HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/23/2021 Permit Number:
O
0. Building Permit Application
Planning and Development 5ervices
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: 13960 BRAZIL CT FT PIERCE, FL 34951
Property Tax ID #: MOBILE HOME PARK Lot No.
Site Plan Name: 13960 BRAZIL CT Block No.
Project Name: DONALD COPELAND
I DETAILED DESCRIPTION Of WORK:
Exact AC change out, no duct work
3.5Ton, 14.5 Seer, 10 KW PACKAGE UNIT
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: J
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers — Generator r --_ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5,500 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DONALD COPELAND Name: Dennis Zacek
Address: 13960 BRAZIL CT Company: ARS / Rescue Rooter
City: FORT PIERCE_ _ _ _ State: -FL Address: 2800 U S HWY 1
Zip Code: 34951 Fax: _ _ City: Vero Beach State: FL
Phone No. 585-820-765 _ Zip Code: 32960 W Fax:
E-Mail: Phone No 772-794-7205
j 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: 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:
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 your Notice of Commencement.
4r�+••Omsk
Signature of Owner/ L e/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF St LUCme
Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization
this -1,1 day of 1QaQ YUIQ::� I 207,� by
�G�l/1411 iS _7-rL
Name of person making statement.
Personally Known X OR Produced Identification
Type of Ide tiff ti n Produced
.. .- 1'r, i.�
(Signature of Notary Public- State of F
Commission No. HH 045659 (Seal)
REVIEWS I FRONT ZONING
COUNTER REVIEW
i r)ATF i
RECEIVED I
DATE
COMPLETED !
MIRANDA GILUS
MYCOMM SSIOM 0 HH 045M
EXPIRE& SePWUr 230 2024
MW Thu Nogry P1 * hers
SUPERVISOR I PLANS VEGETATION SEA TURTLE I MANGROVE
REVIEW I REVIEW REVIEW REVIEW REVIEW
Installation Work Order Ent. Start Data I l ' I d • IL I
Makrnll it work. M.,t,ma 11 light'
CUSTOMtm v =
AaeRE55 4 r +
HOME VHOHEE
•• Vb
SIZE 5—S'i_-v,^ TYPEu _e r
EFFICIENCY 1n4!!:c
N-\Nt qs_
(772 )567-3100 Ent. Completion Date
2800 US Highway 1, Vero Beach, FL 32060
American Residential Services of Florida, Inc.
License R CMC1249753, CAC1813963, EC13008558
o&
SUBTOTAL $ C7
MONTHLY EST,• $�_
LML --- CALL SUP
C1TAS1Af� r—'
"A "R' .rr. 7C... 3
SIZE TYPE SIZE TYPE
EFFICIENCY EFFICIENCY
$ 1 $_
$
SUBTOTAL
$-
V
SUBTOTAL $
MONTHLY EST.' $ I MONTHLY EST. • $
CUSTOMER INITIALS _ CUSTOMER INITIALS
CUSTOMER INITIALS
warranty: J,n , Pis Labor Warranty.* Palls Labor Warranty:-. Parts Labor
- �t? Comprossar t O Heat Er,charlger Compressor Moat Exchanger Compressor Heal Exchanger
"tlnbs*� evils nmee. aE +,rre.anEo. a.a Mom ulo mmur.c+val.
❑ weetkM,r�
'"" 1=90neet—
k 'Reconnecl Drain Line
CLGeh?9eMerlf4"
❑Doi emidAer
VSound Isolation Pads
119 Liquid Tito Condud
Nlan(�pSafety Switch
Q Duclwork Connectionie
❑1ar11R
'®.Seat New Connections
H Connect to eliisting plonum
C Refrigerant LL Dryer .-
up rc u
`{a Supply Plenum
❑ Dbnt- ifieatie
Isrn
❑ New 19 Reconnect
ew uc ern
R t
BRelurn Plenum
IN Expans on Va ve
❑New VfReconnect
p
CWvoWaqulg.
T•slat-Type�4�.`'�
EIGIIIA _
❑Filter
rB E ctrical Win g
IM Connect to Ex ling
per—
❑ PROS %,IuVMm*fflr9Wp
1 Terre (39A
Electrical
❑t7vtwt-
BHumldMier
Comfort Guarantee Home Protection Guarantee
V3-24•Hour Service Guarantee �1009b Unconditional Money Back Guwanteo
SELECTED OPTION: 1 02 ❑3
SUBTOTAL $
TOTAL
OCASH WCHECKO
❑ CREDIT CARD (LAST 4ds)
EXP — APPROVAL _
❑ FINANCING
t.'r4C7) brr� E>e•rrYp w,c,ulyr
P�1^'a^r• em.ea•erwl aAB4nr.•,f APRkvw,
Ilan err-M&elletlwa 0s01 SWrenA. 1, 2021
rrepq,,,a,y lanlis r•ry fide oa q 1a� maws f,1+Irr•.•1 M•n
a"010Yh fir. De+n 1•,l,iryb colas may Ea eail6k-
'Corspany Is not ro„ ponslble for preen;, ing duclWurk, Sao Tnims find Conditions on the back of 01s decument for delailiL
• written cuuomer authorization vn.. be oblamed before beginning any unlorasnon arkl,fional or ailnded work.
• ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 556, FLORIDA STATUTES.
• BUYER'S RIGHT TO CANCEL -This Is a home solicitation sale, and 11 you do not want the goods or services,you msycanoal this agreement
by providing written nogce to the seller In person, by telegram, of 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 If you cancel this
agreement, the Bettor may not keep all or part of any cash down payment See the reverse side hereof for an explanation of this right
• I KAnwModgs that my right to cancel has hoen neplRinod to me ofally and in wriling, and without waning my right to cancel, I authorize the periormanc0
01 the work, subject 10 ati terms and conditions eel torlh on the reverse sido horeol. Plus any Imes upon completion
Notice To Owner • bo not sign this home Improvement contract In blank. You aro entitled to a copy of the contract at the time you sfgfl,
Keep It to protect your regal rtghll This home Imprevemont contact May contain a mortgage or otherwtso create a Ilan on your hatcould be foreclosed on 11 do at yye property
� wy. ee sure you understand ap provlsloas o the contract before you alga.
S
NO 12—ea t 1 �.u12( --;
Gk15 R SIGNATURE WTI s I�wrx a, '.i r�ixirve —
CuS1OWFISIQNAIURE DAVE W
a 2021 Amwcr, DW r
e•a•d••+M Sw•r+••ILG N.gM....r..d ARS101S rl 21 UJio Lal.}aiU
erne
Scanned with CamScanner
Certificate of Product Ratinas
AHRI Certified Reference Number: 7490506 Date: 11-23-2021 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) : 50ZPCO42-30**
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 regions) 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 : 41000
SEER :14.50
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 se:!-ng 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.
RpSnar, hal. pre U=mppnk2d by WAS indirraie an iroplontarq rF,-rate The npa oublighed rating is nowil nlcr-7 will' tho wlavious fi.o. WASS rah-ia_
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 produet(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, personALlin
al 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, 111103
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 ue make life h-r..r.
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 CERTIFICATE NO.: 132821607039550902