HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-20-22 Permit Number:
gT. War,
O
40 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: 6635 SPANISH LAKES BLVD f 3, V, EcC(= , F 1 L195l
X
Property Tax ID #: MOBILE HOME Lot No.
Site Plan Name: (03r7 S GIVk �. LC S .0 �:)_ Block No.
Project Name: ROSEMARY STEWART
DETAILED DESCRIPTION OF WORK:
Exact AC change out, no duct work
3 Ton, 14 Seer, 8 KW
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: $ 4,981
_ Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROSEMARY STEWART
Name: Dennis Zacek
Address: 6635 SPANISH LAKES BLVD
Company: AIRS / Rescue Rooter
City: FORT PIERCE State: FL
Address: 2800 U S HWY 1
Zip Code: 34951 Fax:
City: Vero Beach State: FL
Phone No. 614-738-4572
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: 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 ndicated
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 add'tions,
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.
C�ttr*�.. omn�
Signature of Owner/ L e/Contractor as Agent for owner
STATE OF FLORIDA
COUNTY OF_StLUCie
Sworn to (or affirmed) and subscribed before me of
X Physical Pretence or Online Notarization
this day of �(Zip by
Cmt i at
Name of person making statement.
Personally Known X OR Produced Identification
_
Type of id e tiff ti n Produced
(Signature of Notary Public State of Florida)
Commission No. HH 045659 (Sea } f� '" ^l+,l�;..
MRIW KEbel
ORES: Septem
'• —0. somw Inn, Noted, PO
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
114 F
RFCEIVED
I DATE
Celih�i[�[�[�e7
1�_ I Installation Work Order Est. Start Dale—
s . (772 )567-3100 EeL Completion Data�'a
0f; 2000 US Highway 1, Vero Beach. FL 32960
Maing rt work Ma" "gh1 American Residenlial Services of Flonda, Ina
Ucense # CMCT249753. CACI a13963. ECI3008558
CUSTOMER /►�� EMAII
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CALL 97
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WOME1'ISDNE/_ LLPHONE
WORI(PF10NE
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stzE �`"%- TYPE slz TYPE �+ • r,� -
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EFFICIENCY �S,�r %-M—AA EFFICIE �,E Q
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s —
4►a�5
$ -_ -
SUBTOTAL $ SUBTOTAL $ 0�
-15
SUBTOTALMONTHLYEST.•
$ MONTHLYEST.•
MONTHLY EST.'
CUSTOMER INITIALSCUSTOMERIN ALS
CUSTOMER ITIAWarranty:-_�Parts�
Labor Warranty:"lam Perna
Warranty
_Compressor 10—Heat Eadtanpor r a C mprcasor Hoa1Fx r
mprosao►
" Unkma oftr-se acead a9 wamamws an bom VW rnuwN furor ..
111weatherproof
tWReconnect Drain Line
Disconnect
06e4ln0 680 x*-
10 Lifetime Equipment Slab
—(itend Fieetf-
10 Sound Isolation Pads
60 Main Dram Safely Switch
IN Liquid The Conduit
$Stall -fir
$1 Seal Now Connections
9 Refrigerant 1_t- Dryer
la Supply Plerwm
$fteing--WR.pe
❑ New 9 Reconnect
Isl Return Plenum
O Now IV Reconnect
9 Expansion Valve
`® T-alat Typo 1b1a— S—QJl4odr -Rier
IkConriect to Ex+statg
E3 PG8-
Electrical
C3+p'Ergltl-
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0 QeI%wmhk-r
13 Rwc� tlorls'
® Cornect to a m*V plenxr
(7 AterrBvet-8�tem
❑7TO E CCf4PDtk
C"Mu PIRntg-
CElectrical Wising
OPKI55- lubmemberehip
I Term (.'AAA daw .
10 Comfort Guarantee W Home Protection Guarantee
Q 24-Hour Service Guarantee 101009b Unconditional Money -Back Guarantee
SELECTED OPTION: 01 C3 2 03
SUBTOTAL $ SOOC 1
tA $ �la
TOTAL $ 4 ot i
OCASH ••[3]CHEGK#
CREDITCARD(LAST 4#s) nb0
EXP APPROVAL
O FINANCING _
'Lowy wended by EnwawA USA µnow rojMm
eppro.eJ oa - let a lnrled linty Fes" I e,rnr,
p>ymmubmd an e-90Y w 0.999E f ed APR kin•
drpu+dig an ken emau„1, sued w em d Sq twebw 1. 2021
Repel a ft� my Mwn 38 to 144 nexiles µAwnen ben
smells &P* OfW hwrHa e11 nq bs a okbts.
'Contpaey is not responsible for preeilsting ductwork. See Terms and Candtions on the back of this document for dolole.
• WMten customer authorization will be obtained before beginning any unforeseen additional or extendrid I%V&
• ANY CLAMS FORCONSTRUCTION DEFECTS ARE SUB1ECrTO THE NOTICE AND CURE PROVISIONS OFCHAPTER 558, FLORIDA STATUTES.
• BUYERS RIGHT TOCANCEL•Thls Is a home solldtatlon sale, and If you do not want the goods or services.you may cancel thisagresment
by providing written notice to the seller In person, by telegram. or by mall. This notice must Indicate that you do not want the goods or
sarlrlces and must be delivered or postmarked before midnight of the third business day after you alp this agreement. If you anCel this
agreement, the sellm may not keep all or pa el any ash down payment See the reverse side hereof for an explanation of this right
• I acknowledge dial ,r W to cancel ham boars tome araly and in writing, and without wsiv no my right 10 cancel, l authorize the pertarmance
of the work, oubled all terms and yon*ion ! forth on the reverse side hwad, plus any InLos upon completion,
Na1keTo Own - Do not sign tits o1161p Ye nt contrad in blank. You are entitled to a copy of the contract atom time you sign.
deep It to your legal rlgh Th Im ament contract may Writaln a mortgage or athotwise create alien an your property
that cod oredosed on If d t pa swe you understand all provisions of the Contract before you sign.
NAi DATE1 ' COAIPAHYRC LMATIvf
CUStOMIRR916NATURE DATE DATE
*M1- a ARS1076�F1210210 L210210
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Scanned with CamScanner
Certificate of Product Ratinas
AHRI Certified Reference Number: 202717626 Date: 01-20-2022 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) : 50ZPD036"`3"'
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 - 2017 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 b-it are not yet being produced -Production Stopped" Model Status are those that an AHRI Certif cation Program Participant is no longer producing BUT is st-11
selling or offering for sale.
R9tini75 Drat arp ¢; camDamed t�Y YtAS indirake ar i�volun ay re rar9. The new Dublished ro6nq is yhgw-)glp'Sq with. Ana OrowUuS fi o. W1151 raGna.
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 �19
This Certificate and Its contents are proprietary products of AHRI. This Certificate shah only be used for individual, personal and
R1
confldentiai 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.ahridl►ectory.org, click an'Verliy Certificate' link we make life better -
and enter the AHRI Certified Reference Number and the date on which the oertificate was issued,
which is listed above, and the Certificate No., which is listed at bottom right.
02022Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132871637221605926