HomeMy WebLinkAboutBuilding Permit ApplicaitonACC ArPCIMCE INFO0b i nE COMPLETED FOR APP[ICR 111319 i O BE ACCEP i ED
(late: LC � Permit Number:
ti 1
Building Permit Hpplicatioi,
Pionning ona Development cervices
auirlting onu Cone Freguiotion Division
zjt7v- virginia Avenue, rort Pierce Fi j;7 --az
PRone: (/ /Z) zF3A-i3D3 Fax: t/ /L) N6L-17/S COmmef cidl ReSiaenddl
PERMI I APPLICATION FUR: T -V Sulluct rrum dr-vpbOA, click arlun at the and of line
PROPOSED ImPROVEIMEM i Luw i 1—UM:
A00ress: 2 `I
Ler,al Description: FjOseI js S / I 'S Ua? 771,/ `) �y[ Q� — �LR
Property Tax ID ff
bit. Plori Iva tee:
PrwiUCT IQome: I
]et6-.CR;;
Yrvnt BacR: Ribht Side: Left Side:
Replace AC, exact change out with 5 ton, 1(0 SEER, 10 KW Au unit GL n CY
j 1Lo
C:UMTRuCTIUM INFORMATION:
A of work tv rtorrned under this permit —check all apply: --
RVAC G53 i 5nk E]Gas Piping nGenera,or
Shutters Windows/Doors
EIe.tr:. Plarri ing Sprinklers Roof Roof pitcn
10151 b.,. rt OT Lom,rraetion: !! ll S Ft. of First Floor -
Cost Cost of Construction: 5 r V tilides:zewer 113eplic 6uilping Fleigk:
UWIQtK71EbbEE:
CONTRACTOR:
Dame
Name: Dennis zaceR
Address:
Company: r,R3 r%merican Resitlential services
City: -,gate:
Heuress: z$00 Os R-, 7
,Lip Cade: Fax:
C;tl; vera beach State: FL
rnone ICo �� s
Zip Code: 32950 Fax:
E-M.il:
Phone No.
Fill in fee simple Title Halder on nett page if differem
E -Mail:
from the Owner listeii aBovei
Mott= or County License: CMC1249753
it value oy construction is acsuu or :are, -. KECUHt7ED Notice nt Comm-nceme.d is required.
SUPPLEMENTAL CONSTRUCTIUM EDEN LAvv INFOURMA I 1—UM:
DEbiISMER/EM 01MEER: X Mot Hpplicaoie
Nam,a:
Nddress:
City: Mate:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Nut Applic.-bh
Name:
Addrezi,:
City:
Zip: Phone:
MIOR I t5mrac LO+viPHla T: = Mot wppdcame
Dame:
mddress•
City: Mate
yip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone:
I ceftiry tRat no worn or installation Ras commenceB prior to tRe issuance or a permit.
st. Inc.. Count m.Rcs nn rcprc. v;.t-tion tnat I. sro sting o re;, -it will aatFior;ze tnepermit holder to build the subject struc.ure
wRicR is in conflict witR any applicaBle Rome Owners Association rules, Bylaws or and covenants Mar may restrict or preRiBlt _u.R
structure. Please consult w4h your Home Owners Rssociation and review your deed for any restrictions which may apply.
In consideration of the gront:ng of this requested permit, I do he,eby agree that I will, in all respects, perform the work
In accordance with the approved plans, the Florida Building Codes and 3t. Eucie Loumy >;menements.
I ne roliowing BuilBing permit applications are exempt rrom untlergoing a lull concurrency review: room aBaitions,
accessory structures, swimming pools, fences, walls, sisns, screen rooms and accessomyy 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 or Commencement must Be recorded and Hosted on the;obsite
before the first inspeCrion. If you intend LO obtain financing. Consult with ICnder or an attorney before
commencin,, work or recording; your Notice of CurlimenLGTGnt.
_ 5ianature of O er/ Lessee/urgent ._.T
STATE OF FLORIDA
COUR I T Or stt.W.
1 Re ing insEr enr was acitno lezIl erer, nuc
this day of A CLby
D. mis Z:=.k
acRne-1 B62rIg
or Kota, y VWiic- State of Floriba )
Qs
signature or Contra r/Clcens2 R.laer
STATE OF FLORIDA
CtaOM IT CIF Gnome
The tvoin5 inert as acknoW ledTreome
OISE may ofz� By
oewmle z__.k
I amu T p n acKno-ln1k
( n v via: g P a o I I cWU o Florida )
Personally Known X OR Produced IdendficatlonI Personally Known x OR Produced Identification
I Fvc yr lacRtirlc5lion PrW00cCa type or laentirlcation ProBucea
Commi.eion Ao V (seal) Comrni��ivn tqe7I-EEM�l1CLIVAN
:i L.�LF' t'I Mr L+�+I41AlISSIORrf(3Gv,1a3'
' �"= iUi; �o�, ti•r,osl�r� � Ouarasa5 � EXPIRES February .
rcevised 0 11:)/ iQ 14 ; n EXPIRrs
FeSraa,—r, vs. ,cOz7
RI!vIEvvj
FRvni
'LONI 0
ZOPERvIZR
rERlas
vEGEIA110111
:)EA IORICE
R+AMOROvE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
uHIE
COMPLETE
IIVI I IAES
This combination qualifies for a Federal Energy Efficiency tax Credit when
places in service between Feb I r,z'u'ua anti Dec 3 I, A 10.
Certificate of Product Ratin
xRRi %_.erwlen Reference Number: 201763981 Date: 09-05-2019 Modal Stales : Active
ARRi 1 ype : RCU-A-CB
aelles : PERFORMANCE 16 AC
ZutUoor Unit grand Name: CARRIER
"utbor Unit Model Number (Condenser or Single Package): 24APS624A'030'
In-uoor Unit Model Number (Evaporator andlor Air Handler) : FV4CNF002L
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, IAD, ME, MI, MN, MO, IDIS,
MT, MU, 111113, Mc, RFl, Nu, MM, Ivv, MT. VPI. VR, %R. FIA, RI, aU, aV, I M, In, U 1. VA, VT, WA, TV V, WI, WY, U.S.
T.RItmMv=)
Revlon ,Note: Central air conditioners manufactured prior to January 1, 2015 are .hvIbIa to ba insmllad In all regi.,ns
until June 30, 2016. Beginning July 1, 2016 central air conCiuoners can only M Installed In reyion�s j for
:nlen iiia], steel re'=immant.
The manufacturer or tills %ratRWR pMQuut is respansiMe for ule raung of u its system comslnauon.
Roth .= ivIRM in accoMence with the latest ediuon of ANSIh FIRI 21724-0 wltn REEen'oa i ant! z, Fefformance RBung or Un0ry
Air-CondlOonl..e & Alr-5aarea lyvat PMmp E 4aipmvnt;.R uabj.Ut to Leung aaeele-, by ARRI-:pen:oFR, il2lopentm-L trim party IeatlNa:
Covllna C.pGoilT (Az) - SINile oP Flign Stag. (95F), 6t -R : 23400
5EtK : 16.00
EER (Az) - sirt ,lo or RIeR stag. (95F) : 13.00
Modal S.� ..aa .re tho9. ;h.:.n AHRI Cenlfleetkort Program Partidp..nt iz currently pmdachlg AND a.11 ng .r offering ( r sale, OR ..-.am odele thal ole be. ng
m..rk=t_d bot mm Not ; ■t below prod=■■d.'Pwducti■o Stopped' M=dal Stalu_ a;-- thocu that arr AHRI Csrtificati■Ir Psawrefe P_Weiparlt Is no long■; pledechrw BUT Is still
selling or offering for sale.
Rntl,ws That are accom.onled ur 7-3 InulEate on inv.luma.r nrrala. —anew wtiffilsRe. rainq m:norm alvn. wiln Me.rev,.us.i... 7n3, rsln...
DISCLAIMER
..FMI a.es n.: unoorso CRa p�vouri;..j Jsi.a an IRI11 caru'r—to an. mam na ropraaani.d .ns, w.rr.n.l.s or go.mnteaa as to, .no asaom.s no respan.isllhy for,
Ihu prada■t(o) li:t■d an thio Cvrtillval.. AHRI ■�pr.v.l; di=l=ink- =II li_bllll; (a. d.or_ge= of =-, kl..d _ri=ing ■ot of th■ ■-a .r p.:f.rro_no. of th■ plada.It=j, a - the
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the
alro.r.rywww._hrldir..,..ry.org.
TERMS Ane otianI lvll5
Thio Cortifla..le a..d its avnt...ts =.m pmpdet_r} prodo.ts of AHRI. Thi_ Cortifivato :hall .nl; be a_ad f=r kndladaal, p..-n.l .Rd
confidential reference purposes. The contents of this Certificate may not, In whole or In part, be reproduced; copied; disseminated;"
..-,lar.. inm . cUmpo:ar o.twa.z.; or.trr.rwisv atill.ed, in .ey f.rm or -.snot ar by.ny mons, o -,..p: for the as.r s Individaal,
_nd wonfidanti_I rafaraw=v. AIR-Cr1NDITIoNING, HEATING,
CERTIFICATE VERIFICATION aNllrnla;—_ ;aR 1R�.....l!
The Wwrmatlon for the mod_I cited on this certificate can be verified at www.ahrldirectery._ rg, click on'Verlry C-WfLate' fink
an. aniar ill..,nRl cam -.aa Rerer.n..a Romewr ano at. a.t. vn afil.11 4Ra ecmTw.tu r..s Isseea,
hlah I: Il:tad atto.o, .Nd thv Cortina -to No., —hlvh I_ li:ted .t battvni right.
pZ07yAlmonal>aoning, Fleadng, ana Rerrlgeratlon Instltute CERTIFICATE NO.: 132121881t$93995gS
This combinationualifies for a Federal Energy Efficiency tax Credit when
in service between Fel5 0to ana Dec;3
■ place0 I r,4 I, cu 10.
CERTIFIED
Certificate of Product Ratings
AHRI Certified Reference Number; 201778778 Dot.: OM5-2019 Wael Statou : Aeti.o
AHRI Type. RCU-A-CB
Series: PERFORMANCE 16 AC
Outdoor Unit Brona Noma : CARRIER
Outdoor Unit M. d.l Number (Condonser or singl. Poafc.yo) : 24APB660A'030'
Ind.,or UAt Modal No ... 6er (E.apa, ester ara7or Air Ramd1w) : FV4CNB006C
Regio,, � : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, Rl, ID, IL, IA, IN, KS, KY. CA, MA, MD, ME, Mi, ISN, ILIO, 1915,
M., R%, A19, AC, RR, 113. Rrrr, ,`r V. R T, C.R. %—JR. UIT, Fri, Rl, SC, SD, TN, TX, UT, VA, VT, WA, WV. Wl, WY, U.S.
i emtones)
Radion Noia : Control prlor to J.ne.,y 1, 2015 aro oliyi6lo to bo imatalloa In all reai.na
until June 30, 2016. Beginning July 1, 2016 central air condiu'aners can only Be Installsu to region-ts) .or
-RIcR IRey meet the regional en.clency requirement.
The manufacturer of this CARRIER product Is responsible for the ratirro of this system combination.
Rater as rolMs In accoMance wiut ine latest e'uluun of mNSlhmRI z U7Z.-t0 wnR >;u'�ienua , ante 2, r=eRbrmance Raung o, unitary
AlrCona:Ooning t£Pur-source Real Pump Equipment alM su6Ject to raOng accuracy Ey AHRI-sponsoMD, Intlepentlenl, uilM party tesung:
C12111ing Capacity (Az) - 5ingle or Righ Stage (95F), btuR : 57000
SEER: io.W
EER (res)- 51ngla or nigR stage (95F) : i3.UU
t"Actf: a Model Staten are those that ..n AHRI certification Program P-Mdpard i= eenently producing AND _ailing or offering for =le; oR ;ie : model- th.l a.. being
marketed but are not yet being produced'Productlon Stoppeo' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
s.l6rtg or.,...nng ;.,, s.Ia.
Raflna.:Ra:... ecwmpanio. 8y --- Ineioaro a., Intalo .r.N rugate. Tllu n... oablished rating la shtwn alone ;;Ilh :he previous (l... WAS) raring.
DISCLAIMER
AHRI deal .-.e: end.ree lh. predow(z) listed an :his Certlflo-te -ad nrkee .-.e rapreverit_tien..,-a.r-ntlw ar gs..anteee ria In, and ...-antes me .—penm-lbillly ter,
the producgsi listed on this Certl0cate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the productfsi, or the
on.attlortz...liamilon or..w Ilion on .nds e.rth.eaev. ecrtlieau razing$ .r. 9.11. only For moa.ls ana con.-.garot6nim 113,,.o;n :n.
dlrocter}..tTrMT .hrldI: .ta_.a.-p..
- AND CONDITIONS
Thl_ C_rtlfle_t_ rind Its eent■nts are proprietary prod■cts of AHRI. This Certificate shalt only be used for indi-ldual, personal and
confidanllal rare.en.e purpvsys. -...omens or. elks e.rprc.se may n..e, In wll..l. or in paz, IfR roprwo—a; copi.a; aissemin.cea;
confidential
entered Into . earr poter datab-=; .r .th.mlzu etill_ed, In any farm er rn.nmo: er b,- amt rne.n7, swept lar the eoer'= lmdi;Ideal,
personal and confidential reference. ..ham ailanto„Ino, ne�..o,
CERTIFICATE VERIFICATION & REFRIOERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verity Certificate' link wt make lite beller-
an. ants :Ito .,R„ I Cerdfled R.f.r.ne. Numb., -nd :h. d -ea on =hleh :ho cartMo :u w -z isse.d,
-hi■h I_ listed _b=r:_, _nd the C■rtlflc.t■ N■., whl_h 1= IL=ted at b_It-ret right.
132121888352534691
urzU I'HIt;i:;on0ldoning, Reat,ng, an'a Retrlgeradon Institute CER l IFICATE NO.: