER -a RIORT r v wanCEL: i nits Is a home sollEltauon sale, „nn if you av -.vt :ant tnv gods .,r services, you may cancel
thls agreement By providing written notice to the sella. In pomvn- by t.logram, v, by mail. Thlm notice must Indicate carat you
Go not want care goods or services and must be doll.vrea v: pvstrnw FRwd bofam midnight of the third business Gay after you
sign cnls agreement. It you cancel mM-grearwent, triv =11or may not Xeep ..II or port of any cash gown payment. zea carpe
reverse side hereof for an explanation oT tnl3 right.
• I acknowtege that my A.ht to oon.vi ha. Been e.pl.ire0 to me orally .,.a in writing, and without waiving my rignt to cancel, I authonze the
perronnanv. of the -erre, =sbjeet to J terns ane conditions not fo..M on the reverse aide hereof, plus any taxes upon completion.
Nonce to Dwnvr - De net rigR tfii. Mom. i-pmv.m.ni contract in blank. You are entitle to a copy o1 the contract at the t:Rra Tea ainn.
Keep it to pmvto.t y.e. Ivy.l .iahi.. This home improvement contract may contain a mortgage or otherwise create . lien .R year prepvrty
that coati] Fee foreclosed on R you uo not pay. Be sua u7n'oerstana all pre=ai.n of Me eentraet 6ietore you oign,
DATE corlwlrav er..meRs1..e
CUSTOMER R Sr Tue-
69MIN mwwd. ARSI D78 :11017 aZBn
This combination qualifies for a Federal Energy Efficiency lax LreOit wRen
placEid in service netween Fed -I r,z009 and Dec 31, 2018.
Certificate of Product Ratinas
mMRI Ceftinea Reference IEumoer : zU it rzzOz ❑..te : 0z-zb-z019 Model Status: Active
AFIxI I ypc : RC❑ -A -C9
Series : FERFuRIIIIANCC I'o Pi_
vuMoor unit Grana Ramer : CARKIER
Gatdov. Unit 191.,dcl NumBier (Condenser or Single PacRage, : z4FgFMMz7i'037j'
Inuoor unit Mlouel IEumaer (Evaporator anaror Aur fianaler) : F421CA(S. F)00,iE
Region • Ah (AK, AE. AR, A[, CA, CU, C 1, UC, DE, FE, GA, Rl, I0. IL, IA, IN, KS, KY, C4, 101m, 10119, ME, IPII, RIM, mo, IOIs,
MT, AC, IEC, IEE, IEA, lad, rv@I, IEv_ M T, un, DR, �JJR, PA, RI, 5C, sa, I IE, I x, u 1, VA, v 1, WA, VVV, VVI, VVY, U.S.
I a.,,tonoz)
Renian Mats: Cantml J. earl itionars monafactarad pn.,r to January 1, 2015 are eligiale to Be installeu In all regions
until dune 30, zt7 o5. eeginning auly I, zU115 central air eeatlitianara aon o.,l, 6. in3tallod in rawyion(s) for
-hick tRey mact thio royiunal efficiency requirement.
I no mc—af..cte�ar of tnin CARRIER pFoaact Is responsible for the raring of MIS system comalnation.
Ratell a= rolls -u In accoM..rice -.itn tn- lotz. t odit"on of ARSIIAHRI 2101240 with Addenua r anti z, FeRormance Rating of Unitary
Air-ConZi4ioning « Kir-source Meat r=ump equipment anti suojeci to rating acea.po7 a, ARRI-zporizared, iritlapondont, tfiWd party testing:
Cooling Capacity (Az) - sln7le ar I llgM stage (gar), Blarl : 40000
SEER: 16.00
EER (7-u) - single or RiggM stage (yah f : I a.u'u
,'-five' Model Status are those that an AHRI Certification Program PrrtIuipa :t is _arr■ntly p_d=ei"g AND telling or offering for mala, OR new moocls (nei are Being
m.rkcicd bei ... not yet 17cing pmuviceo 'Product on Stopped' Model Status are those that an AHRI Certificati Program P.Maipont i;; rre lengar p. _deoing BUT is sell
—Ilirrg a. offering for .ale.
Ratinos=hFit _%re_3econspa.-,iod by 'NAS Indicaw an iryulant iry .o•epd.o. The raw pcblished ra1irajg shonrl along wth the pre-icus fief.. wA51 ralin.r.
DISCLAIMER
..nRl awes not an..,rse the productYsl listed on this Certificate and makes M r_�r.o■nt tl.rta,-arrentfe, or go-r—leom _s to, , nd s3omcz no n_mpansiEili-.y i.,r,
the prudec,(a) kned on this Ccriincaie..,RRI capressly disclaims all liability for damages of any kind arising out of th= Ivy ■c perf.rm-now of the prodactl s), or the
■—sthw.1-od oR.retiwn of data luted o -, his Conific.1c. Ccrtrsca rrAngs arc v.11.. only for models and configurations listed in the
directory at www.ahridl:■-t■.,.■rg.
TERMS AND CONDITIoRS�
Thies CQaitiIIotc .end it, eentea5 ..cc propriciary prodotis or ..RRI. ,,..is eariticate shall only be used for individual, personal and
confidential referenc- ps _■m■�. Th= s.nlent, of this Certific..t� may ..-,o,, in -hole or In pan, Ec rop,vaacco; copieu; disseminated;
entered Into a computer database; or otherwls= utlli-■d, In .F;; fcrr)i .r m-nner or by -,y .,,eRn3, -cap, for the users Inoil .o.1,
parmonal an.. cum,..c..tial reference AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTnUTE
The information for the model cited on thi_ s■rtiti_.t. ■on be -arified of -- ....hridlractery.org, click an "Vorify oer-.iricn-.o' Until we make life b.tter-
..no oni.r the AHRI Certified Reference Number and the date on which thy r■rtifi■-t.=a= 15 --sed,
which fa hscd ..boT., ono enc e=I'tincaic R..., which Is listed at bottom right. - - -
02019Air-Conditionine, Hearing, anti Reirlgerauon Insr.Itute � uERTIFIGATE NO.: iuie��e000„�.e�