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HomeMy WebLinkAboutBuilding Permit Application 772-770-0064 ARS 14:55:44 09-17-2015 1/5 ALL APPLICABLE 1 O MUST BEC MPLETED FOR APPLICATION TO BE ACCEPTED r Date: � Permit Number: ROW III ffimo'v_�' Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x PERMIT APPLICATION FOR: Mechanical Address: 4yA tJ cl r fL ��Q -C' R`9 4 ��aftn ch EL 39 � Legal Description: J-P-hk► oc (3U* �' `11(,11(An Lk-I-c1- k)c. Lot gqy Property Tax ID#: V 00Q • 0 • Lot No. Site Plan Name: l Block No. Project Name:M C u:' A)a Id Setbacks Front Back: Right Side: Left Side: DET�ILEaD> SCRIFTI013`U ,�.�:.,; .{:...,.�_. ..0 v...Y,fa..'.,� . .-<x...va:r X ..✓....''.:_ ,.L,,,,._,e .. -.z.r_: ].....ls,.c'n..� ...ti.. .'�f."�^,�, 1 8i^' __ `�:`.' .4'..._ Replacing A/C,exact change out, no duct work with 0f) i��Ct 1'Yl t wj bk-9t YC04- 1' r v'.:1-*- � itiona wor to e e Orme un er t is permit-c ec a appy: aHVAC �Gas Tank ❑Gas Piping Shutters ❑,Windows/Doors .x. Total Sq. Ft of Construction: S .Ft.of First Floor: Cost of Construction:$ �� q Utilities: Sewer Septic Building Height: SES EES 't` _ C� T3 CTOIW Nameffiacf-12Ak,a in a_nYl 7!)MCA►CI�fi Name: Zacek,Dennis Address:- -4 Company: American Residential Services City:, YPY_ 1ST 1`1 ��C.Yl State: Address: 2800 US Hwy 1 __ Zip Code: Fax: City: Vero Beach State:FL Phone No. Zip Code: 32960 Fax: 772 794-9783 E-Mail: Phone No. 772 794-7221 Fill In fee simple Title Holder on next page(if different E-Mail: bderby@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. 772-770-0064 ARS 14:58:04 09-17-2015 215 ,SSIP ,�. `ASL"„III ( 'aONS�1 !'It7IVIEI14p+ 1p1,r s � t n4 � .�rY„�i..r.....�„a,_..,!�.,. ...�..�..,. a..a-...._� .-.,o.�-.7ci.�,s-3 r' s``� a.,3 a?,� -,x-e,.4n�•x...� .._..sy `tea.'.. �.. 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: 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 thepermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such structure.Please consult with your Home Owners 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 your paying twice for improvements to your property.A Notice of Commencement must be recorded 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. 1Je 'Jets s _Signature of Ow er/Lessee/Agent Signature of Cont ar/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF a<.cde COUNTY OF sit�ae The forgoing instr ment was ack owledi fore me The forgoing instr ment as acknowledged before me this day of ' 20 33by this a day of 20 A5by Dennis Zscek Dennis Zarek 114-ame of nerson acknowledging =ureofblic-St4 of Florida} (Signature of Notary Public”S�nrid-} ............_...................................................................... ........ .......-..................... ... . . . ................................. .......... Personally Known X OR Produced Identification Personally Known X OR Produced Identification Type of Identification Produced Type of Identification Produced FF220930 ' ETH A DERE Co ission No. I Commission No. ;(Seal FFzzos B )►DERBY •ii MV COMMISSION 11 FF2 0930 °;� • MY COMMISSION 0 FF220930 • .•�� XPIRES 1S,20 9 IAC11 39M 53 stria. .car ,!'„•`' Revised 07/15/2014 "01'39°4.53 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE ........... _ . _INIT IAL S-__..._._ 772-770-0064 ARS 15:03:41 09-17-2015 5/5 This combination qualifies for a Federal,Energy Efficiency Tax Credit when placed in service www.afiridirectory.org between Feb 17,2009 and Dec 31,2014. Certificate of Product Ratings AHRi Certified Reference Number: 1076061 Date: 9/17/2015 Product:Year-Round Single-Package Air-Conditioner,Air-Cooled Model Number: RSPM A036JK Manufacturer: RHEEM SALES COMPANY,INC. Trade/Brand name: RHEEM; RUUD Region: 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. Series name: RHEEM RSPM SERIES Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY,INC. ...x.•..r-�..Ssr^=-A:+'<.'.;C:..::-v"l;'::r::,'^_^_:.:r./..:a�"::�N;:C.`rn�,I:i�:5-�':y::r•1Vi... rG:`x'a'Y:'. - - c.;C..:v .s va. u �,t}.�' t -�-!0'r,'r .,.�. ,,5, UY' `y, , Rated asxfo(Icvgs n ccerc�ancexwltt� 1>�RI�tano�r R-4,x/240 0,���`fort]r}�taryA(r�-Cortdatlo ingx tld�A r ource fvk b_ zt -s 'Heat P'69 jARir yar = g I pronsv-o-..,mteit�T,aal daie Ciet��. Ql t,Third 00 Ng- party party testingk4 d str � r ✓ 4 a vG .� - r `Cooling Cap�cl1tytuh): 3620bs u fy �� v a ;c ny`�X' Z tf4 e, a y 7 r y.t t 4' F. rI .'j, b f �nt , z w'��;. 3 .3d,�' ar ' v ", b7j ..� .i ' r (f't `� � '�,;r` r Wr'�UErER: Ming i(Coolal?9). 12 20 Y r 14 I� ,�� -_ �h huh i ,c* ^r' it 4F S-!' ( bL`-9 _ ` +„y __a""'s. e 7� 1 e�,� °' �' ,fZ -sem ,} ;lr ^r #y�a"`�r `�•� et G�'n �,z., ,�Off $EEReffng �:yooltng L >14YI]0CDF O y Y 7 : f YZiy 'Sr a ^,n...o Rg,f uL tr p � ,� k$ �5'`'' `�r I�'F z � �I,v� f .r r £ u t;� 3 � i `� e)�� 'r,.'''rt'•' .,�K3'»� .y { h'1�r�IFlr_11r,Ran-9 rC't)otingj -. .�. F fi �. �s= za i�+. rte.x. .,.,M•t" v �=s T .fw xf. -3 +" �'xi?,_.'c.'. f'�& .f.,.—:.mac•-'`:rte.-w-::: e,a ,,..R...� .�:*�=;:,^...u,......._ z.,s;;s s �.. �: �:.,.�-x_. - - — .... ... ........... . . . ................................................................................................................................................................. ............................................................. Ratings followed by an asterisk(•)indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary rera(e. DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibilhy 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;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 mTti tormation for{ e moa tee on this ceica"f a can bevertffee at www.ahndirec orf y:org,click onVe`iTfy Certifcf eTe-UnTs ''- - T - and enter the AHRI Certified Reference Number and the date on which the certificate was issued, the make life I}rlte�" which is listed above,and the Certificate No.,which Is listed at bottom right. y ©2014 Air-Conditioning,Heating,and Refrigeration Institute RTIFICATE NO.: 1308698947802881$ _ 2_.. N.: '