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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