HomeMy WebLinkAboutapplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/10/2021
Permit Number:
;W"- -r'
A 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 FOR:HVAC / Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 14781 AGUILA FORT PIERCE, FL 34951
Property Tax ID #: MOBILE HOME PARK
Site Plan Name: 14781 AGUILA
Project Name: LISA ESPINOZA
DETAILED DESCRIPTION OF WORK:
Exact AC change out, no duct work
i Ton, I (o Seer, to KW
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
X
Lot No.
Block No.
_Mechanical _ Gas Tank _ Gas Piping — Shutters _ Windows/Doors _ Pond
_ Electric __._ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 11,000
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OW N ERAESSEE:
CONTRACTOR:
Name LISA ESPINOZA
Name: Dennis Zacek
Address: 14781 AGUILA
Company: AIRS / Rescue Rooter
City: FORT PIERCE State: B_
Address: 2800 U S HWY 1
Zip Code:34951 Fax:
City: Vero Beach State -FL,
Phone No. 516-610-7385
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:
Name:_
Address:
City:
Zip:
INEER: _ Not Applicable
Phone
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 attornev before commencine work or recordine vour Notice of Commencement.
3ea'_
C�to� lxa�
Signature of Owner/ Lessee/ o ractor as Agent for Owner
Signature o-FContractor/LNEMAe
Holder
STATE OF FLORIDA
STATE OF FLORIDA
COU NTY OFST LUCIE
COUNTY OFST Lt9CIE
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed
before me of
Z2sical Presence or Online Notarization
� Physical Presence or
Online Notarization
clayof W�- 20Z4 by
this today of �t1t/l.L.
2CI?Q by
TENNIS ZACEK
C ENN'S zAcrK
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
(Signature of Notary Pub l
(Signature of Notary Public
• •'k.�;., HiIRANDAG1LL15
.". y p� .
••��
:;�.•••. MIRANDAGILLIS
Commission No. HH04sess ;< MY COMMISSION # HH 045659
Commission No. HHoass3s
p ._ MYCOMMISS'ON#HH045b59
EXPIRES: Sepfemb r 23, 2024
.;dr4� • goaded ThN No Pub
tart' b is Und nvttte
F �= EXPIRES:September 23, 2024
pF sC._ Goaded Thru Notary Public UndensTlters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 5/b/LU
l
1 �
�g it Wit.
Malang it `V0�'
Installation Work Order
(772 )567-3100
2800 US Highway t, Vero Beach, FL 32960
Amencan Residential Services of Flonda, Inc.
License fi CMC1249753, CAC1813963, EC13008558
Est. Start Data t: ho
Est. Completion Dais 60
CUSTOMER
EMAIL CALL SLIP
A6DRE55 14:7,21•ia n
1
CITr/S1A1VZIP r t� ^4S
7 'S
HOME PHONE rr/„ „ 61O_
��cE•
WORK PHONE
SIZE TYPE CC -CA-/
SIZE TYPE
SIZE TYPE
EFFICIENCY _Q-4& r SG
EFFICIENCY
EFFICIENCY
Ci
$ -
$
$
SUBTOTAL $ t��(�
SUBTOTAL $
SUBTOTAL $
MONTHLY EST.' $ _
MONTHLY T.' $
MONTH ST. • $
CUSTOMER INITIALS _
OUST ER INITIALS
CUST ER INITIALS
Warranty: '--#-"2 Parts on Labor
W only:" Parts , Labor
anty:" Parts Labor
Compressor _Heat Exchangar
Compressor Heat Exchanger
Compressor _ Heat Exchanger
••dribs• oiherwm• noted, al wwramm am fiom the mamilkhiier.
• • • +
SELECTED OPTION: 1 ❑ 2 ❑ 3
Weatherproof @4econnect Dram Line ❑ Dehumidifier —
SUBTOTAL $
Disconnect ❑ Ceiling Saver Kit AWutdoor Unit Pad
_ -
etime Equipment Slab (Pan $ Float) ❑ Flue Venting
$
and Isolation Pads 041ain Drain Safety Switch ❑ Ductwork Connections'
- - -
&quid Tits Conduit ❑ Seal New Connections ❑ Connect to existing plenum
$
,Start Kit ❑ Support Attic Equipment ❑ Duct Modifications
82efrigerant LL Dryer
_
1;(Suppty Plenum taco Noise for scope of woN
4%frigeranjjNpe
TOTAL
❑ New ALRewrinect ❑ New Duct System
❑ Niw 120toonnect ❑ Return Plenum ❑ No Duct Work
❑ Refrigerant Pipe Cover ❑ New ❑ Reconnect ❑ Fuel Piping
111I.Expansion Valve X%ctronc Air Cleaner ❑ Electncal Wiring
&SH ❑ CHECK1f
Cn stat -Type &0 ❑ Media Filter _ ❑ PROS Club Membership
PCREDIT CARD (LAST
jO;Ponnect to Existing PCO 1 Term (384 days)
lectrical AUV Light -- 1
I
EXP APPROVAL
t Ly SJ�--
Cl New Plywood Deck ❑ Humidifier _. t -
❑ FINANCING
Q Umip bVEP.ey+USA.Me I:wRXC.m
-pp— vrrd9 b • f,naud emit Eam. wi
prymr,� baud a e,99% w 929% Md APR
Apo 1 Talc.
OUR GUARANTEES
Comfort Guarantee fo Home Protection Guarantee
24•Hour Service Guarantee 00Q6 Unconditional Bads Guarantee
Y'
'w° wx ••m 3° a i~ e�e� M„r"'� I°"`
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NOTES
44 2 4 & C-4- e s
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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 autherixation will be obtained before beginning any unforeseen additional or extended word
• ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OFCHAPTER 558, FLORIDA STATUTES.
• BUYER'S RIGKrTO CAHCEL•This Is a home sollcitallon sale, and if you do notwarrt the goods orserrkes, You may anal this agreement
by prodding written notice to the seller In person, by teiegrem, or by mail. This notice must indicate that you do not want the goods or
sevices and must be delivered or postmarked before midnlght 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 ash down payowl. See the reverse side hereof for an expianath m of this dght
• 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 arhr taxes upon completion.
NoticeTo Owner • Do not sign this home Improvement contract in blank You are entitled to a copy of the contract at ttte time you sign.
Keep It to protect your legal rights. This tome Improvement contract may contain a mortgage orotherwTse create a lien on your property
that be on It you do not pay. Be sure Wpu u rid eContra won.
ER! oo
L9AMMCOMPAWREPRESENTA11YE
02021 Amn.cun Rw4whd Sw-m LLG AS rgMu mrwd A$181078 FL-210210 L210219 e258
Eligible for Federal Tax Credit
Certificate of Product Ratings
AHRI Certified Reference Number: 9156565 Date: 06-10-2021 Model Status : Active
AHRI Type: HRCU-A-CB (Split System: Heat Pump with Remote Outdoor Unit -Air -Source)
Series: PERFORMANCE 16 HP 2-STAGE
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : 25HCB648A'031`
Indoor Unit Model Number (Evaporator and/or Air Handler) : FV4CNB0061-
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 : 47000
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.00
Heating Capacity (H12) - Single or High Stage (47F) : 47000
HSPF (Region IV) : 9.00
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 .s no longer producing BUT is still
selting or offering for sale.
pal,
�ns that are aeaam-0-m ed br WA75 i,.Ogase a-11nvuluntary re -rate. The new published rating is shown alona with tho orwvious ii.e. WAS 1 relina.
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 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. —
02021 Air -Conditioning, Pleating, and Refrigeration Institute I CERTIFICATE NO,: 132678135846558663