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HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit !Number: • Building Permit Application Planning and Development Services Building and Cade 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: Addresss)7 ! Legal Description: G C C+ �'35 'l •qa Property Tax ID #:5�� —�� " �� Lot No.��C� Site Plan Name: n Block No. Project Name: i1 Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with ton, SEER, I._D KW AC unit CONSTRUCTION INFORMATION: ACIC11tional work to e e orme under this permit — check a apply: OHVAC 11 Gas Tank Gas Piping Shutters Q Windows/Doors _ OElectric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction. S Ft. of First Floor: Cost of Construction: $ Utilities:Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: Dennis Zacek Address: J3-I 11[g" �_ Company: ARS American Residential Services Address: 2800 US Hwy 1 City: - PI I�C_ State: Zip Code: JfgA!5 Fay: City: Vero Beach State: FI- Phone No. Z1 - lb - 31_ Zip Code: 32960 Fax: E-Mail: Phone No. Fill in fee simple Title Holder on next page (if different E-Mail: from the Owner listed above) State or County License: CMC1249753 if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: " 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 Count 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 1 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/Atent STATE OF FLORIDA COUNTY OF SILude The forgoing instrum nt was acknowledge before me this day of 20� by Dennis Zacek (Name of person acknowledging j (bun ( nat re of Notaryic- t e f Florida } Personally Known x OR Produced Identification Type of Identification Produced Commission No.= IDIVD30 (Seal) •. _ s Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF S1Lude The forgoing instrument was acknowledged before me this day of _D 20 by Dennis Zacek (Name of person acknowledging } (Signs o o aryPubl , ate of Florida j Personally Known x OR Produced Identification Type of Identification Produced Commission No. COLEEN SULLIVAN Revised 07/ 15/2014 i ' ME XPIIRES February 09, 2021 5 ` 9.`„ .�'�- EXPIRES February 09 2D21 J r REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS I Installation Work Order ` "'"""'""' I,c� ��► f.tn �,y.r 1.,.,,+ µ If11t1s11107111pT, ' 7. lrktt{{t;,w i' l 5 I Or. Ll f\ tif't 13*Siktl s 14 4 { 17I1 �llljt�. I/1 1fF�l IM1 P r:I, r1 w.r -4 1;1�, f i 1� i � ' �. �� � r 7 {'al it 1 1 I fs It I4f.7 c ? T+ 3 $ 4 ti0111111'At $ � t M.03Tt'1TAf $Ir.)1113 i SUSTMAL $ iti:f' Vllill 'tiT $ Ml7NTHLY I bf ' $ MONTHLY EST' $ t'llST04,11 t2 INITI.'tLS CUSMML R 1NITIMS 1 CUSTOM MR, INITIALS L4tu-,o:11 , 1 J) I-'nrI:j k- Lnnar Wriminly " � U P111111 Labor'. WVarrnnlyi' Parts labor ♦< L} Gn nPr+'k�rw I L) } in,1t t r,.hangtx Comp_.rr:hoi 1 U .Heal Ellcltnnge- Compressor Heat Eichanger ,..,r— t I- . ,r is nr.,v it titian, a+n Ruvidml by Ween%ky Ned inierrst mu+ of Cllf 1. for 6o monihn Payment n=nmpin ns$tlmre new l)rm S1,500 y rchzna on nn,,',ntsf dnir AliN 719*1 wilh 1 t,n,mvrJ A S07 611 !, par „r„14 p1 S411.6ti in,t! 54 mmndtinU paymrnas of $167 2a. payaytnln neauma Any., iInl AC'Fv-alion efinrpo of $39 eppla» rod ,a due wit I,.r nMn,ri1 PaynxnkE-nrrl ,rdrmll rnl� 01 g.V99t+hn aA mca,tfik I'aylnrnl r>tnmpla nssumea onn•l+rno $7,600rwchaso r?�F ppprnsral ilo'a f 9PR 10:1E->+ib1 will withP,tmrmi "l3101 44 b payrm-ntr:Of $67 44. nn1179 and P1 ,rnhre'rerq is al $1111 11 Payments alatsma Accuunl Acrrrehori amp ■PPtm- �s 1•,s +, .1xe.d M+Y!^""t F1,nd n,nrsl late o! A 99% 1111 120 monihot !?ayment ntiamP4 assumes tens -time $7,50o purr}mse 6n approval date {AP.14 %W14 b) with t , nym,•nt u1 Stnt 44 5l++tr r nfn n! 56144. and t 14 amod,tcd yry�wnta nl $la7,t0. patyr,enin assume Account Actrvaikm eharpo of $39 s and is duo ssum I rL v&" jA % o 1 44 b paymonln of $62 M. nd 1m"trioniz d papneniof $9 W37.. P eM's"rnFs esaumimo cooed p lva d"tton i $399 spof+° and 1s dual v.+,h IVy1 rr1Nv,+d PRY—!.. »kyy VoWrOKNI00,411 wnnsntan nrn 11nm li+t• mmuie4iisrnr, SjjEGT�6',fit?'T1C�A1t ❑ t Ct ❑ 3 • . • --- �— C71S'ir,rlh,}rrrniaf �+� IJT+.rr onnae f Drrurr Lino I 0 Dolhuni-J-1 err p SUBTOTAL $ sl plsc rangy 1 S,Ah "I+f1F7 Sim" kit fAnn 8 P10111) C) Outdaur Und Pnd ❑ Muu Vonling — - $ frUmi Eglr+i+mrr't 16Pi(dinn P jd.% Swrlch �Qpuatw0rk Connectlonsr �Q,ry im Drsnn Sahrly �,onn�rt to eM15hN plenum l — ❑Liquid Tile r<)1`41+711 Hif O1 Sual New'Connactions 0 Support Attic Equ1p'-+en1 0 Duct Modil"tiions i p Stun 0Re1fr1 irrnlLL0rp,r �upptyPlenum (aa+•NalaslorsGoPonlwodJ TOTAL $ — +,h,gt~runf.P4w. ❑ New [7rF1+Conneal System Duct 5yste p r ,rW—g�neonncc f '1 turn Plenum E) New"194pconnect fJ No Duct Work O'Fuel Piping ❑ Rclncoerunl Pipe Cava ❑ E,pansion Vac 1D Ek,•clron;c Air bleaner ❑ Elect ral W p CASH .CHECK# ❑ _ -- -EJ:Trutal -Typo 1169f Irt El media Faller Cl Home Service Plan — 1 Term (364 days) ❑ CREDIT CARD (Lp;S' 4*s) '5Conrlc• I to t:rwAing GKID Elt,ctrrtalt 0 UV Light —. :EXP APPROVA-..- E)New Plywood ■f,r:k E) Humidifaur,— —.-. , OUR GUARANTEES 1NANCWr,- ❑ Comfort Guarantee [a Home Protection Guarantee ❑ 2A•Haur Service Guarantee E) 100r,b Unconditi ni Monnrgaek Guarantee -A % .s -Irl'k. 41.6 L 1ARS-is n0responsll - Improexisting ductwork, See'Nrms and Conditions -on the.txti* dlhis document for details: • Wnflen customerautN"lion will lie oblatned.beiore kSaginn ig•any unfolesa6n addllional;w extended work •ANY CLAIMISFOR•CONSTRUCUONDEFEWSARE SUBJEdTTDTHffiNornCEAND allRE)PROVISIONSOFOFIAFAR55R FLORIDASTATUTES, • BUYER'S RIGHT To I;,ANGEL•: This Is a home solfcitatlon sale, and; If you do-not•want'the gcmmda orzetvitm you may cancel thts agtaa- meat by providing: written n1i onto ttte seller In pllrrsoni-by telogram,;01b.9.maill Thimnoticl►Imust lRdicate that youAb not'wanti#!t� goads or services and must be delivered or posimad*-before miditlilht,of the-lbibbusinesi•day after -you. sign this agreement.:lii,you-canedl. this agreament, the Wier may not limp all.or,patS of any-oasb dtnyn payment; Seethe tweiza side hsteof for an "plali rltlon of twls-right. • I azknowf-dgedhal my nght to cancel has been oxglained+lo me Orally andlin wtfling,-and,withp,,t-waiving iylyr,ght.to canee4, l autholRe the performance of the work zubj.�Wa atliferms mW conditione art forth on five ruverso efde,horad.plua'any taxes upon,eompleton, Notice To Otilfner- Do not!slffn this. home. lmpraement contreltt ln.lilali}i, �'ou:ate en#jtlad to a copy of the colttract'at #Tu time.you sign. Keep itto prated.your,legal do4ts. This home Im.protremedicantradrnay contain a.inortga a orotiherwisa cmikte alllen,ati,yotlr,property 'that aaaidf be foreclra 0-if Volt do ndt payr Be sureyowundeerrstandlall ctibef youlaign. MEDATE WATNE]R��— — 665MMER SIr3NATIrRE DATE DATE 02t11gAmeriomRaaldunlWsorAcart-LC,diNhtareaorvod. 'AR811YJI'l,`%_1DOI2,' -_i0 tail e�G6 Certificate of Product Ratings AHRI Certified Reference Number: 9171219 Date : 10-17-2019 Model Status : Active AHRI Type: RCU-A-CB Series: COMFORT 16 AC Outdoor Unit Brand Name : CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 24ABC64aA'031' Indoor Unit Model Number (Evaporator and/or Air Handier): FV4CN(B,F)005L 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, 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 : 455M SEER: 16,00 EER (A2) - Single or High Stage (95F) :13.00 t'Active" Model Status are those that an AHRI Certification Program Perticipant Is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced'Productlon 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 accomm anled by. WAS Indicate an Involuntary re-rals. The new published rating Is shown alono with the Drevbus It.e. WAS) ratlno. DISCLAIMER AHRI does not endorse the products) 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. Certlfled ratings are vaild only for models and configurations listed In the directory at www.ahrldlrectory.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 CoMfcate may not, In whole or In part, be reproduced; copied; dlssemineted; 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 confidentlal reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION A REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahvidirectory.org, click an 'Verity Certificate' link i�v make lire 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 Fight. ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132157874917003513