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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 8/31/2021 Permit Number: 1 O � 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 1 Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 12 GORDA WAY PORT ST LUCIE, FL 34952 Property Tax ID #: MOBILE HOME PARK Site Plan Name: 12 GORDA WAY Project Name. DONNA NORTON DETAILED DESCRIPTION OF WORK: Exact AC change out, no duct work 3.5 Ton, 14.5 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: 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: Sq. Ft. of First Floor: Cost of Construction: $ 6,500 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name DONNA NORTON Name: Dennis Z:acek Address: 12 GORDA 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. 724-816-8074 Zip Code: 32960 Fax: E-Mail: Phone No 772-794-7205 j Fill in fee simple Title Holder on next page ( if different I E-Mail mgilhs@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: �ha DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 1 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 fu l concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory .:ses 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 O er/ Lessee/Agent STATE OF FLORIDA COUNTY OF SlLuue The fo� g�oing instrument was acknowledged before me this _a�`` day of 20 & 1 by Dennis Zacek (Name of person acknowledging ) (Signature of Notary Public- State of Florida ] Personally Known X OR Produced Identification Type of Identification Produced Commission No. Revised 07/ 15/20I MIRANDA GILLIS MY COMMISSION # HH 045659 Thnl Notary Public Underwriters 041r"e-1zuI _ _ s Signature of Contra -r/License Holder �T STATE OF FLORIDA COUNTY OF S1 Lucia The forgoing instrument was acknowledged before me this day of N%JQQ 1 20 2 by NJ Dennis Zacek (Name of person acknowledging ) (Signature of Nota y Public- State of Florida } Personally Known x OR Produced Identification Type of Identification Produced Commission No. _ "!!'A" MIRANDAGILLIS MY COMMISSION # HH 045659 {� g EXPIRES: Se tember 2 r =° funded Thnl Notary Pub;. Underwriters f REVIEWS FRONT I CO LATER I REVIEW I ZONING S REVIEWER I REVIEW I vREVI REVIEW S REV EWLE I MANGROVE DATE COMPLETE INITIALS i IRSO ADD S r SUBTOTAL 5 Ii RI IYlUVtS -- L'VL'zUNPERrN7?Il-! rR1f'f' l5:�•II+C-- -L-aha k+lurulYy.^_ F;_L_ J Q C,raflike'"Y 10 Heet raahm.96r '%.1m•o .+x _ SU141'Cl�ill $ _ - m0147lpYFri-r' $� f,USMME R iNITIALS _ r+ x, WePtartf,"_ Pr.-t3 Nam' cho allg ; : Critlprti ur -Hr,r1 EJI&4&rW pI l I rI fod f Y 0FMeGt .'-1, r3irr L:.* 0 .1r4,,m. 1:1 -" _ Dwxrmiti ! i'..q 4Nlrr Ito ()W".t f%.w OplY :',Ml Gr*equippen- $tab taan it F--IML10 C 1 P-00vanty t}uril. 1:;r>r.0iw Ilwik vlap rll UdAV Ili 0 1 ? rv'VAL4A ❑ Ow IVK1rk Ci?'TWdtO Y9 quidTitocAm4uk jM'NOW Gnrr, .1grK. Qw'"wtt3rxNfir? *. IU'r o K it MS.PDMIMuEqUIDMM d Dint WbdifYtahons W-1coma L.L DIYAF �S.p" Nk...-n a„ ,iyr,+.p� .VjM.f1-40 Rslrigolac l F5,-w Cl New Wtecmgec. El NOW D-V 6yabcM 19N?tom M Rm-r{rIIIMIa' ]aRgt — rU ,rtl U Mq 011M'1 "+qlK� r3 Refrigiivwl Pipe Coy"- Me& tjAeco--ect C3N81PpN EYpL-MfnrlvN)N-- UL4x: -w flr(':c-f o1 ❑[-..4 in c.. r'tti T-%;+ii -Type•L 0W-Pd 4 Ter BIROS Gkd± k,-emha-t 4 I o Lx'slvj f Rf` ( 7rnau �IE4 r1.q y} �y47r7fril G1v r7�� u i 4, Qir4 - ❑he-W P4VVA)L3[Z r1 F'ur- zw1of -- - i`nmf o(73u':r-u+11,.ki +LT*Rr$taf4j!)M1;..L',,n'mv "14-I 4r,;.f Stir. t f- C3wzr.Ntit 10&1 i dflkNIr ifilIPF.L Flo^ $Irk (:I ar,ra;c 1nOTA! S � Q cw. f i V(:H FCLK* )k,-1 Q GREDty CARD ILAb7 4#%% -- EXP APPROVAL — Nv-�w kh ko ,'+ib,J qri... Frxrl.t � 4. 1'+M 414r'Sr494104'r• +, -il.. ir. y. ]Yri 1. WA) ., r.:h •T'FS'F?hxln-.rr�r=: 41 i,�- .r 1. .. .. ,Li.. L--JY 4(STY 4 nol mapwm6k lol proe.rat,itj G:.u:Fwi in nrw rUrr1S .0 C 4:.11111i+y+p Wn I I W-l" L� -11* d0e..fmwl Inr dr1 iihL he nhY.irr.,+l f "•a mew" ■'+4 up.'I,a-. wi- -AdO jwl rr -.kW,wale `.MF5F-fM ARE Rtl,,+;lECT 10114i NC1iMEMDCAW MA NSOF [1 UP� rs 1e 41,nm eMaNdlrMtlrn+�N14 ppidH puflo W1 WaM nn 2"rtj orgervlcai, lf� the zWi ci in persgr+, dy Iekylrjkm. as by makl- Th1A MOMAR musk lndtf a!a +#1At yop dd da44GU And muse he deft"d 4r poolmork*d b4fon m+dnlpM of Uu Ihlyd buAlna0F 1 aX aftr you Alpo *ds A Certificate of Product Ratinas AHRI Certified Reference Number: 7490506 Date : 08-31-2021 Model Status: Active AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Series: R41 OA AC SPP Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 50ZPC042---30" Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, 1D, 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 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 : 41000 SEER: 14.50 EER (A2) - Single or High Stage (95F) : 11.50 f`Active" Model Status are those that an AHRI Certificaton 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 selling or offering for sale. Ra'iros il`at are accc-oanied by WAS indicate an involuntary re -rate The new cublished raii-.o is s%iowr along with the orey ous Re WA.Si raiino DISCLAIMER AHRI does not endorse the productfsi listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibiiity 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 It "I, confidential reference purposes. The contents o: 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 Ise make life betrer- 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 I CERTIFICATE NO.: 132748864101654317