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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLIC BLE INFIO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: an L Permit Number: w 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 I PROPOSED IMPROVEMENT LOCATION: Address: Legal Description: Property Tax K Site Plan Name Project Name: Setbacks Front Back: Right Side: Left Side: I DETAILED DESCRIPTION OF WORK: I Replace AC, exact change out with 3 ton, SEER, KW AC unit Kaaiuonai work to ne errormea unaer trips permit — cneck all mat apply: LFiVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ UtilitiesSewer Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name Name: Dennis Zacek Address: - Company: ARS American Residential Services City: ieffe Stater Address: 2800 US Hwy 1 Zip Code3 5 1 Fax: City: Vero Beach State: FL Phone No. 164 L ~ i i9b Zip Code: 32960 Fax: E-Mail: Phone No. Fill in fee simple Title Holder an next page (if different E-Mail: from the Owner listed above) State or County License: CMC1249753 it value or conwucnon is acauu or more, a 14MUKULU Notice ar Lammencement 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 commencinit work or recording;' your Notice of Commencement. _ Signature of O er/ Lessee/Agent Signature of Contra r/Licens`e Holder STATE OF FLORIDA COUNTY OF 51Lucia The or ping instrurpent was acknowledged efore me th' day of 20 t4by Dennis Zecek STATE OF FLORIDA COUNTY OF 51LLal The forgoing instrument was acknowledged before me thisQU day of AUQ 20 by Dennis Zacek {Name of person acknowledging } {Name of person acknowledging } 1 -r-L i '0 Q n {signature of Notary P ic- State of Florida Y I (S gnature of otaryPublic- o Personally Known x OR Produced Identification Type of Identification Produced Commission No -J (Seal) ; ' ' }�;; COLEEN SULLIVAN ry : My COMMISSION # GG071535 Revised 07/15/20 ' • „ „ EXPIRES February 09.2021 Personally Known x OR Produced Identification Type of Identification Produced Commission No. (Seal) .:k4%k.. COLEEN SULLIVAN MY COMMISSION # uOulIaz EXPIRES February 09.2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS e M SCUEOTER' Installation Work Order f772'567- 3 100 Cust R,;, t rn I`i33' 003-O8 Q .. �ZpS4Ma��i Gars►a . �yOS otxvn ffos e�cce. FL. 3LfT3! 7MA13 1)q-2 z 4DTaN - I C.`7 rr� C 1 Seer r II1 ��1{.:471V^•� L.` . jug• -Vn`i ZF IIYFF sGC) RIZE TYF^ . �tJ�l�l1�5- �+✓�_ Jt�3it�If�.L DER i:'IITIALS - II 11 Vt�IL�'L.— ,U� (lul2t0"IER INITIALS '.'. it -a..? �..., I- H-.7.r, , QF I LI S .. , rro.'' r [] r (3 U'J f-uih- UR GUARANTEES • I!J 1•t'.iT•3 Pro'r'. t : , G.I i :I d:: . S ..." '00 100 %, W,-(Jrd I - I-' -r L3. r..N v I s SC-)0\A-\2e des) `�t���. aL1 \-AQS MM= SUBTOTAL k r �' If TOTAL A�) - 6 rejo6D C, ?� 5 r t re-;PV-; b S ?:' S and C.o _ ; 3�s or,, t'• C 7 I . '-Y CLA2.1SFORCMST:IUCiiO%E)EF=-CTSARESUBJECTTOTHENOiiCEA',DCL)Rzm-R: ,.�dFL7r.17+SinTl;'�S 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. • - .. c , t� : - . ^ c�,ria'-�d tG s-;e c:�i!f and r^ r..-• ..^g. ar� .. !7.,.; .:'L 3 f t- ; ,,�• -;r_•• :i•,' c . - .r . ,j6,V • i >. I;n on tw r•3.13r,e s�de ,roc' r ,.a3 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 t c Id be lorer.losed on if you do not pay. Be sure you understand all prcyis' of the contract before yo � _1 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: 201779994 Date: 08-27-2019 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) : 24APB636A'030' Indoor Unit Model Number (Evaporator and/or Air Handler) : FV4CN(B,F)003L 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 2101240 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 : 33600 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 t'Active' Model Status are those that an AHRI Codification Program Padidpant 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 Padlc.pant Is no longer producing BUT is still selling or offering for sale Ratings that are accompanied by WAS Indicate an involuntary re -rate. The new published rating is shown alone with the previous (i.e. WAS) rating. DISCLAIMER AHRI does not endorse the pfoduct(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 directory at www,ahridlrectory.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; AM 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-CONOMONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on 'Verify Certificate' link we 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.: 13211385aB15415$02