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HomeMy WebLinkAboutBUILDING PERMITALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: (� ~ I 0 -0-) 0 Permit Number: - J1 = IL 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 PROPOSED IMPROVEMENT LOCATION: Address: V? Legal Description: _Epcx']-5y, Lti'(en Property Tax ID 4: Lot No. Site Plan Name: �ICA rX Block No. Project Name: fd Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with 'on, SEER, 1 0 KW AC unit CONSTRUCTION INFORMATION: Additional work to be nertormed under this permit - check VAC Gas Tank ❑Gas Piping a apply: _ Shutters Q Windows/Doors Electric 0 Plumbing Sprinklers U Generator Roof Roof pitch Total Sq. Ft of Construction, vq—qCost of Construction: $ 4_ Utilities. S Ft. of First Floor: �_�: Sewer Septic Building Height: OWNERAESSEE: CONTRACTOR: Name I Name: Dennis Zacek Company: ARS American Residential Services Address: 7$so City: _ State:'f,I Address: 2800 US Hwy 1 Zip Code: I Fax: City: Vero Beach State: FL Phone No. _� . �� Zip Code: 32960 Fax: E-Mail: Phone No. -I `ro",�- -7 C1 L- --00-7 Fill in fee simple Title Holder on next page ( if different E-Maie._,sui i ivan ids 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: 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 commencing work or recording vour Notice of Commencement. _s _ Signature of 0 er/ Lessee/Agent Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF 51Lude STATE OF FLORIDA COUNTY OF 51Lude The f ing instr t was acknowledg d before me The oing instrum nt was acknowledge before me this ay of 2by this � day of 20 ) by Dennis Zacek Dennis Zacek of person ackn i ( p rson ackno le ing ) e of Nat Pu ic- State of Fla da) otary orida Personally Known x OR Produced Identification Type of Identification Produced Commission N A55S (Seal) Personally Known X OR Produced Identification Type of Identification Produced Commission No, W 1 J (Seal) <� • e SULLIVAN :: *'•'•�.., GOLEEN SULLIVAN t ly G0":1%4ISS!13N'#GGQ71535 64 MY CdPAMI T Revised 07/ 15/2014 EXPIRES sebrlsaly 09.2021 '!';,qC EXPIRES February (}9, 2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS -fro' IJV Makln9 It work. Moking it right CUSTOMER ADORES' �lr� 440MEPHONE}E •• e SIZE TYPE irr EFFICINCY' Installation Work Order (772)567-3100 2800 US Highway 1, Vero Beach, FL 32960 h•eeiirrin Residenlial Services of Florida. Inc License A CMC 1249751 EC13008558 SIZE 3 TYF EFFICIENCY �1 �f�i rx_C1!' $ SUBTOTAL _ SU13TOTW $J MONTHLY EST.* _ MONTHLY EST.* $_ Est, Start Data �/lo Est. Complelion Dale Corporate Customer Relations (866) 803-0879 ,f CALLSJP _ --- r WORK PHDNE�� OPTION SIZE TYPE EFFICIENCY — .� $ 44 In SUBTOTAL $ MONTHLY EST.* $ CUSTOMS ITIALS CUSTOMER INITIALS _ CUSTOMER INITIALS Warrant Parts OM t abor Warranty:" W Parts Labor' Warranty:' Parts Labor ompressor 10W-ai Excha or F0 Welcompressol/19—weal Exchanger I Compressor Heat Exchanger 'Subject to credit approval. Financing Provided btY5 reensky. Fred interest rate of 6 99% for 60 months. Payment example assumes one -lima $7,500 purchase an approval date (APR 719%) with I payment of $82.69. 5 payments of $43.69. ariamortized payments of $162 28 Payments assume Account Activation charge of $39 applies and is due with first required Imyment.Rxed interest rate of 9.99% for 84 months. Payment example assumes one -lime $7,500 purchase on approval date (APR 10.15%) with 1 payment of $101 44,5 payments of $62.44, and 78 amortized payments of $131 11. Payments assume Account Activation charge of $39 applies and is due with first required payment. Fixed interest rate of 9.994h for 120 months. Payment example assumes onetime $7,500 purchase on approval date (APR 1 o.t 1 %► with t payment of $101.44. 5 payments of $62 44. and 114 amortized payments of $102 13. Payments assume Account Activation charge of $39 applies and is due with first required payment.Fixed interest rule of 9.994L for 144 months. Payment example assumes one-time $7,500 purchase on approval dale (APR 10.09%) with t payment of $101,44. 5 payments ul $62.44, and 138 amortized payments of $91.62. Payments assume Account Activation ChWOO of $39 applies and is due with first required payment —Unless otherwise noted, all warranties are from The manufacturer. ❑ Weatherproof ❑ Reconnect Drain Line Disconnect ❑ Ceil'ng Saver Kit tfol me Equipment Slab ;Pan 8 Float) Sound Isolation Pads ❑ Main Drain Safety Swrlch ❑ Liquid Tile Conduit ❑ Seal New Connections ❑ Start Kit Attic Equipment ❑ Refrigerant L.L. Dryer_ Supply Plenum WSupport ❑ Refrigerant Pipe © New ❑ Reconnect New Reconnect �.1 Relurn PI num ❑ Refrigerant Pipe Cover ❑ New Reconnect ❑ Expansion Valve fET-sial—TypaWi�_ ❑ �ectromc Air Cleaner ❑ Media Filter ❑ Connect to Existing ❑ PCO Electrical ❑ UV Light ❑ Now Plywood Deck ❑ Humidifier ❑ Dehumiddiar I ❑ Outdoor Unit Pad ❑ Flue Vent -rig ❑ Ductwork Connections' ❑ Connect to existing plenum ❑ Duct Modifications (son Notes for scope of work) ❑ New Duct System ❑ No Duct Work ❑ Fuel Piping ❑ Electrical Wiring ❑ Home Service Plan — 1 Term (364 days) ❑ Comfort Guarantee ❑ Home Protection Guarantee ❑ 24-Hour Service Guarantee ❑ 100% Unconditional Money. Back Guarantee SELECTED OPTION: ❑ 1�2 ❑ 3 �� SUBTOTAL $699 TOTAL $ vt q 9 ❑CASH ❑CHECK#._ ❑ 1: REDI T CARD ; LAST 4 #s) EXP _. _ _ APPROVAL ❑ FINANCING' ARS is not responsible for preexisting ductwork See Terms and Conditions on the back of this document for details. • Written customer authorization will be obtained before beginning any unforeseen additional or extarided 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 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 agreemenL 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 - I a:;snowledge that my right to cancel has been explained to me orally and in writing, and without waiving my -ghl to cancel, I authorize the performance of the wurk subject to all terms and conditions set forth on the reverse side hetoof, plus any taxes upon coirpWion, 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 Iorecios d on if you do not pay. Be sure you understand all p Islons of the contract before you sign. CU 'TO ER s1GNATustr BATE COM I'rRESENTATNE .�- f% 70 CUSTOMER SIGNATURE DATE DATE 02oraAmmicanResidn"talSmvicesLLC.ANrighlamser"d. ARStlrie_FL-190124 L190124 g2�(i Certificate of Product Ratings AHRI Certified Reference Number: 7490506 Date : 02-19-2020 Model Status: Active AHRI Type: SP-A Series: R41 OA AC SPP Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 50ZPC042--30" 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, 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 product Is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 2101240 with Addendum 1, 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), SEER: 14.50 EER (A2) - Single or High Stage (95F) -'Active' Model Status are those that an AHRI Certification Program Participant 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 Particpanl is no longer producing BUT Is still selling or offering for sale. Retinas that are accompanied by WAS Indicate an involuntary re -rate. The now published rating is shown alum with the previous (i.e. WAS? retina. 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.ahridirectury.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, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION A REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.abridirectory.org, click on 'Verify Cartiflcate" link we make I it teener" 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 02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 'De"'ga°r�g�