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HomeMy WebLinkAboutScanned from a Xerox Multifunction PrinterAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 05/19/2021 Permit Number: `' Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FORWAC / Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 1751 STONYBROOK DR FORT PIERCE, FL 34945 Property Tax ID #: MOBILE HOME PARK Site Plan Name: 1751 STONYBROOK DR Project Name: GARY LANGE. X Lot No. Block No. [ DETAILED DESCRIPTION OF WORK: Exact AC change out, no duct work Lj Ton, XLJ Seer, 10 KW 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: $ 6,000 Gas Piping Sprinklers _ Shutters _ Windows/Doors _ Pond Generator Roof Pitch Sq. Ft. of First Floor: Utilities: _ Sewer ,-,_ Septic Building Height: OWNERAESSEE: CONTRACTOR: Name GARY LANGE Name: Dennis Zacek Address: 1751 STONYBROOK DR Company: ARS / Rescue Rooter City: FORT PIERCE State: FL Address: 2800 U S HWY 1 Zip Code: 34945 Fax: City: Vero Beach State: FL Phone No. 248-390-9071 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.00m 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 TITLEHOLDER: _ 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. L'� "-�' - "_�) 1"CiLL Signature of Owner/ Les a ontractor as Agent for Owner Signatu re o Contractor/Li n . Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OFSTLUCIE COUNTY OFS LUCIE Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Pj ysical Pres ce or Online Notarization this ��(( day of 20ZQ by X Physical Presence or Online Notarization t Is LEI day of 2016 by La c4SA-____ DENNIS ZACEK DENNIS ZACEK 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 j {Signature of Notary Publ (Signature of Notar u t a e ot FWRi9G1LLIS Commic{inn No trt" ;, : MY COMMISSION # IiN 045659 �? '�= s"' MIRANDA GILLIS " .. XPiRES:t�r�ber23,2024 < rtxt;r-:i,]tt I!u rr,ln.'s" .;; MYCIrgION#HH045S59 Bonded ThN Notary Public Undenv�iters Q ` EXPIRES. September 23, 2024 �F4FF�°, BondedTirruNuLW Public undemmters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 576/20 Installation Work Order Eat. Start Date ()ELL-MV + , l (772 )567.3100 Est. Completion Date (LSD 2800 US Highway 1, Vero Boach, FL 32980 rk, Making d right American Residential Services of Flonda, Inc. MakingENO License R CMCI249753, CAC1813963, EC1300655a AedkCS3 Zg---no �abo y CCLLNIONE Q� 1IS _ WORKPHSINE SIZE __ TYPE S E_. TYPE ���E$- _ �.. TYPE I� SIZE� EFFICI CY J 5e'eC+ Q EFFI NCY 1j0. S EFFICIENCY19 .SIPP-5 tA— ilCLA-AAM — $ SUBTOTAL 954 SUBTOTAL $ ,{D -- SUBTOTAL $_iQ,L.a. MONTHL ST.$ �HONM MONTH EST MONTHLY EST.' $ -- GUST ER INITIALS CUS MER INITIALS CUSTOMER INITIALS W am - Parts Labor W ranty;" Parts aVp _ r Warranty" Parts CbjLj , _, Labor R Compressor Heat Exchanger Comprossor{(DA-Heat Exchanger )(.'h'ft_Compressa j(D9 Heat Exchanger '•Unlm wheman r*tL,(. er wan,,rdw% nm'rom Ilip nryadacMnr- - SELECTED OPTION 1 ❑2 ❑3 Weatherproof WReconnecl Dram Line O Dehvm-drher 5UBTOTAl. $ Disconnect ❑Coiling Saver Kit OLifotime Equipment Slab (Pan & Float) ❑Outdoor Unit Pad ❑ ti �ag Sound Isolation Pads RrMain Drain Safety Switch Flue Vent ng ❑ Ductwork Connections' $ t r Liquid Tite Conduit fZF Seal New Connections ❑ Kit ❑ Support Atirc Equipment ❑ Connect to existing plenum Modifications ❑ Duct Modiftions $ rWSJ f + Jaf2efngeran1 LL Dryer RTSu pply P enum ftefngorant (aria None Ia Wapft of W" TO A4 _ Pipe ONew p Reconnect PrNew Duct Syster; LD 4 ❑ New Weconneci ❑ Rclum Plenum ❑ No Duct Work ❑ Refrigerant ripe Cover ❑ New ❑ Reconnect ❑ Fue' Piping ❑CASH ❑CHECK# ❑ Expansion Valve ectronic Air Cleaner _ ❑ El ❑ Electrical VAring ' . PT -seal -Type Wig_ ❑ Media Filer _ ❑ PROS Cub Membership CREDIT CARD (LAST 4#s) ❑ Connect to Existing ❑ PCO _ .. 1 Term (364 days) EXp APPROVAL Electrical ❑ UV Light ❑ New Plywood Dock ❑ Humidi ter ❑ FINANCING • �/w�+\j �•�• voided a E�aank usA, n6embei Fo1c. on a — . Epp ow d eio& 6. 0 WM*d him Em roved g .** Comfort Guarantee H'Homo Protection Guarantee kT' Parmfts based w a 99% w 9.99% feed APR �- depeWev on loan wqe, n eire�q.�ma1 Apia I Mo. Serv!co Guarantee R1004b Unconditional Money -Back Guarantee itfivit l4, OftiMilk er 1 h0'" as to ws mu to A t*&L n loan RePli0-24-Hour I +PWr Oiha'ritrcey epaau err be agtibla 5(-\NtT'tZE Ox-TwockK HUR(k%C1*,rJ6 zTP APS N E :S•T-rHEC�t�l05Tt4T IOLWOED A%% 0QX1n,tLs,) Mo V"f o lWWX0n.T VOl,e 3C�€NNq� ��ER 4TON C-A9A t lr;-k 1 L4 5!eeC PaCKa e- W% , I 'Company is not responsible for preexisting ductworkgee Terms and Conditions on the back of th.s document for details. • Written customer authwizal!on w II be obtained before beginning any unforeseen additional or extended work • ANY CLAIMS FOR C014STRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDASTATUTE& • BUYER'S RIGNTTO CANCEL: This is a home solicitation sale, and If you do not want thegoods 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 midn6ght of the third business day after you sign this agreement, If you cancet this agfeement, the seller may not keep all or part of any cash down payment. See the reverse side hereof for an explanation of this rlghL • I acknowledge that my right to cancel has been explained to rr.c orally and in writing, and without wamng my right to caned, I authorize the performance of the work, subject to all terms and conditions set forth on the reverse side hereof, plus any taxes upon completion Rafte 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 4ER1huld be fooedos you do not pay. Be sure you understand all provisions of the contract before you sign. -iSIGNAitri;E 1>rAf 1A, EPRCSeNIAryAME �59.(ao�'-� v s-d 8-Z� O 2021 Mwiun Riisdentud Swmes LL,C. AN iighte .carted. ARSIM, FL-210210 L2 i u2! o agpa Certificate of Product Ratinas AHRI Certified Reference Number: 7490504 Date: 05-19-2021 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) : 50ZPC048 --30" 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 : 47000 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 produced "Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still sailing or offering for sale. Ratirim that we g=mffanied by WAS ind case an involantary w-rale, Mo now aualishad ratino is ahcwr alone wish the arevous fi.e. WAS1 ratna. 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 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 ,ce 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. 1326592659Q7773996 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: