HomeMy WebLinkAboutBuilding Permit ApplicationHEE ftPPsICi,BEE IIQFu I�IOa+ BE CUMIFEETED FUR APPEICA i IUM i v BE HCUP I EO
13�.ty: Permit Number:
Building Permit Application
rlanning and aevelopment Services
auilding and Code rte--yuration aivision
zaUv- v iryinia Rvenue, fort Pierce rr 3wyaz
Phone: (772):;62-.L553 Fax: (r rz) wDz-.Lara Commercial
Rebiaenl.ial —)�—)
PERMIT APPLIUATIuN FuR: To Select frorm drvpbv,t, click arruvv at the end of linin
PROPOSED IMPROVEMENT LOCATION:
Address: �- h AlhaiiCia LA - r P3L,,
Ccgal De.eript;on: _
Pr.perf, 1-7 0 fi:
,)ite Plan Ida.,,c:
JI
Project Dame: �-J
.�ett;acRs Front sarR:
Ri6Fit Side: Left Side:
G DETAILED DEx:RIPTION OF WORK:
Replace AC, exact Change out witl`l-:ton, SEER, , _ KW AC omit
[;01\15TRUC:TION INFORMATION:
A-ddi-W--n-aF7—.o-rkctyvrrmcd arider this permit - c
1H VAC LJ Gazi Ianx UGas Piping
11 Electric ❑ P10,,,15i„6 ❑Sp,;rvRlers
Total J,q. Ft oT Constrocrium:
Cost of Construction: 5
1
(-JWNFR/I FssFi=-
anapply:
M_ Shutters
IGenerator
SFt. of First Floor: _
itilidest Sewer 11 aeptic
ONTRACTOR:
tot Ido.
_ — Block Ido.
J
QW indows/Doors
0 Roof Roos pitch
6ailain� Fl�igRt:
Name: Dennis zacest
s Ada res : ba Company: mR5 Hmerican Resiaential serri.u-
City: t" -J2 State: HOvress: 2800 Gs Fl ---y 1
Lip Code: 41 Fax: Cit,: Vero Beach State: F!
f Pnone No. �~ Zip Code: 3296v Fax:
t-IGlail:_ I Phone Mo. -1 703k- I V�
Fill in fee simple Tile Holder on next page (if different E-Mlai�U I lUl� u��
from the owner listea avove) I State or County License: CMC1249753
Ir value or construction is j"Ul) er mwpr , a KECORDED Notica of Co-meecement is required.
5UPPELM'. E. IAEiuIQSi_RuC:T1t N EiEM IAw MMFUKAMATIGAI:
DESIGNER/ ENGINEER: x MOt Ap
Name:
Alaaress:
City: Mate:
JP: Phone:
FEE SIMPLE TITLE HOLDER: x_ Not Applicable
Name:
Addre55:
City:
Zip: Phone:
MORIGAGE CUMPNI9r: = Igot ApplicaGle
19ame:
A00ress:
City: Maze:
tip: Phone:
BONDING COMPANY:
Name: _
Address:
City:_
Zip: ---.
I Certify tRat no -orx ar installation Ras commencet) prior to tRe issuance or a permit.
Phone:
x Not Applicable
St. Lucie Count]( makes no representation that is granting a pe,mit will authorize the -permit holder to build the subject structure
..R;cn i� in Canfllct �itn ..n, applicaRle Rome 0 -hers Association rules, o,la-s or and covenants tRat ma, restrict or proniRit -.-z;eR
structure. Please consult wick your Rome 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 accortlance witR trie approves plans, tRe FloriLfa auilQing Colles anti at. Eucle County Amenlaments.
I R_ Tulle :;ng Rwilalns perrrlit applications are enempt from enaergoing a full concerrenc, re -ie-: room a0aitions,
accessory structures, swimming pools, fences, walls, signs, screen room; and accessory uses to another non-residential use
WARNING TO OWNER: Tour failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Nuticz of Cvmm:-ncGment mutt be recorded and potted on the'obsite
4efore life first inspection. If you intend to Obtain financing, consult with lender or an dlLurney before
commencinx work or recordinx your Notice of Commencement.
_ zignature of v er, ressee/Ngent Sign.,ture at t aRtr., /Cioen,e Ra1i9�r
STATE OF FLORIDA
CuOR I C IIF S1Leei.
TRr
t RIS �vlad for tl rMut 7 QCxrro7ICd6o J toyG M�
"Unna aR
(Name of person acxnowled5ing )
(signature of Motar—y Public- State of Florlday'
Personally Known - Ott vroRuced luentirication
Type of Identification Produced
Commission N I RfSL' ONEOr
state or MoRaa - Notary Puuilc
Ce-R1i.-1a.. # GG 64u1 ra
1019 wmmission i=xpires May Ou, zvzs
Revised 0711512.0
STATE OF FLORIDA
COON I Y OF $. tud.
The for ling instru ent wa. acknowledged before me
tflis _ lay or A 6L2 Ry
DeRKU Zveek
(IQ..rn� at per,an )
of Rotai T PuBlic- State of
Personally Rnown x —VR Produced identification
I ypc of 1&6titiCativn Pruaacca
Commission No. ac,
IMECissn CHATEAUNEUF
Cam—fission k GG 34U 178
My Comrnission Expir z Ma, 30
RtviEws
FR01q I
cOIVilgG
0PERvISOR
PCAM,
vEGE I A 1101q
SEA I C1R I CE
RIANGROvt
COCINiER
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REvltvv
REvllvv
REvlcvv
RzvIEW
DATE
COM vre I E
INITIALS
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Alakm
M«k'ng ' -orR-
htaralla6wi Wo.k Order
e'o0Ve
u U5 Highway 1, pe Beaeh, FL 3[y50
ip
Y%meriCan Residential Services of Fl -rid:, hs Li -e _e it L Mf: 1w?45 °:
ec:�00.955
Est. Staft XFjIlI;gate
Eai. Cormple;ion Dwin
Corporate Coi_t.mw
Relations
isssf 803-0879
vC� C111lR •
lmnl[
CALL SLIP
ro. L
HOME PROP
r
i'.oRR FROOM
OPTION 1
OPTION 2
OPTION
51ZE TYPE
51GE TYPE i
SIZE TYPc
EFFIL;IENCY
EFFICIENCY ,. =
EFFICIENCY
ZI;
$
li
$
i
$�
SUBTOTAL $
suBTvTR[ $
SUBTOTAL $
MONTHLY EST." $
MvNTHLY EST,• $
MvNTH LY EST." y,
CUSTOMER INITIALS
CUSTOMER INITI_LS
CZ;;3TvMER INITIALS
Warrr,Rly:"_ _ Part., LaSvp
W -Pip -Pity:" kF Part- LLI iL �L Labor
n
W_rr_nty:"____,_.. Paa _ L.bv,
CeRlpraaep
Herat E.;.�haRgep
�CeRrprecwr Hc_t E;zehamge.
Cvmprc—ori . Hca; ETohangar
'Svffjual lu urevil apprvval. Pinanui„g Prvviouv py 13rvun5&y. F'xvo inlurr-sl rule or v.a9" Pur vu mumns. Payment example assumes one -lime $7,500 pureh_---a
.ppr-v.1 d•t- (APR 7,19%) with
1 pa_ w of $82.69, 5 papreemlo
of $43.68 —ad 54 ..-er:r-od p, n_ of $162 28. P,.pmewn —veme Aoeoam Ae:...:lion Gh..rgc o: $r' „pplico am. is ..or wi:'
ins, ragomm paymcnLPixca m:arca? role or o a9Qh Fr — monrns. P.,ymenl cramplc assumes ono-iimc $7,Uvv
porJase on vpprvvul umu (nFR ,v,, 99E) will"!
1 payment of x101.44, 5 pa, -mems of $62.44, and 78 amortized payments of $131.1 L Payments assume Ac•—nl
A-0_1'•0 -hrrae -f $39gad L du -ilh
liral regeiped pa7munl. F xed inl�rest rales of 9,994 for 120 unth-, P,:?ment example anz�mr emv,lilme $7,500 pereh..ve em approv_1 da,_ (APR . e.:ah
pnymcn;yr $; U..", 5 paymen;3 a-. $v7.� ' ova i - armuri2ev p.,ymen;a - $ ; u7- 3. P.,ymi P-13 oosome ..ccouni
. valmn ..-. urge v! $mss vpplius anu is uae
with firs) required payment.Fixed interest rale of 9.911% for 144 months. Payment example assumes onetime $7,500 purchase on appr•vml d -t- (APR 10.09%) -1h
I pa? mien: �f $101.44, 5 prrrmen:a e1 $62.44, ..ad 138 rmodi_ed pegmenl- �f $91.62. P.:, miewo aocerne Aeeeum: Aelrva:ioc eharse of $39 applies ..md is deo
with ❑ror rcganc.. payment..
"Unleoo o:heioe pre:od, all FF -wive.. -o trim the narlaeleron
SPECIFICS
OF + •
SELECTED OPTION: ❑ 1 2 ❑ 3
W�cathcpproof
'Disconnect
❑ Ravvnnv�; Drain Linc [3 Dehepm:ddlep
SUBTOTAL $
17 Ceiling Saver Kit G vuMoor vnit Pad
1 "
Lifclime Equipment Slmb
(Pan & Flod;) ❑ Flec Venting
$
Wound Isolation Paas
0 Maim Dr4.1m 5-f-ly 5-1tuh G Ductwork �-,onnectionsi
❑ Liquid Too Condul;
❑ Seal Ncnr Cvr rnea,tivna ❑ Co„nee; ;o e;iising plenum
G Stall Kit
O Seppert Attie Egeipmpzml G Duct Modifications
❑ Refrigarant L.L. Drycr—Supply
0 Refrigerant Pipe
Icnam : .: Rr.lvz �orscope .1 uP,
Ne- ReevRReet G New Duct 37ystorn
TOTAL p .
❑ Ncw ElReovnnvo;
IVReturn Muria- ❑ No Dec; Work
❑ Refogop-mt Pipe Ca -vii
0 Neer VRveeimmeel ❑ Fuel Piping
❑ Expansion Valve
15 Electronic Air Cleaner ❑ Elvr;rical Wiring
LJ CASH ❑ CHECK#5 4? 7 I
.
VI -tat -Type ,__., L ❑ Media F Itvp , �LHVPRe Scwiev Pla„ -
VS onneci to _xi ng
1J PCv Tvrm {.,v days)
❑ C,REDIT CARD BLAST 4#6
Eleatrie.-I
❑ UV Light �p►.;-t�2�i Yv�-�
❑ New Plywood Ceck
u Humidifier ' [.
EXP APPROvAL
• GUARANTEES
NANCING•
0 C-mrfrpl Guarantee 15 Home Protection Guarantee
MoneYZI
❑ Scrvi,v G13 ❑ 100`•is U,-,cv -Buck Guar-ritev
�•
� �T'•�
7, -Hour -ranee
.dllloRul y
'ARS o not respan.,rble for pree-r;llmg duel-vpk. See Termo and Cemd:tivno an the bask of thio dueeRreRt fur det..4c.
• Written cestemer ,.uthomz_tlam -III be elot- mad bvf�pe beglmmimg wny eRfwv�vri additieRd up u. --tended .vpk,
• ANY CLAIMS FOR CONSTRUCT ON 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-
mont b- providing written notice to the seller In person, by telegram, or by mail. TRis notice must indicate that you do not want the goods
or sewices and must be delivered or postmarked before midnight of tfle third business day after you sign this agreement. If you cancel
this agrement, the seller may not keep all or part of any cash down payment. aee tRe reverse side hereof for an explanation or this right.
• I oakne-ledge that Ray Wight to oaR�ul hao been e-plamel] to me orally and In waling, and without waiving my right to cancel, C authorize the performance of
the :;epk, oeoleet to all t�nnu and aemdi :Ro aet forth on the reverse side hereof, p ,.s any taxes upon completpon.
Notice To Owner - Do not sign t R, ome improvement contract in blanR. You are entitled to a copy of the contract at tyre time you sign.
Keep it to protect your legal rig This home Improvement contract may con a mortgage or otherwise create a lien on your properly
that could by f vn,ii es do Rot pay. Be sure u�aderstand all pr ns of the contract before you sign.
`-4 7.3-095-
GOa70mlR.
Cl1,w.�•[R �IvR.,.vR� e...2 OL 1
Co- 70!•..mrriran Rosiaanriel-Pre n rx.e.nll rpRi• rexervev.-Ru:v'a Pl :uv:a+ 1•1ea:7+ 81`h
Certificate of Product Ratings
AHRI Certified Reference Number: zvz717'vz5 Date: v2-13-2323 Model Status: Active
RHRI Type: 5P -A
Out'uoor unit Bran"u Name: UARRIER
outdoor Unit Model Number (Condenser or Single Package1: 50019030-3—
Region : All (AK, AL, AR, 7w, CA, CO, C r, CC, 171, R, 3Pt, PIP; IA, ffIA, IN, Ko; KY, LA, MA, MD, ME, MI, MN, MO, MS,
MT, NC, ND, NE, NH, NJ, NM, NV, Nr, OM, UK, i5R, Ph, RI, SC, 3D, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S.
Tvrritoriez)
Region Note: 7,enlral air conditioners manufacture"u prior to January 1, 2015 are eligible to be installe'u in all regions
until June 30, z0i6. Beginning July 1, ;eW central au conditioners can only de installdd in region(s) for
which they meet the regional efficiency ragairamerit.
The manufacturer of this CARRIER product is responsible Tor the rating or this system comdination.
R -ted in ."aaard.,nee with the Ialaut edition.t APIKI z1Mz40 -illi A88a.-,8em 1; Pe�[vrmanve Raunn or Onita.� Air`CenBiliv :End
8r Air -Source Heat Pump Equip ... ant and subject to rating aixmra uy 6y ARRI-aponwred, indapa..d.nt, thir3 p.rty taurine:
Cooli„g Capacity (A2) - Single or High SwWv (95F), blah. 28600
SEER: 14.00
EER (A2) - Single or High Stag. (95F) : 11.50
t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND soiling or offering for sale; OR new models that are being
momvtav vat are —I yvi Using prvaacav'Proavorion M.I)Pev” raoval 3ta117e are ,mode M at an.,RRI vvniagiivn Program leanicipant is no tinge, proaoci„g e- T is still
welling UP efferi-3 far aaty.
Retinas Ihol are accornoanlyd by WAS i .dicate an i�-elantary re -rate. The new oublished Patina is shown alono -ilh the ore..ions (i.e. WAS) ratL &
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warrant;es Or guarantees as to, and assumes no responsiblllry for,
ltic prWOU-44d3tvv en 0'3 riertlrlGri- mill"I .-nprvssIy vl3dai,„4 rail Ilv;;IIAy ,vr vramagv3 o, any Rrr,v vrizing vat yr Inv osw yr par7vrmancv oc illy prvvarz(3), yr v,a
■aaatherl_ed alterkAlen of data hated an lhl-zCartlfleaty. Certifled retlFigs are -IId vm fv- models and eenfigar..tleno Il;tvd In the
directory at www.ahridirectory.org,
TERMS AND CONDITIONS
T eis Certincate and its contents are proprietary products or HRI. This Certificate shall only be used for Individual, personal and
evnfidvntia! .vfervnvv parpw=z; The ve.-,taw of thla Cerlrfiva.v In«y ncr, In whole.. I„ pert, be reprodavvd; —pied; dl=crm .rad;
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except fo_ the user's Individual,
pvr3onal ano ovnrlavnrlal rvivrcnc.. rs,R•aan El�IvAlnv, Rl".lrme,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
Tile inform.iion for iRe movel crag o„ 11„14. rti;-mrza iso Be +vrisvv ai wsrmanr;oir—iory.vrg Omit on "em,iry wrarrl.:aw' IInR
and enter the AHRI Cwtifled RelvFnee Number a.,d the duty en -hivh the eertifivaly -av i. -wed,
which is listed above, and the Certificate No., which Is listed at bottom right.
2020Air-Conditionins, Headn& and Refrisera.ion Ins.l►use CERTIFICATE NO.: 132265190102842091