HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/15/22
Permit Number:
O
Building Permit Application
Planning and Developmen t Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462.1S78
PERMIT APPLICATION FOR:HVAC / Mechanical
PROPOSED IMPROVEMENT LOCATION: �.
Address: 9915 NANTUCKETT LN, FORT PIERCE, FL, 34945
Property Tax ID t1: MOBILE HOME PARK Lot No
Site Plan Name: 9915 NANTUCKETT LN Block No.
Project Name:ROBERT HOULE
[DETAILED'DESCRIPTION OF WORK:
Exact AC change out, no duct work
4 Tan, 14 Seer, 10 KW
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical — Gas Tank
_ Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 11,188
_ Gas Piping
_ Sprinklers
_ Shutters -Windows/Doors _ Pond
— Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name ROBERT HOULE _
Name: Dennis Zacek
Address:9915 NANTUCKETT LN
Company- ARS / Rescue Rooter
City: FORT PIERCE State: FL
Address: 2800 U S HWY 1
Zip Code.. 34945 Fax:
City Vero Beach State•FL
Phone No, 772453-4120
Zip Code: 32960 Fax:
E-Mail:
Phone No 772-7947205
Fill In fee simple Title Holder on next page (if different
E-Mail mgillfs@ars-com
from the Owner listed above)
State or County License CMC1249763
If value of construction Is ZS00 or more, a RECORDED Notice of Commencement b required.
If value of HAVC Is $7,S00 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 an 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 commencin work or recording our Notice of Commencement.
Signature of Owner/ L e/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
. St Lucia
Sworn to (or affirmeol and subscribed bPfnre me of X Physical Presence or Online Notarization
this 15 day of FEBRUARY 2c22 by
Name of person making statement.
Personally Known X OR Produced Identification
Type of IdeiitifkAtiipn Produced
Notary Public -State
Commission No. HH 045659 [Seal}
REVIEWS
I RECEIVED
I DATE
FRONT I ZONING
COUNTER REVIEW
UPANVASLl13
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SUPERVISOR PLANS I VEGETATION I SEA TURTLE I MANGROVE
REVIEW I REVIEW REVIEW REVIEW REVIEW
installation Work Order
pRS4j
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(772 )667.3100
2800 US Highway 1, Vero Boach, FL 32960
American Residential Services of Florida, Inc.
L-cense 0 CMCI249753, CAC1613963. ECI3008858
Eel. Start Date�,f
Eat. Completion Daleb-1 1.5
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SUBTOTAL $ _
MONTHLY EST' $ VONTHL
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CUSTOMER INITIALS CUS ER INITIALS lta
CUSTOMER INITIALS
Warranty" Parts Dolr& Y& Labor
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_ Parts tabor
Warranty•: ' Parts .. Labor
Y L Compressor Heat Exchanger
Compressor Heat
Compressor _ _ Heat Exchanger
"Udoas othwwae noted, al wam inbes are from ere munAachver.
•
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SELECTED OPTION: t ❑2 ❑3
"Weatherproof SdReconnect Drain Line
q6ehumidifier _
SUBTOTAL $
Disconnect ❑ Ceiling Saver KtOutdoor
Unit Pad
tine Equipment Slab Pan & Float)
❑ Fluo Vent-ng
$
and Isolation Pads n Dram Safety Switch
Ductwork Connections'
�L1
Liquid Tde Conduit 10 Seal New Connections
❑ Connect to emling plenum
tar! t ❑pupport Attic Equ pment
❑ Duct Modifications
Notes oo.scove d
Y�jFtefrmgerant L.L. Dryer (9 Supply Plenum
6f
wo
0 New Duct System
TOTAL
�CJ}L���}}} Refrigeranf�'Ipe New ❑ Reconnect
New ® Reconnect ❑ Return Plenum Cl No Ducl Work
efngerant Pipe Cover ❑ New ❑ Reconnect
❑ Fuel Piping
❑ CASH ❑ CHECK# — ..
12�6pansian Valve ❑ Electromc Air Cleaner _
❑ Electrical Wiring
❑ CREDIT CARD (LAST 4#9)
-slat —Type ja%� ❑ Media Filter _
❑ PROS Club Membership
Connect to Existing ❑ PCO - -
Electrical ❑ UV Light
t Term (364 days)
E P APPROVAL --__
FINANCING
❑ New Plywood Deck ❑ Humidifier
OUR GUARANTEES7
to" pwid•d seFoie eft
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-fort Guarantee ome Protection Guaranies
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Gj 24•Hour Service Guarantee 19 100% Unconditional Money -Bad* Guarantee
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NOTES
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'Company is not responsible for pmexisting ductwork. See Terms and Conditions on the back of this document for details.
• Written customer authorization will be obtained before beginning arty unforeseen addibonal or extended work
• ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 658, FLORIDA STATUTES.
• BUYER'S RlGKTTO CANCEL: This Is a home solicitation sale, and If you do not wantthegoodsor services, you may cancel this agreement
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
services and must be delivered or postmarked before midnight of the third business day after you sign this agreement tf you cancel this
agreemeK 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 carK-..el has been arplairmed to me orally and in writing, and without waiving my right to cancel, I authorize the performance
of the work, autos*t to all terms and conditions sot forth on The reverse side hereof, plus any taros upon completion,
Notice To Owner • Do not sign this home Improvement contract In blank. You are enliUed to a copy of the contract at the time you sign,
Keep it to protect your legal dots. This home Improvement contract may contain a mortgage of otherwise agate a Ilan on your property
that could be foreclosed on If you do not pay. Be sure you understand atl ions of the contract before
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CUS710 R SiONA RE - FOIL Y REPRE9E ATWE
CUSTOMER SIONAmuRE DATE DATE
0 2021 Anwkm nesideeef! Services LLC. Ae Po" m.mred. ARS 107e fL„ 210210 L210210 �`'T ' "� 0256
Certificate of Product Ratings
AHRI Certified Reference Number: 7490504 Date: 02-15-2022 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) : 50ZPCO48-30"'
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 210/240 - 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 : 47000
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.50
t-Active- Model Stat. .-; are those that an 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'Producton Stopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is st
selling ar oftanng fnr sale.
�et!nL15 Chas �r �CC�3mDaRietl ny Wh.S indiYyW an inyoiry47ry. NErate. The new AUbl15hPJ ralin4 i% 5rWWn 4110r12 with 1ha arav-uus b.o. WA51 raiinst.
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.ahFidirectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and PH
confidential reference purposes. The consents of this Certificate may not In whole or in part be reproduced; copied; disseminated; Na
entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's Individual, it
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 lire better
and enter the AHRI Certifled 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.: 132894113676995182