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HomeMy WebLinkAbout9320 Scarborough Ct. 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 FL 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:
Address:
Legal Description:
-4
Property Tax ID #: - Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
Replace AC, exact change out with ton, SEER, I KW AC unit
CONSTRUCTION INFORMATION:
Additional workto e performed under tis permit —checka apply:
LJHVAC 0 Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
U Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 5 Ft. of First Floor:
Cost of Construction: $ Utilities: Sewer 0Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name (_-
Name: Dennis Zacek
Address:142;4h ,Eea nmm o:`„-r-
Company: ARS American Residential Services
City:'0M)" 5� k 0U_1 P Stater
Address: 2800 US Hwy 1
Zip Code: Fax: —
City: Vero Beach State: FL
Phone No@(b;z)��ij q(?5
Zip Code: 32960 Fax:
E-Mail*
Phone No. 'Y4@--4Rt-A am3
Fill in fee simple Title Holder on next page ( if different
E-Mail: Q%y(I_ aCS • COrn
from the Owner listed above)
State or County License: CMC1249753
If value of construction is $25OQ or more, a RECORDED 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 permit 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 requested ermit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida 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 situde
The f r Ding instr ent w s acknlOwledge efore me
this day of II 20 tkby
Dennis Zacek
ure
Personally Known x OR Produced Identification
Type of identification Produced
Commission N (Seal)
5
Signature of Contra r/License Holder
STATE OF FLORIDA
COUNTY OF S.Luce
The forgoing instrument was acknowl dge efore methis day of VAne to . by
D
(N 41A)tr
re of person o t Pu a of Florida }
Personally Known x OR Produced Identification
Type of identification Produced
Commission No (Seal)
MY COMMISSION # GG071535
Revised 07/15/201 Yy, MY COMMISSION It GG071535
';e�;,;�,; EXPIRES February 09, 202i ,?f,;;,.� EXPIRES February 01). 2021
REVIEWS
FRONT
COUNTER
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
ZONING
REVIEW
SUPERVISOR
REVIEW
DATE
COMPLETE
INITIALS
40-1iI
A
MakinMak'n
g r work
Installation Work Order
(772)567-3100
2800 US Highway 1, Vero Beach, FL 32960
American Residential Services of Florida, Inc License # CIVIC 1249753
ECt3008558
Est. Start Date _
Est. Completion Date
Corporate Customer
Relations
(866) 803-0879
CUSTOMER �ify 1 a ftas
EMAIL
aAa SUP
ADDRESS c 3"
CF1Yf5TA"= f_J
�
HOME PHONE 101 11 O
CELL PHONE
WORK PHD1%E
SIZE g5 TQa- TYPE
SIZE TYPE
SIZE— TYPE
EFFICIENCY �1'k S' 1J
EFFICIENCY
EFFICIENCY
$
$
�Ay(, $ 10.1,493
$
$
$
SUBTOTAL $ �11�
SUBTOTAL $
SUBTOTAL $
MONTHLY EST.' $
MONTHLY EST • $ _
MONTHLY EST.` $
CUSTOMER INITIALS
CUSTOMER INITIALS
CUSTOMER INITIALS
Warranty..: ' Parts _ Labor
Warranty:— Parts Labor
Warranty:" Parts Labor
_4 Q Compressor Heal Exchanger
Compressor Heat Exchanger
Compressor Heat Exchanger
'Subject in credit approval. Financing Provided by Greensky. Fred interest rate of 6 99% for 60 months. Payment example assumes one-time $7,500 purchase on
approva dale (APR 719%) with
1 payment of $82 69, 5 payments of $43,69. and 54 amortized payments of $162.26. Payments assume Account Activation charge of $39 applies and is due with
first required payment.Fxad interest rate of 9.99% for 84 months. Payment example assumes one -lima $7,500 purchase on approval date (APR 10.15%) with
1 payment cf $To1.44. 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. Fired interest rate of 9.999b for 120 months. Payment erample assumes one -lime $7,500 purchase on approval date (APR 10A 1%) with
1 payment of $ i 01 44, 5 payments of $62.44, and 114 amortized payments of $102 13, Payments assume Account Activation charge of $39 applies and is due
with first required payment Fixed Wiliest rate of 9.99% for 144 months. Payment example assumes one-time $7,500 purchase on approval date (APR 10.09%) with
t paymor't of $101 44. 5 payments of $62.44. and 135 amortized payments of $91.62. Payments assume Account Activation charge of $39 applies and is due
with first required payment,
..Unless otherwise noted, a,'warranties are from the manufacturer.
SPECIFICS OF • •
SELECTED OPTIONy:� ❑ 1 ❑ 2 ❑ 3
❑ Weatherproof ❑ Reconnect Dram Line ❑ Dehumidifier
SUBTOTAL $ V�
Disconnect ❑ Ceiling Savcr Kit ❑ Outdoor Unit Pad
`f3Qfetime Equipment Slab (Pan & Float) ❑ Fluo Venting
$
❑ Sound Isolation Pads ❑ Main Drain Safety Switch "50uctwork Connections'
❑ Liqu:d Tate Conduit ❑ Seal New Connections lKonnect to existing plenum
$
❑ Start Kit ❑ Support Attic Equipment ❑ Duct Modifications
f
❑ Refrigerant LL Dryer_ iupply Plenum Ease Notes for scope of work)
TOTAL $ ��
efrigerant Pipe ❑ Nelw 6. -connect ❑ New Duct System
❑ New%weconneci `f3,Eielum Plenum ❑ No Duct Work
❑ Refrigerant Pipe Cover ❑ New""Weconnect ❑ Fuel Piping
❑ Expan9'on Valv ❑ Electronic Air Cleaner _ ❑ Electrical Wiring
❑ CASH ❑ CHECK#
`&Zmat —Type �V ❑ Media Filter ❑ Home Service Plan —
—oronnect to Existing ❑ PCO i Term (364 days)
❑ CREDIT CARD (LAST 4#a)
Electrical ❑ UV Light
❑ New Plywood Deck ❑ Humidifier
EXP APPROVAL
OUR GUARANTEES
❑ FINANCING'
❑ Comfort Guarantee ❑ Home Protection Guarantee
❑ 24-Hour Service Guarantee ❑ 100% Unconditional Money -Back Guarantee
•
�A�icSt jN�. a�� �►M�' qs QQ��b �
'ARS is nct responsible for preexisting ductwork. See Terms and Conditions on the back of this document for details,
• Written customer authorization will be obtained before beginning any unforeseen additional or extended work.
• 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 right
• I acknowedge that my right to cancel has been explained to me orally and in wilting, 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 ii t p r legal rights. This home improvement contract may contain a mo ge otherwise create alien on your property
that cou be eclo don you dD not pay. Be sure you understand all p the co act before you sign.
CUSTOMER SIGNATURE: DATE ESENTATIVE
CUSTOMER SIGNATURE DATE DATE
O 2019 Amcrirsn Residentwl Servicna LLC. All rights reaerved. AR51078 Flti,l'd0124 L190124 8256
Certificate of Product Ratings
AHRI Certified Reference Number: 9547861 Date: 06-17-2019 Model Status: Active
AHRI Type: RCU-A-CB
Series: 14 SEER AC
Outdoor Unit Brand Name - PAYNE HEATING AND COOLING
Outdoor Unit Model Number (Condenser at Single Package) - PA14NC060'0'-A'
Indoor Urrt Model Number (Evaporator andlor Air Handler) - FB4CNP060L
Region Southeast and North (AL, AR, DC, DE. FL, GA HI. KY LA, MD. MS, NC, OK, SC, TN, TX, VA, AK. CO, CT. ID, IL,
IA, IN. KS. MA. ME. MI, MN. MO. MT, ND. NE, NH, NJ, NY, OH OR, PA, RI, SD. UT, VT, WA, VW 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 PAYNE HEATING AND COOLING. product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSIIAHRI 21=40 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored. Independent, third party testing"
Cooling Capacity (A2) - Single or High Stage (95F) btuh ; 560DO
SEER : 14.00
EER (A2) - Single or High Stage (95F) : 11 50
t"Active" Model Status are those that an AHRI Certif cation Program Participant m 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 sell
selling or offering for sale
Ratings that are accomdanied by WAS indicate an nvoluntary re -rate. The new published rat no is shown atone 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 respons bllity for.
the producl(sl listed on this Certificate, AHRI expressly disclaims all liability tot damages of any kind arising out of the use or performance of the product(s), or the
unauthorized alteration at data listed an this Certificate. Certlf ed ratings are valid only for models and configurations listed in the
directory at www.ahridlrectory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRI. Th:s Certltcate 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; M%"Wld
entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's Individual,
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTnTUtE
The Information for the model cited on this cert.ficate can be verified at www.ahildirectory.org, click on 'Verify Certificate' link Ne make life betici-
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.: 132052531229777140