HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/29/2021 Permit Number:
Or. [LUM I V
` 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: 20 SANTA MARIA WAY PORT ST LUCIE, FL 34952
X
Property Tax ID #: MOBILE HOME PARK Lot No.
Site Plan Name: 20 SANTA MARIA WAY Block No -
Project Name: PATRICIA SONDEJ
DETAILED DESCRIPTION OF WORK:
Exact AC change out, no duct work
4 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 —Gas Tank _Gas Piping —Shutters
_ Electric _ Plumbing —Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 6,700
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name PATRICIA SONDEJ
Name: Dennis Zacek
Address: 20 SANTA MARIA WAY
Company: ARS 1 Rescue Rooter
City: PORT ST LUCIE State: FL
Address: 2800 U S HWY 1
Zip Code: 34952 Fax:
City: Vero Beach State: FL
Phone No. 772-203-3140
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 HOLDER: _ 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 pasted 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,
, (')r
f� r A n"L
Signature ner/ Lessee/ o ractor as Agent for Owner
Signature—orcontractor/k Ichse Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTLUCIE
COUNTY OFSTLUCIE
Sworn to (or affirmed) and subscribed before me of
Sw�n to (or affirmed) and subscribed before me of
P sical Presence or Online Notarization
Physical Pre nce or Online Notarization
this Z day of 2020 by
this lL day of V K 2020 by
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
(Signature of Notary Public-
at :,,, • - on a MIRANDAGILLIS
.:
ignature of Notary Publi
on a
., 14RANDAGILLIS
;�: MY COMMISSION # HH 04565
4-_
�: :,: MY COMMISSION # HH 045659
No. ""045659
EXPIRES: Se tember 23, 2024
Qo p
mmission No. HH 045659
.•,Commission e�' EXPIRES: September 23,2024
Bonded Thru Notary Public Underm t
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,}°da..:°. Bonded ihru Notary Public Underw lers
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Certificate of Product Ratinas
AHRI Certified Reference Number: 7490504 Date : 06-29-2021 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 (9517), btuh . 47000
SEER: 14.00
EER (A2) - Single or High Stage (951F) : 11.50
1*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 Certifirotion Program Participant is no longer producing BUT is still
selling or offering for sale.
Rat nos that are aocomoanied by WAS ind-cata a-i involunlaly ro-rate. Thu nuw published ra5nu is shown alone wish the c ev.oua ti.e. WAS ratna.
DISCLAIMER
AHRI does not endorse the products) 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.ofg.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal andAswil
confidential reference purposes. The contents of this Certificate may not, in whole or in part_ be reproduced; copied; disseminated; a
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 „ e 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, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132694111654337696