HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/17/2021 Permit Number:
V 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 / Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 14358 PICEA FORT PIERCE, FL 3fi4►951
Property Tax ID#: �� C��M-tr Lot No.
Site Plan Name: 14358 PICEA Block No.
Project Name: CAROL VOLPINI
DETAILED DESCRIPTION OF WORK:
Exact AC change out, no duct work
3 Ton, 14 Seer, 10 KW Q0,C tKkeY1
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping Shutters _Windows/Doors _Pond
_Electric _Plumbing `Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 5600 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name CAROL VOLPINI Name: Dennis Zacek
Address:14358 PICEA Company: ARS 1 Rescue Rooter
City: FORT PIERCE State:_ Address: 2800 U S HWY 1
Zip Code: 34951 Fax: City: Vero Beach State-FL
Phone No.772-465-5152 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
If value of construction is 2500 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 BOLDER: _ 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 recording our Notice of Commencement.
Signature of Owner/Jesse C ntractor as Agent for Owner Signature of?7britractor/LictDA Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
X Physical Presence or Online Notarization _)< Physical Presence or Online Notarization
this 11 day of 20Z l by this_(1 day of KA(A('C h 20 Z%by
DENNISZACEK DENNIS ZACK
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
AAAn /VA��
(Signature of NoJH �
florida)MIRANDAGILLIS gnature of Notary Publi r
., MY COMMISSION#HH 44565 MIRANpAGILLIS
Commission No. EXPIRES:September23, C mission No.Hrraasss9MYCOMMISSION#HH045654
ds fop. Bondea nuu Notary Publk l}ridet Ndt •;r Po: EXPIRES:September 23,2{)24
Bonded 1Tuu Notary Public Uriderwharl
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Installation Work Order Eat,Sfari Dalo .-�2ozA
+ ,•• (772)567-3100 Est.Completion Dale
2800 US Highway 1,Vero Beach,FL 32060
walk,Making it right' American Resident-al Services of Ronda,Inc.
making't License#CMCI249753,CAC1813963,EC13008558
CUSTOMER EMAIL CALL SUP
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EFFICIENCY�Qa EFFI NCY 14$rtej EFFICIENCY
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SUBTOTAL $ _ SUBTOTAL $ fdwoQ SUBTOTAL $
MONTHLY EST.• $ MONTH EST.* $ MONTHLY EST.`
CUSTOMER INITIALS CUS ER INITIALS CUSTOMER INITIALS
Warranty:' Parts _ IQXk+ Labor W anty."' Parts / Lafwr Warranty:" Porte Labor
"'compressor r Heat Exchanger _ Compressor_�yt Heat changer Compressor Heat Exchanger
•'UrJoaa otherwise noted.at waaanGos are fnam rho manutacimm,
SPECIFICS OF •UR INSTALLATION : t 02 ❑3
j�Weatherproot Reconnect Drain Line ❑Ochumidifier
Disconnect SUBTOTAL $
❑Ceiling Saver Kit ❑Outdoor Unit Pad
Lifetime Equipment Slab (Pan&Roat) ❑Rue Venting $
❑Sound rsolatfon Pads ❑Main Drain Safety Switch ❑Ductwork Connections'
(dLigU.d TiIs Conduit Seal New Connections ❑Conned to existing pk:rwm $
❑Start Kit ❑Support Attic Equipment ❑Duct Modifications
❑Refrigerant L.L Dryer_ ❑Supply Plenum (eee Notes ter scope orwoe4 TOTAL
;Mofrigorant Pipe ❑New ❑Reconnect ❑New Duct System
❑New RfReconnect ❑Return Plenum ❑No Duct Work
❑Refrigerant Pipe Cover ❑New ❑Reconnect ❑Fuel Piping ❑CASH ❑CHECK#
❑Expansion Valve ❑Electronic Air Cleaner ❑Electrical Wiring ❑CREDIT CARP(LAST 41fs}
jdT slat—Type El Media Filter ❑PROS Gub Membership
Connect to Existing ❑PCO 1 Term(364 days) EXP APPkkR'',,OO�VAL_
Elect ❑UV Light OFINANCING [p
O New fad Deck ❑HurnidiFer -
•UR GUARANTEES = 'Laws prodded byE„e,S"USA Mmnber FDIC,en
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NOTES
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'Company is not responsible for preexisting ductwork See Terms and Conditions on the back of this document for details.
•Written customer authorizalion wiA be obtained Before beginning any unforeseen additional or extended work.
•ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO TH E 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 orservice%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 OF postmarked before midnight of the third business day after you sign this agreement If you anal this
agreement,the seller may not keep all or part of any cash down payment. See the teverse side hereof for an explanation of this right
•1 acknowledge that my right fo cancel has been explimned to me orally and in writing,and without waiving my right to cancel I authorize the porlormance
of the work,subject to all terms and conditions set forth on the reverse side hereol,plus any taxes upon completion,
Notice To Owner•Do not sign this home lrnprovement contract In blank.You ate 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 f you do not pay.Be sure you understand all provisions of the contract before you sign.
CUSTOMER SIGN. RE DATE COMPW REPRESENTATNE
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0 2021 Arrtrwyrt Pe W&"Swm"L.LC,Ile hl 111 ed ARS ro79jl_2102 re L210210 8250
CERTIFIED"SWILI
Certificate of Product Ratings
AHRI Certified Reference Number:202717626 Date:03-17-2021 Model Status:Active
AHRI Type:SPA(Single-Package Air-Conditioner,Air-Cooled)
Outdoor Unit Brand Name:CARRIER
Outdoor Unit Model Number (Condenser or Single Package):50ZPD036***3'**
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,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 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),btuh:35000
SEER: 14.00
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 prod-iced.'Production Stopped'Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
soiling or offering for sale.
Ratin U^Eit are 43mcm panied by WAS ir.diw,.19 a M1 Inv I ma ry ra-r 1 . The new blishod Fatirill is 5hQwinI r with the previous ' A r hn .
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 products)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.ahridlrectory.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 &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 ltfe 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.: 132604668862983962