Loading...
HomeMy WebLinkAbout6699 Spanish Lakes Blvd. Permit App.ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: • Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: �p r Address: Legal Description: Property Tax ID #: L]n Lot No. Site Plan Name: Block No. Project Name t 1f��.salLP_qerls Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: i Replace AC, exact change out with ton, SEER, KW AC unit CONSTRUCTION INFORMATION1 A00itional work tone e orme under this permit - check a apply: OHVAC ED Gas Tank []Gas Piping _ Shutters Windows/Doors 11 Electric ElPlumbing U Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ �ti _ Utilities: Sewer 0Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name `(Yk Name: Dennis Zacek ` Address \ - Company: ARS American Residential Services City: _` z ecCa ., Stater, Address: 2800 US Hwy 1 Zip Coder 'FC-4\ Fax:' City: Vero Beach State: FL Phone No. Zip Code: 32960 Fax: E-Mail: Phone No. ��r7-�i� •� a�3 Fill in fee simple Title Holder on next page (if different E-Mail: C5191 S • cam from the Owner listed above) State or County License: CMC1249753 a value or consErucr=on is ZPcsuu or more, a RELURDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: State, City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this request d permit, I do hereby agree that I will, in all respects, perform the wo k in accordance with the approved plans, the Flo ida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement 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, consult with lender or an attorney before commencing work or recording your Notice of Commencement. _ Signature of 0 er/ Lessee/Agent STATE OF FLORIDA COUNTY OF 51Lucie The forgoing instrument w s #cknowledged efore me this � day of I 20 aby Dennis Zacek (Name of person acknowledging } re 6ENotd?v_Public- State of Florida Personally Known x OR Produced Identification Type of Identification Produced Dwnn r 5 Signature of Contra/License Holder STATE OF FLORIDA COUNTY OF S1Lucn The forgoing instrument was ackn wledge before me this 3— day of 20 by p$rnis Zacek (Name of person knowledging ) SJAI,, ure o Florida ) Personally Known x OR Produced Identification Type of Identification Produced Commission No mmission No. akFj (Seal) COLEEN SU Revised 07/15/2014 irpiRl=B February 09, 2021 COLEEN SULLIVAN iy COMMISSION # GG071535 EXPIRES February 09, 2021 REVIEWS FRONT ZONING SUPERVISOR PL-Ahe VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Making I work. Maki Installation Work Order Est. Start Date (772)567-3100 Est. Completion Date C 2800 US Highway 1, Vero Beach, FL 32960 Corporate Customer American Residential Services of Florida, Inc License # CMC 1249753, Relations CC13008558 (B66) 803.0879 CUSTOMER Ar;5>'-tJ1� r.5 EMAIL CALL SLIP ADDRESS C rM1 r.�`1 C W k ,11 I CITY;STATEIZIP t S— ,� -a � Ere L HOME PHONE CELL PHONE WORN Pi TONE OPTION 1 OPTI• OPTION SIZE -5.5TOIJ TYPE 13{r1 SIZE TYPE C&TI% e SIZE TYPE EFFICIENCY EFFICIENCY SeK __ EFFICIENCY 1yo $- 00 1VD $-%750 - $ 50 SUBTOTAL $ 7 8y7 SUBTOTAL $ 9• 170 SUBTOTAL $ MONTHLY ST.' $_61moDn2 MONTHLY EST.- $ fi, S MONTHLY EST. $ CUST ER INITIALS CUSTOMER INITIALS _ CUSTOMER INITIALS Warranty:" Parts Labor eZ Parts 4�- Labor Warranty:" Parts Labor Compressor Heal Exchanger yWarranty:" `�- Compressor I Imeat Exchanger, _Compressor Heat Exchanger 'Subject to credit approval. Financing Provided by Greensky. Fixed interest rate of 6.99% for 60 months. Payment example assumes one-time $7,600 purchase on approval date tAPR 7.19'5it) with 1 payment of $82 69,5 payments of $43.69, and 54 amortized payments of $162.2a. Payments assume Account Activation charge of $39 applies and is due with first required payment Fixed interest rate of 9,99% for 84 months. Payment example assumes one-time $7,500 purchase an approval date (APR t 0.15%) with 1 payment of $101 44, 5 payments of $62.44, and 78 amortized payments of $131 11 Payments assume Account Activation charge of $39 applies and is due with first required payment. Fixed interest rate of 9,99% for 120 months. Payment example assumes onetime $7500 purchase on approval date (APR 10.11 %) with 1 payment of $101 44, 5 payments of $82,44, and 114 amortized payments of $102 13. Payments assume Account Activation charge of $39 applies and is due w th first required payment.Fixed interest rate cf 9.99'--rd for 144 months. Payment example assumed one time $7,500 purchase on approval date (APR 10.09%) with I payment of $1 DI 44, 5 payments of $62.44, and 138 amortized payments of $91 62. Payments assume Account Activation charge of $39 applies and is due with rirel required payment "Unless otherwise noted, all warranties are from the manufacturer. • • • SELECTED OPTION: ❑ 1 ❑ 2 ❑ 3 ❑ Weatherproof ❑ Reconnect Drain Line ❑ Dehumidifier SUBTOTAL $ Sao D cur c t ❑ Ceii ily Saeei Kit ❑ Cutdoor Un t rad _ ❑ Lifetime Equipment Slab (Pan & Float) ❑ Flue Venting [�LTL� fr$ 41 c' 0 ❑ Sound Isolation Pads ❑ Main Drain Safety Switch ❑ Ductwork Cunnectiona' ❑ Liquid Tite Conduit ❑ Seal New Connections ❑ Connect to existing plenum $ ❑ Start Kit ❑ Support Attic Equipment ❑ Duct Modifications ❑ Refrigerant LL Dryer ❑ Supply Plenum 0 _ (see Notes+.. scope of work) TOTAL $ ❑ Refrigerant Pipe ❑ New ❑ Reconnect ❑ New Duct System ❑ New ❑ Reconnect ❑ Return Plenum ❑ No Duct Work ❑ Refrigerant Pipe Cover ❑ New ❑ Reconnect ❑ Fuel Piping ❑ Expansion Valve ❑ Electronic Air Cleaner — ❑ Electrical Wiring slat -Type Ali 25f ❑ Media Filter ❑ Home Servicu Pla;) - El CASH ❑CHECK# _. - ❑ Connect to Existing ❑ PCO 1 Term (364 days) dtREDrr CARD (LAST 4#9) Electrical ❑ UV Light ❑ New Plywood Deck ❑ Humidifier OUR EXP _ APPROVAL ❑ FINANCING" _ Comfort Guarantee --ErHome Protection Guarantee �24-Hour Service Guarantee 100% Unconditional Money -Back Guarantee • 6 5ee f p s+e M t S-411, ; ti VC t l 'ARS is not responsible for preexisting ductwork. See Terms and Conditions on the back of this document for cictails. • Written customer authorization w:' be obtained before beginning any unforeseen additional or extended wvsrk. • ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558. FLORIDA STATUTES, • BUYER'S RIGHT TO CANCEL: This is a home solicitation sale, and if you do not want the goods or services, you may cancel this agree- ment by providing written notice to the seller in person, by telegram, or by mail. This notice must indicate that you do not want the goods or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement. If you cancel this agreement, the seller may not keep all or part of any cash down payment See the reverse side hereof for an explanation of this rlghL • I acknowledge that my right to cancel has been explained to me orally and in writing, and without waiving my right to cancel, I authorize the performance of the work, subject to all terms and conditions set forth on the reverse side hereof, plus any taxes upon completion, Notice To Owner - Do not sign this home improvement contract in blank. You are entitled to a copy of the contract at the time you sign. Keep it to protect your legal rights. This home Improvement contract may contain a mortgage or otherwise create a lien on your property that could be foreclosed on If you do not pay. Be sure you understand all provisions of the contract before you sign. CUSTOMER SIGNATURE DATE COMPA REPRES7-111E / CUSTOMER SIGNATURE DATE DA C 20:9 American Residanlul Services LLC. All rights reserved. ARS107e FL 190124 L190124 0256 This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 201772202 Date: 05-15-2019 Model Status : Active AHRI Type: RCU-A-CB Series: PERFORMANCE 16 AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 24APB642A'030' Indoor Unit Model Number (Evaporator and/or Air Handler) : FV4CN(B,F)005L Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015 are eligible to be Installed in all regions until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be Installed in region(s) for which they meet the regional efficiency requirement. The manufacturer of this CARRIER product Is responsible for the rating of this system combination. Rated as follows In accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Alr-Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (AZ) - Single or High Stage (95F), btuh : 40000 SEER :16.00 EER (A2) - Single or High Stage (95F) :13.00 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced'Production Stopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS Indicateen involuntar�Lrs-rplo, The new published rating is shown atonq with the previous (i.e. WAS) rating. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the products) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.ohridirectory,org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and confidential reference purposes. The Contents of this Certificate may not, In whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's Individual, AM personal and Confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.uhridiFectory.org, click on -Verify Certificate' link my make life better"' and enter the AHRI Certified Reference Number and the date on which the certificate was Issued. which Is listed above. and the Certificate No., which Is listed at bottom right ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1320243a5e63454274