HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/25/2020 Permit Number:
91ro [Luc DL - x
0
L' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: HVAC / Mehanical
PROPOSED IMPROVEMENT LOCATION:
Address: 8 Los Gatos Ln Port St Lucie, FL 34952
Property Tax ID #:
Site Plan Name: 8 Los Gatos Ln
Project Name: Jill Olsen
DETAILED DESCRIPTION OF WORK:
Exact AC change out, no duct work 3.5 ton, 14 seer, 10KW
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters
— Electric _ Plumbing _ Sprinklers _ Generator
Lot No.
Block No.
Windows/Doors _ Pond
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5,900 Utilities: _ Sewer _ Septic
Roof Pitch
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Jill Olsen
Name: Dennis Zacek
Address: 8 Los Gatos Ln
Company: AIRS 1 Rescue Rooter
City: Port St Lucie State: _
Address: 2800 US HWY 1
Zip Code: 34952 Fax:
City: Vero Beach State: FL
Phone No. 267-987-2984
Zip Code: 32960 Fax:
E-Mail:
Phone No 772-794-7205
Fill in fee simple Title Holder on next page ( if different
E-Mail mgillis@ars.com
from the Owner listed above)
State or County License CMC1249753
IT value OT COnStruCtIOn Is 25UU Or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip. Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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 recordinE vour Notice of Commencement.
L__n,�, � a,4, -_
Signature of Owner/ Lesse ontractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF slLude
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this z'S day of P%` , 2020 by
Dennis Zacek
Name of person making statement.
1 Personally Known x OR Produced Identification
Type of Identification
Signature of Contractor/LKedse Holder
STATE OF FLORIDA
COUNTY OFslLude
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this _'A day of SC(,AC�J1Af® ;� . 2020 by
Dennis Zacek
Name of person making statement.
Personally Known x OR Produced identification
Type of Identification
(Signature of Notary Public-
(Signature of Notary Public- S
SS'
M ACHATEAUNEUF
Commission No. GG 3aona
State of Florida - Notary Public
Commission No. GG340178
State of Florida - Notary Public
Commission # GG 340178
Commission # GG 340178
M Commission Expires May 30, 2023
My Commission Expires May 30, 2a
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
RECEIVED
DATE
COMPLETED
00000001-4144 k
�~ Making it right.
Making it work.
Installation Work Order
(772)567-3100
2800 US Highway I, Vero Beach, FL 32960
American Residential Seivrces of Florida, Inc, Licnnse # CMC 1249753,
CALI IS 13963. EC 13()()6558
Est. Start Date
Est. Completion Date
Corporate Customer
Relations
(866) 803-OR79
CUS1ArAGR EMAIL
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CELL PHONE
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WORK PHONE
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OPTION
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OPTION
OPTION
SIZE` TYPE �Z
SIZE
TYPE
SIZE TYPE
EFFICIENCY l _Bt-L'LA- T
EFFICIENCY=_
EFFICIENCY
$ Tal_�6_,c)p
_$
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SUBTOTAL $ .�Q.f
SUBTOTAL
$. _
SUBTOTAL $ _
MONTHLY EST.' $__- _
MONTHLYEST.' $—. _ -
MONTHLY EST:' $,
CUSTOMER INITIALS
CUSTOMER INITIALS
CUSTOMER INITIALS
Warranty:" Parts _ Labor
We
parts Labor
Warranty:" Parts _ Labor
Compressor Heat Exchanger
_ _ Compressor Heat Exchanger
_ Compressor Heat Exc anger
"Unless otherwise noted, all warranties are from the monufacturor.
SPECIFICS OF '
•
SELECTEDOPTION: PLi ❑2 ❑3
14Weatherproof %Reconnect Drain Line
❑Dehumidifier
SUBTOTAL
Disconnect ❑ Ceding Saver Kit
01-detime Equipment Slab
❑ Outdoor Unit Pad
(Pan & Float)
❑ Flue Venling
$
IASound Isolation Pads ❑ Main Drain Safety Switch
❑ Ductwork Connectionst
_
❑ Liquid Tile Conduit ❑ Seal New Connections
❑ Connect to existing plenum
$
❑ Start Kit ❑ Support Attic Equipment
❑ Duct Modifications
❑ Refrigerant L.L. Dryer ❑ Supply Plenum
(see Notes for scope of "N
TOTAL $ L
❑ Refrigerant Pipe ❑ New Reconnect
❑ New Duct System
❑ Now [%Reconnect ❑ Return Plenu-,m
❑ No Duct Work
❑ CASH ❑ CHECK#
❑ Refrigerant Pipe Cover 0 New Moconnect ❑ Fuel P-ping
❑ Expansion Valve ❑ Electronic Air Cleaner ___
❑ Electrical Wiring
❑ Tstat -Type ❑ Mod a Filter
❑ Home Service Plan -
❑ CREDIT CARD (LAST 4#s)
1P Connect to Existing ❑ PCO _
1 Term (364 days)
EXP APPROVAL
Electrical ❑ UV Light
❑ New Plywood Deck ❑ Hum differ
-
FINANCING 4 &4 4_g_
OUR r r
/�\T -Loans provided by Envrr3am nt USA, Maber FDIC, Ln
a — . apvrovnd ucdit for a Imded tmo Eslmiiim n ihiy
likComfort Guarantee ED Home Protection Guarantee
r— paymnIs based on 6.09% w 0.99% feed APR
Ivan, depen& g on loan nmonnl, erect v m of Apo 1, 202r...
24 Hour Service Guarantee 100% Unconditional Money Back Guarantee
Repaymom tewra vary from ao to 144 rnomh . Minimum loan
amota+le apply Olhar finarrng optkm may bebble.
•
SA 1 i 1 Z.t; 'J --a
'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 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 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 agreement 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 acknowledge that my right to cancel has been explained to me orally 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 lazes 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 provisions of the contract before you sign.
- _X f ��
UST ERSIGNATURE DATE COMPANY REPRESENTATIVE T
CUSTOMER SIGNATURE DATE Q#�
O 2020 A.Pdcan Residential S—es L-L.C- Aii6ghlz re—wd. ARS •07e FL-200522 L.200522 b+
Certificate of Product Ratinas
AHRI Certified Reference Number: 7490506 Date: 09-25-2020 Model Status: Active
AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled)
Series: R410A AC SPP
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : 50ZPC042---30**
Region : All (AK, AL, AR, AZ, CA, GO, 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, 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 ANSIIAHRI 210/240 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" Modet Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are be ng
marketed but are not yet being produced "Production Stopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Ratinas 1h at are a=rAn&nl0 by WAS ind ii;alu an involun'.a y rp-rate, The new published ratin4 iQ showrn alcnq wth tha omv:ous {i.e. WASI rat nu.
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.ahridirectory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRI. This Certiflcate shall only be used for individual, personal and L01
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, As
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on `Verify Certificate" link we 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 right. -
C2020AIr-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132455244840437287