HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/15/2021
Permit Number:
-
0
P Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: HVAC / Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 6532 SPANISH LAKES BLVD FORT PIERCE, FL 34951
Property Tax ID #: �AO 1, HOMg _C Sf YAYl UA Jkl&�.l
Site Plan Name: 6532 SPANISH LAKES BLVD
Project Name: JAMES RATLIFF
DETAILED DESCRIPTION OF WORK:
Exact AC change out, no duct work
3.5 Ton, 14 Seer, 10 KW Package Unit
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 8,572
—Gas Piping
Sprinklers
X
Lot No._
Block No.
_ Shutters _ Windows/Doors _ Pond
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name JAMESRATLIFF
Name: Dennis Zacek
Address: 6532 SPANISH LAKES BLVD
Company: ARS 1 Rescue Rooter
City: FORT PIERCE State: FL
Address: 2800 U S HWY 1
Zip Code:34951 Fax:
City. Vero Beach State -FL
Phone No. 276-791-2004
Zip Code: 32960 Fax:
E-Mail:
Phone No 772-794-7205
Fill in fee simple Title Holder on next page (if different
E-Mail mgiilis@ars.com
from the Owner listed above)
State or County License CMC1249753
If value of construction is 25W 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: -
Zip: Prone:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated
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 wil : 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 recording our Notice of Commencement.
Signature of Contractor/ c nse Holder w
Signature of Owner/ Le . e/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF ST LUCIE
Sworn to (or affirmed) and subscribed before me of
S orn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
Q Physical Presence or Online Notarization
this j_5 day of }-A IrCh 20ZI by
this � day of i-ADpfC 2( Z1 by
DENNIS ZACEK
DENNIS ZACK
Name of person making statement.
Name of person malting statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced rden4fication
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public
gnature of Notary Publi
i•R+!+g,; MIRANDAGILLIS
MY COMMISSION :.:
Commission No. H 04565
C
mission No. HHoases9
; ; MIRANDAGILLIS
.�, MY COMMISSION#HH045659
Sep4e 29, 202
:":;E 0�= EXPIRES: SB tem
D ber23,2024
Fy?"A�, BSIS;
,y
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of�`
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/ o/ tv
Installation Wotk Order Est. Start Date
(772 )567-3100 Eel. Completion Date
" • 2800 US Highway 1, Vero Beach, FL 32960
Mat9 g ngm' American Residential Services of Florida, Inc.
Makin9d"10`t` License d CMC1249753. CAC1813963. EC13008558
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SIZE _3 TYPE
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SIZE TYPE
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EFFICIENCY lY �t Cggc��
EFFICIENCY
EFFICIENCY
A% --$
$
$
i tSCOVf1�5 $
$
$
$
$
$
SUBTOTAL $_ 5=12
SUBTOTAL
$
SUBTOTAL $
MONTHLY EST.- $
MONTHLY EST' $
MONTHLY EST .• $
CUSTOMER INITIALS
CUSTOMER
INITIALS
CUSTOMER INITIALS
Warranty" Parts Of%"( Labor
Warranty:"
Parts Labor
Warranty:"Parts Labor
Compressor Heat Exchanger
Compressor Heat Exchanger
Compressor Heat Erdsanger
'Unless othu"se retod, •A wrianties tw Iran 1rq mnadaCttrer,
SPECIFICS OF - INSTALLATION
SELECTED OPTION: 1 ❑2 03
Weatherproof JdReconneci Drain Line
❑ Dehumidifier
eeeeeeex
SUBTOTAL $
Disconnect ❑ Ceiling Saver Kit
❑ Outdoor Unit Pad
Lifetime Equipment Slab (Pan A Float)
❑ Flue Venting
jaSound Isolation Pads fit Main Drain Safety Switch
❑ Ductwork Connections'
(rLiquid Tile Conduit P Seal New Connections
CI Connect to existing plerxm
J $
❑ Start Kit ❑ Support Attic Equipment
❑ Duct Modifications
❑ Refrigerant L.L. Dryer_ ❑ Supply Plenum
(ow Notes for scope of world
TOTAL $
Refrigerant Pipe ❑ New ❑ Reconnect
❑ New Duct System
❑ New fit Reconnect ❑ Return Plenum
❑ No Duct Work
❑ Refrigerant Pipe Cover fp New ❑ Reconnect
❑ Fuel Piping
❑ CASH ❑ CHECKN ! _
❑ Expansion Valve ❑ Electronic Air Cleaner _
T star —Type KIEST ❑ Media Filter
❑ Electrical Wiring
❑ PROS Cub Membership
D CREDIT CARD (LAST 4Ns)
rM
proonnect to Existing ❑ PCO __
1 Term (364 days)
EXP APPROVAL
Electrical a UV Light
FINANCING HD Cr
❑ New Plywood Deck ❑ Humidifier
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pr24,Hour Service Guarantee J3100% Unconditional Money -Back Guarantee
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'Company is not responsible for preexisting ductwork See Terms and Conditions on the back of this document for details.
Written cuslOrner authorization will be obtained before beginning any unforeseen additional or extended wodL
ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDASTATUTES.
• BUYER'S RIGHTTO CANCEL: This is a homesolidtation sale, and if you do nolwant the goods or services, you may cancel this agreement
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. It you cancel this
agreemenli, the seller may not keep all or part of any ash down payment See the reverse side hereof for an espianation of this right
• I admowledge that my right to cancel has been explained to me orally and in writing, and without waning my right to cancel, I authorize the performance
of the work subject 1n ali terms and conditions set forth on the reverse side hereof, phts any taxes upon completion.
Notice To Owner - Do not sign this home Improvement contract [ta blank. You are entitled to a copy of the contract at the time you sign.
Keep it to protect your legal right. This home Improvement contract may contain a mortgage or otherwise create a lien on your property
that a be foreclosed on if y u do not pay. Be sure you understand all provisions of the contract before you sign.
/3 apt a,i�a�►►a r�,"a�z
CU ER SLG RE DATE ESEMATNE.
a 2021 Aewlnn R•rdenW Sw4c s LLQ An. Oft revved ARSI076_FL-210210 L2102110 6256
Certificate of Product Ratinas
AHRI Certified Reference Number : 7490506 Date: 03-15-2021 Model Status: Active
AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled)
Series: R41 OA AC SPP
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : 50ZPCO42-30"
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, H1, 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, Wl, 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 210/240 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), btuh : 41000
SEER: 14.50 1 Wei ia rim N I ;I I
EER (A2) - Single or High Stage (95F) : 11.50
t"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 Participant is no longer producing BUT is still
selling or offering for sale
RaOns18 that are aoC9rnpgniao by WAS i,npiclgie an myoluntanr w-ralo. Thu now oublishad ralina is shown elana wi0i the previous ri.e WASI raiina
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.shildirectory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRI. This Certlflcate 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-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified at www.ahridIrectery.org, click on 'Verily Certificate' link we make life 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.
@2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13260287717M969