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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 _ 8 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 C11810MER E.R. CALL SLIP M ADDRESS `� !� Mks" LP dr ISTATFRIP Y 1 HDAIE PHONE CELL PHONE Zy r _ , �6 ' �OO WORK PHONE SIZE _3 TYPE SIZE —TYPE— SIZE TYPE sue``'' 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 • ^ %oww p•-dqs by ErasS* us+E rAane. FM 7 — f awoAd vo* ra a Lnwetl una EsdeMW mpYNr pw-vft I'4ed m 6.9M of 9W% real APR j90omfort Guarantee J21 Home Protection Guarantee Ira- md'ga'wowi L�s.e�aAa,t 1•20M Repeynw were vs'r bw 961v 144 nnNFn Mln+esn ben pr24,Hour Service Guarantee J3100% Unconditional Money -Back Guarantee s,ne.uapog.oer,rwuraopiomff"b*omotrs. • 00cm 2 MD o XMTMSQT��ni 1RrJ--nzV, r11e},?I5 fJ O N117D�tS�,CO IF L)mk u»\\ oc upyrade.(l ko CACvvo&.A 44vL 40 qutpmerlr Pit? lla6%iki pu IAyatn '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