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HomeMy WebLinkAboutBUILDING PERMITALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: to 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 is PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: i I `0-f Ott-0Ir. C���` L_1J�-ti1/�; EL 4 q 52 ���� l Legal Description: o-n I-) F1 V`'�UbhJ&n-t-ents_ Property Tax ID R: Lot No. Site Plan Name: DD r a C-Cerv5 Block No. Project Name: t-\a\ C c)nf> Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with ton, SEER, its KW AC unit CONSTRUCTION INFORMATION: Aaffitional work to be erformea un er this permit- check all thiat apply: 1 VAC Gas Tank Gas Piping _ Shutters Windows/Doors 11 Electric Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ Utilities:Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name r Name: Dennis Zacek Addre s: + 14ag Company: ARS American Residential Services City: Stater, Address: 2800 US Hwy 1 Zip Code: Flax: City: Vero Beach State: FL Q Phone No. S�� S" 0?07- W? 1� Zip Code: 32960 Fax: E-Mail: Phone No. Fill in fee simple Title Holder on next page (if different E-Mail: �&4 Ct-r6 . CIp nj 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: X Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Prone: 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 commencing work or recording your Notice of Commencement. _ Signature of O er/ Lessee/Agent r Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF smude The f r oing instr nt was acknowledge before me thisga day of 2D by Dennis Zacek { e of erson acknowl dgi j f- (SignatuFe—of Notary P t e o Flori ) STATE OF FLORIDA COUNTY OF St Lucia Theo oing instrument was acknowledged before me thIC2L.2 day of ()a& 20 Jqby Dennis Zacek of person acknowl dging j of Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced I Type of Identification Produced Commission Revised 07/15/2014 COLEFEN SULLIV EXPIRES February 09.2021 No. COLEEN SULLIVAN EXPIRES February 09, 2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS C I %,02: „-p' Makin Making it work. Installation Work Order (772)567-3100 2800 US Highway 1, Vcro Beach, FL 32960 American Residential Service^ of Florida, Inc. License N CMC 124U7`a3 EC13fri7855B { i 19 n St Est. Start Dale Est. Completion Date I G 1•r Corporate Customer Relations (666) 803.01379 CMAIL CALL SLIP CUSTOM Cons `�1 rl CITY! r IP ADDRESS t� HOME PHONE CELLPHON[ 9�:�IIIRK MIME Si TYPE {I SIZE TYPE r? SIZE TYPE EFFIC CY . Z. gi EFFICIENCY " !CAS EFFICIENCY 0 L —$t 4iiCL�LC_'- $ 1� $ S _ SUBTOTAL 1 SUBTOTAL $_�ff]Gy SUBTOTAL $ MONTHLY EST' $ _ MQAt�I -E6 $ W %S 440 MONTHLY EST. $ CUSTOMER ITIALS _ _ _ CUSTOMER INITIALS ._La1�77 CUSTOMER INITIALS Warranty:" Pails .... Lab Warranty:"t�Parts _Labor Warranty:" Parts Labor Co pressor Heal Exchanger Compressbr0��eat Exchanger Compressor Heat Exchanger 'Subject to uedit approval Fnancmp Provided by Oteensky. Fxed interest rate of B.99% for 60 months. Payment example assumes one -lima $7,500 purchase on approval date (APR 7.19%) wdh I payment of $82.69, 5 payments of $43,69. and 54 amortized payments of $162 211. Payments assume Arcuuns Activation charge of $30 applies and is due w lli first required payment.Fixed interest rain of 9.99%for 84 months. Paymeni example nssumes one-time $7,500 purchase an approval data {APR 10.15%) with I payment of $10 L44 5 payments of $62.44, and 78 amortized payments of $131.1 1. Payments assume Account Activation charge of $30 applies and is due with first requrred payment. Fired interest rate of 9M% for 120 months. Payment crampla assumes one -lime $7,500 purchase on approval dale (APR 10.11%) with 1 payarent of $101.44 5 payments of $62.44 and I f4 amortized pay ants el $102,13. Payments assume Account Activalion charge of $39 applies and is due With first required paymenl.Fixed inleresl rate of 9 99% rot 144 month .Payment rxample assumes ono-fima $7,500 purchase on approval date (Al2e 10.09%) Willi 1 payment of $101,44, 5 payments of $62.44, and 13B amortized p me of $91.62. Payments assume Accai t ArAwalion chargo a $39 lip ties nd is dun wdh first roqunad paymanl. "Unless otherwise noted, all warranties are from Ilia manufacturer. ll • • jla;• SELECTED OPTION: ❑ 2 ❑3 ealhorproof ❑ Reconnect Dram Line ❑ Dehumidifier k SUBTOTAL tsconnect ❑ Calling Saver Kit ❑ Outdoor Unit Pad Ifel me Equipment Slab (Pan & Float) ❑ Flue Vent ng $ eund lEolation Pads ❑ Masn Dram Safety Switch ❑ Ductwork Connections' Liquid Teo Conduit ❑ Seal New Connections ❑ Connect to existing plenum $ © Start Kit ❑ Support Attic Equipment ❑ Duct Modifications ❑ Rofngoranl L.L. Dryer �QSupply Plenum (see Nuies lot scope of world o Tprel--�i�r $ � ❑ Refrigerant P1pe ❑ New hReconneci New dud System IF turn P enumlo Duct Work ❑ New ❑ ReconnectkeNew❑ Fuel Piping El Refrigerant Pipe Cover - econnect ❑ Expansion Valve_ ❑ Electronic Art Cleaner— ❑ Electncal Wiring 57,(00 stat -Type I)t ❑ Media Filter El Homo Service Plan - ❑ CASH ❑ CHECK#RR l+-— _ connect to Exrsdng ❑ PCO 1 Tcrm (364 days) Electrical ❑ UV Light ._ _ _ aC EDIT CA �+WOI(LAST_ 4�it�s) (1C t % j ❑ Now Plywood Deck ❑ Humidifier EXP APPROVAL - GUARANTEES �}FI A CING' Z It.,a� ❑ Comfort Guarantee ❑ Home Protection Guarantee Guarantee ❑ 100% Unconditional Money -Back Guarantee ❑ 24.Hour Service —pa ' ` 1 'd L1 i t b)e a c 7xin'lU40 e 'ARS s not ra'spr. • Bible for preexisting ductwork. See Terms and Conditions on the back of this document for details. • Written cuslcmor 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 mall. 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 acknowlod�- Ihc1 my right to cancel has been explained to me oratty and in writing, 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 It to protect your legal rights. This home improvement contract may contain a mortgage or otherwise create a lien on your property that could be foreclosed on if you do not pay. Be sure you understand all isions of the contract before you sign. STOMER SIGNhTURE ORTE com h Y Est: TATNE oAo Gt TOMER SIGNATURE DATE 0'2111 p Amnnr in ffiw ,•nliri 5-4a•x L,LC. All nahln wm-w,d, ARS r07tlF1__19e144 L.190124 6256 Certificate of Product Rating AHRI Certified Reference Number; 8215497 Date :10-24-2019 Model Status: Active AHRI Type: SP-A Series : R410A AC SPP Outdoor Unit Brand Name: BRYANT HEATING AND COOLING SYSTEMS Outdoor Unit Model Number (Condenser or Single Package) : PA4ZNA042000--1• 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, SO, 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 reglon(s) for which they meet the regional efficiency requirement The manufacturer of this BRYANT HEATING AND COOLING SYSTEMS product Is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSVAHRI 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), bluh ; 41000 SEER: 14.50 EER (A2) - Single or High Stage (95F) : 11.50 t'Active` Model Status are those that an AHRI Certification Program ParUdpant Is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being producad.`Production Stopped' Model Status are those that an AHRI Certlficatlon Program Participant Is no longer producing BUT Is still selling or oTtedng for sale. Ratings that are '.0' moanled by WAS Indleale an Involuntary re -rate. The new oublished ratino is shown atone with the orevious (i.e. WAS) ratina. 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 directory at www.uhridirectoty.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; entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's Individual, A= personal and confidential reference. AIR-CONDITIDNING, HEATING, CERTIFICATE VERIFICATION A REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahrldirectoty.org, click on -Verity Certificate` link we make lire better - and enter the AHRI Certified Reference Number and the dale 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.: 132163979942332725