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HomeMy WebLinkAboutBuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 0 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 Address: . - lylt'i►i'1TiTr=ate •.L�►5:��!� ����f►IIhJ:3:�Z Property Tax IDd;onl . -�1-tlfm.5� Lot No. 11 Site Plan Nam— Block No. Project NameQ��_ Setbacks Front O Back. Right Side- Left Side: DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with ton, SEER, to KW AC unit CONSTRUCTION INFORMATION: Additional work to be ertormed under this permit — check all apply: 0HVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors Electric Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Sci. Ft. of First Floor. Cost of Construction: $ VJ Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: Dennis Zacek � Address: q�3j, h C tKra Company: ARS American Residential Services City: Stater, Address: 2800 US Hwy 1 Zip Code: Fax: City: Vero Beach State: FL Phone No. Zip Code: 32960 Fax: E-Mail: Phone No. ��a'��� -'� a®3 Fill in fee simple Title Holder on next page ( if different E-Mail: :COr(N from the Owner listed above) State or County License: CMC1249753 If value of construction is 52500 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 permit, 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 commenciniz work or recordine vour Notice of Commencement. _ Signature of 0 er/ Lessee/Agent Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF St Lucia The Ding instrument was acknowledge efore me thi day of 20 by Dennis Zacek Personally Known x OR Produced Identification Type of Identification Produced Commission No E (Seal) STATE OF FLORIDA COUNTY OF StLuem The forgoing instrument was ` C acknowledged fore me this day of +� 20 by Dennis Zaco u re Florida I Personally Known X OR Produced Identification Type of Identification Produced Commission No. LIM KCR6 (Seal) iw MY COMMISSION # MY COMMISSION # GG071535 Revised 07/15/20EXPIRES February 09, 202ti EXPIRES February 09, 2021 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW MANGROVE REVIEW VEGETATION REVIEW SEA TURTLE REVIEW DATE COMPLETE INITIALS l�� ! 1 ZO.•• Makin MAkingit work. Installation Work Order (772)567-3100 2800 US Highway 1, Vero Beach, FL 32960 American Residential Services of Florida, Inc License 1r CMC1249753 EC13008558 Est. Start Date WI S Est. Completion Date Corporate Customer Relations (866) 003.0879 CUSTOMER n,1�t fkm `���-i2 rl EMAIL CALL SUP ADDRESS CITY7STATEIZIP HOMEPHONEr}-yrr)_ It Lj 314 CELL PHONE WORKPHONE-]� SIZE TYP8CEM ._ __ SIZE TYPE _ SIZE TYPE EFFICIENCY C-09 _ EFFICIENCY __. EFFICIENCY $ Ml $ $ SUBTOTAL $ �d SUBTOTAL $ SUBTOTAL $ MONTHLY EST.' $ MONTHLY EST.* $ _ _-_ --_ MONTHLY EST.' $ CUSTOMER INITIALS CUSTOMER INITIALS CUSTOMER INITIALS Warranty;"4CL Parts 15— Labor Warranty:" Parts Labor Warranty:" Parts Labor Compressor -1-()—Heat Exchanger Compressor -_Heat Exchanger Compressor Heat Exchanger 'Subject to credit approval. Financing Provided by Greensky, Fixed interest rate of 6 99% for 61) months. Payment example assumes one-time $7,500 purchase on approval data (APR 7.19%) with 1 payment of $02.69, 6 payments of $43.69, and 54 amortized payments of $162.28 Payments assume Account Activation charge of $39 applies and is duo with firal required payment.Fixed interest rate of 9.99%for 84 monihs, Payment example assumes onetime $7,500 purchase on approval date (APR 10,15%) with 1 payment of $101.44, 5 payments of $52.44, and 78 amortized payments of $131.11 Payments assume Account Activation charge of $30 applies and is due with fvsi required payment. Fixed inieresl rate of 9.9894 for 120 months. Payment example apr.umes ono -lime $7,500 purchase on approval date (APR 1 o.1 1 %) with 1 payment of $101.44, 5 payments of $62.44, and 114 amortized payments of $102 13. Payments assume Account Activation charge of $30 applies and is due with first required payment -Fixed interest rate of 9.90% for 144 months. Payment example assumes one-time $7.500 purchase on approval date (APR lo.ogrib) wlih 1 payment of $101,44, 5 payments of $62,44, and 138 amortized payments of $91.62 Payments assume Account Activation charge of $39 applies and is due with first required payment. "Unless otherwise noted, all warranties are from the manufacturer. SPECIFICS OF • • SELECTED OPTION: ❑ t ❑ 2 ❑ 3 ❑ Weatherproof ❑ Reconnect Drain Line ❑ Dehumid fie SUBTOTAL $� Disconnect ❑ Ceiling f%vRr Kit ❑ 0vidnor I J-lit Pad ❑ Lifetime Equipment Slab (Pan & Float) ❑ Flue Venting $ ❑ Sound Isolation Pads ❑ Main Drain Safety Switch ❑ Ductwork Connections' ❑ Liquid Tile Conduit ❑ Seal New Connections ❑ Connect to existing plenum $ ❑ Start Kit ❑ Support Attic Equipment ❑ Duct Modifications d ❑ Refrigerant L.L. Dryer. _. 13§upply Plenum (see Notes for stops of wok) LI12drigerant Pipe ❑ New Duct TOTAL $ �� CI Now�econnect System ❑ New "Reconnect %'R%urrl Plenum ❑ No Duct Work ❑ Refrigerant Pipe Cover ❑ New"Neconnect ❑ Fuel Piping ❑ Expansion Valvq , ❑ Electronic Air Cleaner _ ❑ Electrical Wiring ❑ CASH ❑ CHECK# A•stal -Type W51 ❑ Media Falter r .-_ -_ _ _ ❑ Home Service Plan - ❑ Connect to Existing ❑ PCO 1 Term (364 days) ❑ CREDIT CARD (LAST 4#s) Electncal ❑ UV Light ❑ New Rywood Deck ❑ Humidifier EXP _ APPROVALOUR GUARANTEES ❑FINANCING' bt:^-�: mfort Guarantee me Protect -on Guarantee [Z4-HOUTService Guarantee '�00% Unconditional Money -Back Guarantee * I1rt r Nv� 4 3` lr_0 51-I'l t•10 NOTES '�O vnllnw�- Cali 1t�1,t..l� �� th9��11 �v�Gr3�>1�iY 1ARS is not responsible for preexisting ductwork See Terms and Conditions on the back of this document for details. • Witten 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 solicitatlon 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 paymenL See the reverse side hereof for an explanation of this right • 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 condition set forth on the reverse side hereof, plus any taxes upon completion. Notice To Owner - Do not sign t me improvement contract in blank. You are entitled to copy of the contract at the time you sign. Keep It to protVedo Uri his. This home improvement contract may contai ort g or otherwise create a lien on your property thatcouldbeiou do not pay. Be sure you understand all provi on of 1 e t�ra�ct before you sign. Oil0 CUS46 M R SIG A RE DATE COMPANY REPRESENTATIVE t'r z r l CU MER SIG ATURE DATE DATE O 2 19 Amencan Rasdeniial Servicns LLC. All rights rast ed. AR51078 FL-190124 L 190124 B296 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: 201772425 Date : 06-24-2019 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) : FV4CNB006L Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, 1D. IL, IA. IN, KS, KY, !A, 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, VVV wt, 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.productislresponsible for the rating of this system combination. Rated awfollows in accordance withithe latest edition of ANSVAHRI 210/240 with Addenda 1 and 2; Performance Rating of Unitary Air -Conditioning & Airy-Source'HeatPump Equipment and subject'to ralfrig accuracy by AHRI-SpoPsared, independent. third party testing: Cooling Capacity (AZ) = Sing[ e or High Stage (95F), btuh : 40500 SEER : 17.00 EER (A2) - Single or High Stage (95F) : 1100 - 'Active* Model Status are those that an AHRI Certification Program Participant is currently producing AND sell ng 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 indicate an involuntary re -rate The now published rat-ng Is shown along 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 product(s) 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 dhcctory at www,ahrldiroctory.:r*, TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Indlvidual, personal and confidential referenve purposes. The contents of this Certificate may not. In whole or in part, be reproduced; copied; dlssominated; entered Into a computer database: or othorw_se utilized. In any form or manner or by any means, except for the user's Individual, AM personal and confidential referenrc. AIR-CONDITIONING, HEATING. CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahrldlrectary,vrt; click on -Verifk Certificate" link my malt lite betrrr- and enter the AHRI Certlf ed Relerenc� Number and the date on which the certificate was issued. which Is listed above. and the Certificate No,. which Is listed at bottom right. rT - "" 02019Air-Conditioning, Heating, and Refrigeration Institute . CERTIFICATE NO.: t3205a697116]99984