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HomeMy WebLinkAboutAC Permit App Trevor Banks ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 19 Permit laumEer: ti J •_ Builaing PCrmit Application Pla....iny o,,d Develapment Services Building and Code Regulation Division 2300 Virginia Avenue, Farr Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Re.;Eiential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of nine YRuPuSED [WROVEIDIEN I L017: I ION: Address: a,3 1 1P �1 O De A�_61 4 +-L 3 YV Eega1 uest ription: CLk k:n Mir,Us 5!0 kof I q(a& 15&9- 1?J7 Properly lax ll7#: 144:3a- 750- —t EVE No. r`f ahe Plan rvame: 510CR No. Project lame: ^Tre._i0 r 'BoLn k.,5 . Setbacks Front Back: Right aide: Eeft aiae: uE I AILED 13E5LRIP I Iula uF wuRIL: Repla�;w AC, OAaUt change out with 3•6 ton, Pq SEER, Y KW AG unit cu!u l Rut I Iul9 INI=uRIVIAI lull: _'Aaahlonalwork to e i2ertormed under thispermit-check a11 apply: ❑HVAC Gas Tank ❑Gas Piping -shutters ❑vvinaowsTl3oors ❑Electric Plumbing O5prinklers ❑Generator ❑Roar MOOT pitcR Total Sq. Ft of Construction: a rt.of First Floor: Cost or-Construction:$ Lo"r9 •GAO Otilitic.,: ��•:er El Septic Buildine Height: OWN ER/LESSEE: �uN I RAL I uR: Name_�••�Q�C' L�Oo-ftKS Name: Qeal=LacwR mddress: aL 311p 3e 1a.r LjpCc& DC' Company: ARti American Rw3ia.ntial Services City: �Pt Ylercc at..ce:�_ AZIBF.B.: 2800 US H,ny 1 Lip code: !Xj8 g 4 U Fax: t--b•► City: Vero Beach State:FL Phone No. -r7 a" aN0- 7 133 zip Lode:�c��"u Fax: to.. E-Mail: N 7r Phonervo. s a- 79q- 7ro4r Fill in ree simple i We Rolaer on next page S If Hlrrwknt t-Mah: C M t 11;urijil Act il from the Owner listed above) State or County License: LI41L ic4r sa If value of construction is$2500 or more,a RECORDED Rotice of Commencement is requlrea. SUPINEWERrAL-C,UIC5,1 RUCTION LWq Mw,AFuRl9iAi 1UN DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: x Nut Applicable Namz: Name: Addre33: Addre33: City: Stutz: City: Statue: Zip: Phone: Zip: Phone: FEE.AMPLE TITLE HOLDER: =Not Applicable BONDING COMPANY: =NOt Applicable (Came: laame: mddress: AU cress: CAty: City: Zip: Phone: cAp: Phone: I certify that no work or installation has commenced prior to the issua;icc at a permit. 3t.[ucie County makes no representation that is granting a permit will authorize the-permit holder to build the subject structure which is in conflict with an-(applicable Home Owners Association rules,nrlo— or an co.cnon Fi t.tRot mor re.tr,ct or pr.17115it 3a� structere.Please consult wit your Rome Owners Association and review your peep Tor any restrictions wRicn may apply. In consideration or the granting or tRis requested permit, i Do RereQy agree that I will,in all respells, perform Me work i..aeevra.ne.Atli trle approv-n plon3,0c Florid.. 6eilai..g Cum..Ana bt.Cecie Cecnt,Armemuments. The follow;ns building permit appiicati-cis ore=„cmpt tram anac,going a tall cvncarrency r�aie rvvm addition„ accessory structures,swimming pools,rences,walls,signs,screen rooms anu accessory uses to another non-resi'uentlai use yv.gRICIMI3 10 GvvREn: Tour iailure to Record a Motice of Commencement may resurt In your paying twice for improvements to your property. A Notk:E of Commencement must be recorded and posted on the Jub3ite bZtrz the first inspection. If you intend to obtain financing, consult wiiM lenlaer or an attorney taeTore commencing work or recording our NOIICe of Commencement. � a ! _b;gnature or O er/Cessee/Agent bignaturc at Coy tro r/Cc.n.c Rolacr STATE OF FLORIDA STATE OF FLORIDA COUNTY OF u.a— COUNTY OF s.towe The f rgoing instrument w s acknowledge before me r he forgoing instrument was acknowledged before me tni- 8a,of 1Q n, tRis day or , C{-,rt=�0 a dy Dennis e� A DeneL- k ( m f person c now ing) (IVa,�y peon as ..le ; ) s fign ore of u i of rloriva) (N na ore of tag r ublic-5ta a at Flar;ao) Personally Known x UR rroduced Identircation personally Known x OR produced Identification ype of Identification produced I rpm of Identirieotiv., Pra@ecea Commission Mo.(�� - eal) Commission No. t (Seal) :•:� " COLEEN SULLIVAN ! "', %vCll�t+i 3QCCIvs►ty ''s MY COMMISSION S 0G071535 Revised 07/1 MY 4010191I35I0N It GGVibab •'.,��� EXPIRES February 09,2021 REVIEWS i OR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW IUAIL COMPLETE INITIALS -De -_, - z4x Pal; l� olml lnsrallarion Work Order mil.Start oi=le���i Esi.CvmPleiivn Dai Se 2800 US Highway 1,Vero Beach,FL 32960 wrporate vuslomer Makin9't'"°'ti "g it ..—rhm R■aman:ial Ser6m e:Florida,In_ Rerationa l.ieen..M CMC12as763,cac04687e,C1=01 42e253 (866)803-0879 Cr-„—e` e■eae —see S AoaR TE2rP HOME PHONE GELLPHON .,y� , wORNPH W ■ o�UR HVAC SYSTEM ■ OPTION I OPTION SIZE PE 51,E 1TPE 51cE TYPE EFFICIENCY EFFIvIENv. �- -EFFICIENCY $ - �dGY $ p�� $ -Zia o-O oo $ 4PIS74t) $ _ $ $ $ $ $ pp avMTOTAL 3 SUBrvTAC $ d 3 0 TAC $ MONTHLY EST.' $ Oy MONTH EST' $ MONTH EST.' $ CUSIURIER INMAf I 0 tR INITIAUS CO MER 119MAES W mremriy,* Parts 1?r14P_ Labor W ."ty: r,1 Parts AM6 Labor W ty?,-,= Pads Labor f O wmpressor .. Heat ExuMer =...pressor LjZ-Hoat Exchanger Compressor Heat Exchanger tUnleoo etll>Srwi-"stoO,all.. ._.tioo.—fans the manufacturer. SPECIFICS OF YOUR • 5ELECTEDvPTIGN= 1 02 03 0 Weatherp,00f A Re..Plywood D�.k L;i uv Gg11t Dicee"neet XR.uunno�i Drain Li.,o 0 Homidifrer SUBTOTAL -10 ❑fteiime Egoipmorr Slab 0 riling Saver Kit ❑l)=h-m"iddier ,05ountl Isolation Pads (Pas&Flu.t) ❑Outdoor Unit Pad ❑Liquid Tito Cunach )d Main Brain Safaq Switch ❑Flow Writing 0 Start Rit //-�-}}}J6 5eal New Connections A Ductwo " 'Q" TOTAL $ ZfRefrigorent LL Dry ❑Support Attic Equipment ad Connect to exisdrlg�um y(Refri Brant Pie u I Plenum ❑D a Modifir Pe- f+ 9 P � � PP y taee,.rncs mr®pe m wor,o • 1J New grReconnect 0 Mew 'Reconnect ❑N_..Duct syrterA �Refegerent Pipe Ce-e.- ❑Rotum Ple..;;m G Ro Duct vvork ❑CASH ❑CHECK# PIupansion Valve ❑No- ❑Reconnect 0 Fuel Piping 0 Electronic tdr Cleaner_ ❑CREDIT c:nrtD[DCST 4so1 ..tan-Type ❑Ei��tlieal VVI�"g WConrect io Exreii�.g 0 Media Flier ❑Ho a Ser*ice Plan- EXp APPROVAL Electrical 0 PCO 1 Tom+(364 d-yo) OUR ''' g(FINANCING' Cc; fart Go-rentee SgHwmw Prolect!on Guarantee fd24•Hour Service Guarantee 100%Unconditional Money-Baa Geere"tee 'Pa,•.-_r.1■ptions.vaia6le wish NOTES "ARS ie not roapP"zibte for p;--erivti-g dectwerk.See T67.-�- a.d Conditions on the back of this document for details. •W6 ton oustomor»etho.:....tio;;T ill be ebt�­:R before b■g:mning any unforeseen additional or extended work •ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE 50BJECT TO THE Nvi,C1!AND CURE PRw-VIaIC;NS OF CHAPTER tseo, FWRIDA STATUTES. •BUYER'S RIGHT ru CANCEL-Thls Is a Home solicitation sale,and If you Go not want the goods or service.,,x..a may-noel this_ere■ment oy providing written notice to the seller In person,My telegram,or Oy mail.This n.rwo lndlmte that you do not want the goods or services and must be delivered or postmarmeo Ocrio.a mid..ighi of thn third bugle.d..y.fte.you sign this agreement.If you cancel this agmemen.,:he roller m..y not keep oil or p.rt of.my cash down payment.See the reverse side hereof for an explanation of this sight. •I acknowledge that.Ty rig?to..s.o of has been o:planed io me oralh and i-,wing,....d without.—rag mny right to._-"eel,I_1.Itherwe thw peTionnance of the wo 1,subject to all terms and onaid.,ns eui forth on.h.referee aide Fier�ot,plum w u,t.Mee ape.-.eenrpletie-. Notice To Owner-Do not sign this hom..improvomors coraaraci,'n blank Y o a s s itled iv a Top'thor"iew Cl..t the lime you oig.. Keep it to protect your legal rignim This h..rno i,..p-:omoni oonireci may contan.."rmtg.. a Y1e Len o"yo_r property that yoglu be foreclosedd you do of pay.Bo sore y.,e ndarwo d all pro;isiona of: eo ,-o yea sign 7s9F C�'iOMERSI� GNFTURE c co�.rRRlmlcP1lt11�.m... ve.....nlen�:emerRe PATE GATE �:e:e.�,...:_..Ilei■end.......i■w�a.....ipna.ec.rr■d. ARS107a 111017 a4v,- it ■ CERTIFIED'rii anal Ceffiticate of Product Ratings AFRi C.Ftiftad Rate,enee IVem6c, :9509434 Date:vz-zo-z3,v ItRo'oeI 5tatus:Active AHRI Type:RCC-is-LQ 5enes:COMFOR 114 AC Outdoor Unit Brand Nam.:CARRIER Ouluoor unit Mo'uel 17umoer ZConQenser or 5ingle PacRage):zriACCZF4zA*Os0* Intloor unit RloOel Morfiner(E:«porsto. .mdlor Air Flanalar):F94CRF042L Region: Sootfii.ast and North(AL,AR,Dv,17E,RE,GA,I11,KT,ER,M0.M5,IC%.,UK,5C, I N, I A,VA,AR,CC),C 1,10,IL, IA,IA,A5,MR,ME,MI,i41t%MU,M I,MD,fit,AR,Nd, MY,OR,OR,PA,RI,SD,UT,VT,Wm,vvv,vvl,vv r,u.5. Territories) Roylon Note: Central air eondiuoners manuracturea prior to aanuary r,w r3 are eligiole to Be inotallc8 In.11 royion, until iena 30,z016.deyinn9ny Jai, 1,z016 ccntral air co„ditioners can only be Installeu In regiontst for which they meet llle regional emciency requirement. The manufacturer of this UmRRl1•R pMuct Is responsi le tor the rating or this systcrn comBirtotion. Rated.s follows in accordance with the latest eriltlon or nR36„nRI z i07z40 Win Auuenaa i anti z,PaRorrrh.noo K..ti.,9 of Ualta,myy stir-Cori iuoning a Air-source heat Panep E.,eipprterit.n8.e6;ect to rouny a�caracy by AHRI-spansoreu,Inuepenuuem,tfliru pally tesung: Cvalin9 Capacity(AZ)-5ingk or RIgh Stage(95F),btuh:3uJiM SEER:14.0 [ER(Az)-5ingle or Fiiglf 5ta,Q(a5F) :1 1.50 T Active"Model Status are thuzo th..t an AHRI Cerlltleallon Prog,.m P.rticip.nt z currently pmwa,i,,g r,RD selling or offering for sale;OR new models that are being marketed but are not yet being produced."Production stopped"Model State-..re these that an AHRI C.rtifi.tton Program P.mcipani is no longer producing BUT is still Iling er offering fvr oat.. R tin sx=rnpqnied bV WAS indicate an involLini re-rate. The new _blis,ht�J ra^inr is ch.wn alariq with the provious i.U.' rAB tin g. DISCLAIMER AHRI does not endorse the prodoet(o)liat.d on this Certifieote a.d rrl.k=no rcpr�sen.advna,arr.n.i.s yr Euarantaes as to,and assumes no responsibility for, Me produetisr listed an this Certificate.AHRI expressly dlsclal-o.11 Il.bilitr for d-m.gee.f Ray kind-rising we;of the toe yr p.rform.n.0 ur t,ne productgsr,or the enumhori,ed al:erauon or u.ta lime.vn this Certificate.Certified ratings are valid only for mwdvlo-.rid■unfigsretien,lsted in thu dir..t.ry of--. hrldlructory.urg. TERMS AND CONDITIONS This Cerelflc..e one iu cvntcnw are proprietary products of AHRI.This Certifcatc shall ant;be eovd f.F iodicideal,pers.nal and eenfldenti.l reforms nee perpoae3.The comana vY:1113 e.rrincate may not,in whole or in part,be reproduced;copied:dise.ntlrt_ted; entered into_wo-Rr,dep d.t..bo,e;up.lhonri.e atlll-cl,in Rmy form or m..nne,yr By arty moans,except for the user's Individual, personal and confidential reference. .,1n.e110Rlvllllla,Itvir r11a, CERTIFICATE VERIFICATION &REFWIuM..;en In.TITUTE Thu Infunn.liun for thw model cited an this.ortifl..tu can b.-ornico.t„www.ollrlelrectory.org,click on"Verify Certificate`link w,,,;oar lifr!:nr.= and enter the AHRI Certified R_f_.-.rr.e Number and th.date on which the c.rdfi..te was lsso.o, which Is listed above,and the Certificate No.,which Is listed.t butt_m Fight, ©2019A11.onaltlonIng, Reazing,anti Rerrigeratbn I-Mate CERTIFICATE Nu.: 131958313912601971