HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/16122 Permit Number:
O�
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 452-1553 Fax: (772) 462-1579
PERMIT APPLICATION FOR:HVAC / Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 9 SAN FELIPE, FORT PERICE, FLORIDA, 34951
PropertyTaxlD#: MOBILE HOME
Site Plan Name: 9 SAN FELIPE
Project Name: DAVID DISMUKE
DETAILED DESCRIPTION OF WORK:
Exact AC change out, no duct work
4 Ton, 14 Seer,10 KW
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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 ^ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 10,645 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameDAVID DIMUKE
Name: Dennis Zacek
Address-9 SAN FELIPE
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 No248-431-2474
Zip Code: 32960 Fax:
E-Mail:
Phone No 772-7W7205
Fill In fee simple Title Holder on next page ( U different
E-Mall mgillls(Mars.com
from the Owner listed above)
State or County License CMC1249753
it vane orconsrrucuon s zwu or more, a RMUMMa Nonce of [ommenoement Is required.
If value of IfAVC Is $7,500 or more, a RECORDED Notice of CommencemeM Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNS 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 re resentation that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with an applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consu�t 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 attornev before commencin work or recording our Notice of Commencement.
Signature of Owner/ L e/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFStlucie
Sworn to for affirmed) and subscribed before me of X Physical Presence or Online Notarization
this 16 day of FEBRUARY 2C____ by
\3CM1A tS Zu
Name of person making statement.
Personally Known mac_ OR Produced Identification
Type of IdepUti tipn Produced
of Notary Public- State of Florida)
Commission No. HH 045659 (Seal) _ UNNIDApgM
'•= r~ �
Pd6lotllrawrsltes
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
I RECEIVED
I DATE
Installation Work Order Eat' Start
s e - (772 J567-3 00 Eat, Completion Dot
eQ— —
ONe OfA►j Jo4
iiight.
1r. 2800 US Highway 1 Vero Beach FL 32960 � � t t N0CJW
Making it wktc
work Making rAmerican Reeidontial Services of Florida, . w M
License # CMC1249753, CAC1813983, EC13008550 _
f EMAL
ADDRESS
___Ter-iSTATElzip
SIZE Q TYPE _ ' 4SU'BTOTAL
TYPEEFFICIENCY$
SUBTOTAL $ �� MONTHLY ESL' $ T.- $1
CUSTOMER INITIALS w1riill1 . INITIALS,
Warranty" _ Parts OM,,%, Labor Wa nly Parris -Mft lcd Float Exchanger 10A Compressor PDAHeal
'-Urw.ga otimirmso noted, al warranties are from the mandactuw. -- •T
Q Weatherproof
Mil Reconnect Drain Line
O sconrect
❑ Coiling Saver Kit
Lifetime Equipment Slab
(Pan 6 Float)
Sound Ibo;ation Pads
0 Main Drain Safety Switch
Liquid Tits Conduit
❑ Seat Now Connections
Staff Kit
Support Attic Equipment
Refrigerant L.L Dryer_
jupply, Plenum
0 Refrigerant Pipe
EXN&w O Reconnect
❑ New ❑ Reconnect
❑ Return Plenum
Refrigerant Pipe Cover
ONew ORoconnect
Expansion Valve
CI Electronic As Cleaner
T•atat Type _
❑ Media Filter
Connect to Existing
PCO
Electrical
UV Light
_W.WAw4*pft*d fleck
❑ Humidifier
TYPE
EFFICIENCY
�q
T�
$
$
$
_
SUBTOTAL
$
ONTHLY ESL'
$
CUSTOMER INITIALS
Labor
warranty: -
Parts Labor
Dehumidifier
60 Outdoor Unit Pad
O Flue Venting
❑ Du6ilwork Connections'
O Connect to casting plenum'
E] Duct Modifications
leer Notes rot @rape d
New Duct System
O No Duct `Mork IL
❑ Fuel Piping'
[IElectrical Wiring s
O PROS Club Membershipl;ti
1 Term (364 days)
tComfort Guarantee Homo Protection Guarantee
24 Hour Service Guarantee 1009b Unconditional Money -Back Guarantee
5r
�iR�1\ CAM rz-c�Ae�s
Edui-R\c 1 1 Q-P-
CusTo rA Mama-sA413�
- _Compressor Heat Exchanger
SELECTED OPTION: 1 132 ❑3
SUBTOTAL $ _ —
TOTAL
OCASH ❑CHECK#
0 CREDIT CARD (LAST 4#s)
P _ APPROVAL
FINANCING ��
'UW.,-KW by EmewlrUSA,Memba FDlC,on
a19 1 al n.6t 1w a fniwl tom. EdnaWd w*Hj
P@ytnmM@u.d w e,"% a 9.99% read APR benm
d6pW,*9 an tan @main. @11KV- n a( Srpwff bw 1, 2021
PRP.M vet W Moe, 30 to 144 monOw Af.irm„n lover
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*Company is not responsible for pmexistng ductwork See Terms and Conditions on the back of lies dc�:umonl for details.
• Written customer aulhomalun will be obtained before beginning any unforeseen addbona or extended work.
• ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECTTO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES.
• BUYER'S RIGHTTOCANCEL: This Is a home solicitation sale, and If you do not want the goods orservlcM you may cancel this agreement
by providlrrg written notice to the seller In person, by telegrantr or by mail. This notice must Indicate that you do not want the goods cr
sefvias and must be delh►ored or postmarked before midalght of the third business day after you $ign this agTaemant If you cancel this
agreement, the seller may not keep all or part of any cash dowel payment See the reverse side hereof for an explanation of this fight
• I acknowledge that my right to cancel has been expl2mod to me orally and in writing, and without waning my right to cancel, I ouitwnze the performance
of the wok, subject to ON terms and conditions sot forth on the reverse side horoof, pl.is any taxes upon completion,
Notice To owner - Do not sign this horde Improvement contract In blank. You are endued to a copy of the context at the time you sign,
Keep It 10 protect your legal rights. This home Improvement contract may contain a mortgage of otherwise create a Ilen on your property
that could be f dosed on If you do not pay. Be sure you understand all wAsibes of the contract before you sign,
C —rs-z� Act
C STDMER SIGNATURE RATE 661
1�REEPRESEMA/vi]�YE
CUSTomERSKWATURE DATE ✓��) {��t1rs�� O�-� W/•
1^%t� DATE
C 2021 AmwiGn Rrid.elad Sendow L _ C Airpy,ls maned. ARSI Ora_ pR..210710 L210210
0256
Certificate of Product Ratinas
AHRI Certified Reference Number: 7490504 Date: 02-16-2022 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 - 2017 with Addendum 1, Performance Rating of Unitary
Alr-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 : 47000
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.50
t'Active' Model Status are those that on AHRI Certification Program Participant is currently producing AND sell 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
Mn, or offering for sale-
IIr', 1ha7 aril ac[� ,!,,,*d by WAS ndicato VrI inyolunlary Fe -ale. The new olJbhShed faUnais Shown 31Gr�u w:lh ihu aru+raus ri.o kwASi ratinsl
DISCLAIMER
AHRI does not endorse the product(sl hated on this Certificate and makes no representations, warranties or guarantees as to, and assumes no respons.bility 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
confidential reference purposes. The contents of this Certificate may not, In whole or In part, be reproduced; copled; disseminated;
entered into a computer database; or otherwise utilized, in any form or manner or by arty means, except for the user's Individual, 11
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.ahrldirectery.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
02022AIr-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13289so6a316977131