HomeMy WebLinkAboutMECH/HVACAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/04/2022 Permit Number:
O "
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
23W Virginia Avenue, Fort Pierce FL 34982
Phone. (772) 462-1553 Fax: (772) 462-1578
I PERMIT APPLICATION FOR:HVAC / Mechanical I
PROPOSED IMPROVEMENT LOCATION:
Address: 6 JOSE MARTIN FT PIERCE, FL 34951
PropertyTaxiDIts MOBILE HOME PARK
Site Plan Name: 6 JOSE MARTIN
Project Name: HAL & NANCY MURRAY
DETAILED DESCRIPTION OF WORK:
Exact AC change out, no duct work
4 Ton, 14 Seer, 8 KW PKG UNIT
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: $ 6,000
—Gas Piping
_ Sprinklers
WE No.
Block No.
_ Shutters _ Windows/Doors Pond
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name HAL & NANCY MURRAY
Name: Dennis Zacek
Address:6 JOSE MARTIN
Company: ARS l Rescue Rooter
City: FORT PIERCE State: E.
Address: 2800 U S HWY 1
Zip Code: 34951 Fax:
City: Vero Beach State:pL
Phone No. 706-455-9838
Zip Code: 32960 Fax:
E-Mail:
Phone No 772-794-7205
Fill in fee simple Title Holder on next page ( if different
E-Ma I I mgiliis®ars,00m
from the Owner listed above)
State or County License CMC1249753
Ir value or construction 1s x5W or more, a REcoRDtD mot" at commencement is required.
If value of HAVC Is $7,SW or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERANGINEER: 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:
VwNttl/ LUN TRACTOR 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 prohioit 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 attorney before commencing work or recording our Notice of Commencement.
r
r
Signature of Owner/ 1. a/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF t Lucie
Sworn (or affirmed) and subscribed bptnre me of K Physical Presence or Onl'ne Notarization
this _ day of MARCH 202 by
Name of person making statement.
Personally Known X OR Produced Identification
Type of Id e tifi ti n Produced
(Signature of Notary Public- State of Florida)
Commission No. H 04 (Seal)'_ IIRItFQAGglIS
m Omp
•- eoaasannrlw�,
REVIEWS I FRONT I ZONING
COUNTER REVIEW
I RECEIVED
I DATE
SUPERVISOR
REVIEW VEGETATION 5 REVIEW MANGROVEREVIEW
A • :.,
work Makm
Makin!] it Hi0
Installation Work Order
(772 )567-3100
2800 US Highway 1, Vero Beach, FL 32960
American Residential Services of Florida, Inc.
License # CMC1249753, CAC1813963, £C13008558
Est. Start Date a - ill S -aa
Est. Completion Date oI - I L 1.
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CUSTOMER tACO I'\\�A, n
EMAIL
CALL SLIP
ADDRESS �
a cS-�e.�
CITY! IZIP q
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HOME PHONE
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OPTION 1
OPTION 2
OPTION
SIZE � rti TYPE c > �_c-
SIZE —TYPE
SIZE TYPC
EFFICIENCY 1LAZ_vL i��i U`�`
EFFICIE!!CY
EFFICIENCY
$
�— $
$
$
SUBTOTAL HG
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SUBTOTAL $ _
SUBTOTAL $
MONTHLY EST.. $
MONTHLY EST' $ _
MONTHLY EST ` $ _
CUSTOMER INITIALS
CUSTOMER INITIALS
CUSTOMER INITIALS
Warranty:" Parts 011)k . Labor
Warranty:- Parts Labor
Warranty" Parts Labor
LQ_Compressor Heat Exchanger
Compressor Heat Exchanger
Compressor Heat Exchanger
"lJr:less otherwise noted, all warranties are from the manufactun, r.
SPECIFICS OF • •
SELECTED OPTION- 1 ❑2 ❑3
Weatherproof V Reconnect Drain Line ❑Qa4umidilier
SUBTOTAL $
Disconnect ❑r'�ver-#it' ❑ EITM* er-4initPaEJ
IKLlfedme Equipment Slab (RaAJ Fleay ❑€lue Veeka@
$
In Sound Isolation Pads ® Main Drain Safety Switch Q Ductwork Connections'
'QLlquid Tite Conduit (9 Seal Now Connect ons ® Connect to existing plenum
$
ETSTart-Kit t ❑frfCti>rlodifieat S
C Refrigerant L.L. Dryer 9I.Supply Plenum (aine Naies in acepe of wMk)
TOTAL $
❑ New Q Reconne..t U_NJ�
❑ t 9LRet im Plenum ❑ mo-Eh=t- Wer4
RefrigefaAi Pipe Gov r ❑ Ni?w `Q Reconnect ❑�F�
❑ CASH ❑ CHECK#
IS Expansion Valve 'VEle -trica W rv1t.J
10 T-stat-Type av \t,,� D*u& F.i — ❑ Ip
❑ CREDIT CARD (LAST 4#s)
�1 Connect to Exist ng 0-P69 i Term (364 day ;:
EXP APPROVAL
Electrical ❑vafgm
MA— Plywood Deck 0+hrI"tdtW&
FINANCING V�CJ�i 2 7 i•�
?
•UR GUARANTEES
'Loam provided by Enn+aank US& Mmnbcr FDIC. on
approved cmcI4 far a "tod line. Est—ted monody
=Amlort Guarantee 10 Home Protection Guarantee
w "•"' payrnw,s ras d or. 6.90%o, 9.99'16 tnryi APR taus.
denoWmg on loan emeuni. effective as of September 1, 2021.
R24-Hour Service Guarantee 19 100% Unconditional Money -Back Guarantee
Repayment ie vary kom 39 io 144 month& Mmimum lain
wominisapply. 01Wlianeingopt;ommay beaYadafle,
•
5 15 + n c-
'Company Is not responsible for preexisting ductwork. See Terms and Conditions on the back of this document for details.
• Written customer authorization will be obtained before beginning any unforeseen addrttonal or extended work.
• ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUT=S
• BUYER'S RIGHT TO CANCEL: This is a home solicitation sale, and If you do not want the goods or 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 If you cancel this
agreement, 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 cancel has been expla ned to me orally and in writing, and without waiving my right to cancel, I authorize the performance
of the work, subject to all terms and conditions set forth on the reverse side hereof, plus any taxes upon completion,
Notice To Owner - Do not sign this home Improvement contract in blank. You are entitled to a copy of the contract at the time you sign.
Keep it to protect your legal rights. This home improvement contract may contain a mortgage or otherwise create a lien on your property
that could a foreclosed on If you do not pay. Be sure y liu understand all provisio of the contract before you sign.
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CI ER GNATI z
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CUSTOMER SIGNATURE t:A E A
e 2021 Amr .an RnsalentmI Sen,x es L.Lf-. 41 nlia n•sr•.rvrd ARS1018 r-L 210210 L 210210
Certificate of Product Ratinas
AHRI Certified Reference Number: 7490504 Date: 03-04-2022 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) : 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 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 (S`^
SEER: 14.00 0 04
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 but are not yet being produced.'Producdon Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Ratinas that a e armyrpaniW by VVASAdi otg an involurtary re -rate. The new pbbli5hed rains is shown alonu with thu oruvious fl.e. WAS1 ratira.
DISCLAIMER
AHRI does not endorse the products) 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
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for [ndiv;dual, personal 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,
personal and confidential reference. AIR-CONDRIONING, 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" [Ink we 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 I CERTIFICATE NO.: 132W8986M2W9626