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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 8/26/2021 Permit Number: 55,7o LUCE: U � W­_�l Y 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: 24 VILLA BLANCA FORT PIERCE, FL 34951 Property Tax ID #: MOBILE HOME PARK Site Plan Name: 24 VILLA BLANCA Project Name: RICHAARD WARD DETAILED DESCRIPTION OF WORK: Exact AC change out, no duct work 3 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: 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: $ 6,000 Sq. Ft. of First Floor: Utilities: —Sewer _Septic OWNER/LESSEE: I CONTRACTOR: Name richard ward Address: 24 villa blanca City: FORT PIERCE State: FL Zip Code: 34951 Fax: Phone No. 216-262-5069 E-Mail: Building Height: Name: Dennis Zacek Company: ARS / Rescue Rooter Address: 2800 U S HWY 1 City: Vero Beach State. FL Zip Code: 32960 Fax: Phone No 772-794-7205 Fill in fee simple Title Holder on next page ( if different E-Mail mgillis@ars.com j from the Owner listed above) j 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: NER/ENGINEER: x Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: x Not Applicable Name: Address: City: —State: Zip: Phone: BONDING COMPANY: Name: _ Address: City:_____ Zip: Phone: x Not Applicable I I 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, wa!-s, 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 your paying twice for improvements to your property. A Notice of Commencement must be recorded 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 your Notice of Commencement. _ Signature of Or/ Lessee/ARer: S+gnature of Contra r/License Holder STATE OF FLORIDA COUNTY OF s,L—o The for sing instruy�ment was a cnowiedged before me this day of A U 20 Aby Dennis Zacek (Name of person acknowledging ) M ALFJQ- �C� (Signature o Nota Public- State of Florida ) STATE OF FLORIDA COUNTY OF St Lucie The forgoing instrument was acknowledged before me this-ZLdayof u za Ll by NJ Dena, Zacek (Name of person acknowled ing ) If {Signature of No ry Public- State of Florida ) Personally Known x OR Produced Identification Persona!ly Known x OR Produced Identificat-on I Type of Identification Produced Type of ldentificat.on Produced Commission No. ommission No, :;. MIRANDAGILLIS MY('QMMIRS10N#HH d...-.,. r'i;. , ' MIRANDA GILLI EXPIRES: September 23, 2024 =*: :• My COMMISSION # HH c45654 A. Revised07/i5/2014 eondedrnn,Norafyauh*cundnrwriters ,.,.oP;.` EXPIRES: September23,2024 °F `.''' Bonded Thor Notary Public Underwilers REVIEWS FRONT ZONING SLIPERVISnR PLANS VEGETATin SEA TL IRTLF I MANt;RnVF COUNTER REVIEW I REVIEW I REVIEW REVIEW I REVIEW REVIEW DATE COMPLETE INITIALS Installation Work Order RM.-in SIX Making it wortr right' (772 )567-3100 2800 US Highway 1, Vero Beach, FL 32960 American Residential Services of Flonda, Inc. License # CMC1249753, CAC1813963, EC13008558 Est. Start Date ox Est. Completion Dale w'lw Cu cnusue Z4 WAN HOME HONE .` �J /' CEIFij�i OCiO WORK PHONE SIZE TYPE — SC SIZE S_TYPE SG SIZE TYPE EFFICIENCY 19 J( EFFICIENCY I rc 5-,F Z EFFICIENCY $1 "O� $ 411D $ p s $ Eft $ is ��$ $ $ SUBTOTAL $ OOQ SUBTOTAL $/,?5_ SUBTOTAL $ MONTHLY EST* $ MONTHLY EST.' $ MONTHLY EST' $ CUSTOMER INITI CUSTOMER INITIALS CUSTOMER INITIALS Warranty:­—Z4490arts 4X Labor Warranty:'--`-"FtL Parts Zft Labor Warranty: Parts Labor mpressor eat Exchanger Compressor -/ffaHeat Exchanger Compressor Heat Exchanger "Urd 6s ort :mw w noted. e9 w&nknries are from 1lro mWVSCturer. SPECIFICS or • SELECTED OPTION: 1 ❑ 2 ❑ 3 J IT Weatherproof EMeconnect Drain Line ❑ Dehumidifier SUBTOTAL $ �D Disconnect ❑ Ceiling Saver Kit ❑ Outdoor Unit Pad E (Wetime Equipment Slab (Pan & Float) ❑Flue Venting $ UrSound Isolation Pads ErMain Drain Safety Switch Stuctwork Connections' quid Tite Conduit Meal New Connections ❑ 9xviect to existing p6wn $ ❑ Start Kit Cl Support Attic Equipment Pbuct Modifications @(Refrigerant L.L. Dryer___, girSupplyPlenum [MNot" rot KomofWOO TOTAL $ 17 hZefrigerant Pipe ❑ New (El"Reconnect ❑ New Duct System ❑ New ❑ Reconnect ❑ Return Plenum ❑ No Duct Work Cd' efrigerant Pipe Cover ❑ New []Reconnect ❑ Fuel Piping q CASH &61HECK# Expansion Valve ❑ Electronic Air Cleaner ❑ Electrical Wiring CT}"- scat --Type ❑ Media Filter ❑ PROS Club Membership ❑ CREDIT CARD {LAST 4#s1 ❑ Connect to Existing ❑ PCO 1 Term (364 days) EXP APPROVAL Electrical ❑ UV Light ❑ FINANCING ❑ New Plywood Derck ❑ Humidifier • UR GUARANTEESappwed 'loam p m ded by&m8"USA. Mw berF01C. on uedl far a faded time Fsemmd m'anft MR., prr,u,w based oe &N% or 992% rood APR ImeAdepe =0nlo,rra m d.efecliwasofA01.2M �/ L�i�iomfort Guarantee LrHome Protection Guarantee E� l4-Hour Service Guarantee a 100% Unconditional Money -Back k Guarantee is OUM r my W9 ap;; s" , �PM1 NOTES 'Company is not responsible for preexisting duawork. See Terms and Conditions on the back of th s doclment For deta.'s. • Written customer authorization will be obtained before beginning any unforeseen additional or exterded work. • ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECTTO THE NOTICE AN D CURE PROVISIONS OF CHAPTER 558. FLORi DASTATUTES. • BUYER'S RIGHTTO CANCEL: This is a ]tome solicitation sale, and if you do not wantthe 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 agreement, the seller may not keep all or part of any cash down payment See the reverse side hereof for an explanation of this right. • 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 K enrman e of the work, subject to all terms and conditions set forth on the reverse side hereof, plus any taxes upon completion. Notice 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 that Id tLe forecloAdon if you do ay. Be sure you undo nd all provisio e co ct before you sign. d) . 'O'k USTOMeRSiGNATURE OA COMPANyV~EK—rA1nvE L 2021 American Raikkmisi aardcaa LLC-N eol-nwnad, ARS1o76_FL_41D210 L210210 0256 Certificate of Product Ratinas AHRI Certified Reference Number: 202717626 Date: 08-26-2021 Model Status: Active AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 50ZPDO36***3*'* Region : Ali (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 untie 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 bevrg 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. Rat,nim thW, are acQom1}ar+ed by 44AS indifia'e an irvglurLary ro-r$te. T,ne new gubli#hed rali'Sh is Sho„n1 Mona with L�10 orovious fi.a. WAS) raGna. DISCLAIMER AHRI does not endorse the product{s] bsted 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.ah►idirectory.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 reprodmed; 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, &9URI&I 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.ahridi►ectory.org, click on 'Verify Certificate' link %,e make lire hetter- 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.: 132744598788080990