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Home My WebLink AboutBuilding Permit Appl and NOCALL APPLICABL INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 73 Permit Number: e - -� — - Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34981 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Mechanical I PROPOSED IMPROVEMENT LOCATION: Address: L' Z.5'Da /IJ C3 �- D Fl - Legal Legal Description. , 07.133 -r CSO LLI - �-- Property Tax ID M.930-7 " 3 3 "��-� -41-IV 0346 Lot No. Site Plan Name: .%� �� G I J�•� .!� Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replacing A/C, exact change out, no duct work with 044'PS.P, 4 TbW — 17 CONSTRUCTION INFORMATION: It ona wor to e e orme under Is perm - c ec a appy: HVAC 11 Gas Tank ❑Gas Piping_ Shutters ❑ Windows/Doors 11 Electric Plumbing []Sprinklers Generator ❑ Roof Total Sq. Ft of Construction: Cost of Construction: $ ' OWN Name UAN Address:,&i J j1 'Au �. , ik, I _ City: State: Zip Code: 6505 5 Fax: Phone No. / -„1-b_ - 16 co E -Mail: -G?it r -mac f-�__ r`4 S. Ft. of First Floor. _ Utilities Sewer ❑ Septic Fill In fee simple Title Holder on next page ( if different from the Owner listed above) Building Height: CONTRACTOR: Name: Zacek, Dennis m Company: American Residential Services Address: 2800 US Hwy 1 City: Vero Beach State: FL Zip Code: 32960 Fax: 772 794-9783 Phone No. 772 794-7221 E -Mail: e�r�<O(Re_- qrS. C0 State or County License: CMC1249753 If value of construction Is $2500 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: 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 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, l do hereby agree that 1 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 commencins work or recordine vour Notice of Commencement. r 1 • e1A C -s _ Signature of Ow er/ Lessee/Agent Signature of Cont or/License Holder S'T'ATE OF FLORIDA COUNTY OF SL Luds The forgoing instrument was acknowledge before me this T day of % )141 ttr'� 20 LZby Dennis Zecek T(N,er,,,n acknowledgi j J (Signature of NotaryPublic- State of Florida J Personally Known x OR Produced Identification Type of Identification Produced PATE 'i'AR1fl1Coemu mmission No OF 1=LopJInrr� FF728494 Revised 07/15/2014 STATE OF FLORIDA COUNTY OF stLude The forgoing instrument was acknowledged before me this ( day of r~'`_ 20 by Dennis Zecek of person (Signature of Notary Public -State of Florida ) Personally Known x OR Produced Identification Type of Identification Produced AFI �y9y Commission No. "� Sa AMAS H. ABI Comm# FF128404 Expires 1=018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratin AHRI Certified Reference Number: 9177651 Date: 3/13/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 24ACB748A*031* Indoor Unit Model Number: FV4CNB006L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING 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. Series name: PERFORMANCE 17 AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 48000 EER Rating (Cooling): 13.50 SEER Rating (Cooling): 17.00 IEER Rating (Cooling): ' Ratings fos owed by an asterisk (') indicate a voluntary cerate of previously published data, unless accompanied with a WAS which indicates an involuntary rer'ale 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.shridirectory.org. TERMS AND CONDITIONS aml This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and - AM 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, to any form or manner or by any means, except for the user's Individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION 6 REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.shridirectory.org, click on 'Verily Certificate' link „e make lire Diner and enter the AHRI Certified Reference Number and the dale on which the certificate was Issued, which Is listed above, and the Certificate No., which is I sted at bottom right— *2014 Air -Conditioning, Heating, and Refrigeration Instltute CERTIFICATE NO.: 13133B828oss193813 Michelle Franklin, CFA— Saint Lucie County Property Appraiser—All rights reserved, Property Identification Site Address Parcel to Ac err. v. Map ID use Type: Zoning- City/County Ownership Art as RI lanmaa raula c lltuman 1149 1lardin ilius or Oalem. M0 65656 Legal Description 7 33 39 BEG AT INT OF E WH Ll OF NSLWMD CANAL ri AND NLV MAINT R.W LI 09 ORANGL• AV L%T ISR 695 FOR POR. III RUN N 0000 00 W ALO E R[W LI 319.29 Fr. III N 9911 30E 193.33 FT. Til S 00 0115 W 223 00 37 TIt S99 SL 3OW 123.12FT III S 1 COM E.264 FT It) NRW1.1 ISR 691. TFI N 994521 HALIi N 10A 1_160 FT TO POB (LI l AL) JOB 33'6.2192; Current Values dusLiMarket Value: S1 }1,200 Assessed Value 5132,770 Exceptions S0 Taxable Voluc: !13:.770 Taxes for this parcel: SLC Tax edle,.iv', Ott— 19 Download TRIM for this parcel. I3 -0,;d PDF Q Total Areas Fmishedll.lndcr Air (SF) M101 Gross Arse (SF) 4,759 Land Sim (acres) I It Land S'Ira (SF) 41.3516 1000ORANCE Al "E 231:1.133 -CMI IIINN W369 2311WN W011 AG -I Saco Lucie County This information is bchcvad to be correct at this time but R is subject to dun rand is nos waranred C Copyright 2017 Saint Lucie County Pniperty Appraiser AU n�Lts rxserval. American ReWcnlWSennoeapfFbnda.Inc. License 0CMC1248753,M045878, CFC1428283 ll7UG1 tfU3•UU/.d CUSTOMER ` G. 1�1 L h �l4 EMAIL CALL SUP ADDRESS IL_\ DoD 0 ro,^WI CrFYISTATEJZLp•-U ii r HOME PHONE 1 1 ` I l _ b - DOS ' i CELL PHONE WORK PHONE[ YOUR DESIGN SIZE u r1 TYPE �c. (,r •,t f, SIZ Lt TU^ TYPE�n -Y SIZE LI T,-^ TYPE `-qtr; Ve C EFFICIE CY Swr EFFICI NCY i Vim- EFFICIENCY $ -)C� $q`Isy $ $- $ SUBTOTAL $ 31 SUBTOTAL*ST SUBTOTAL $ MONTHLY ST." $ MONTHLYMONTHLY EST' $-, CUSTO ER INITIALS CUSTOMECUSTOMER INITIALS Wa nty: Parts _ Labor Warrant Parts Labor Warranty: /b- pt, _� Labor Compressor Heat Excha er Compressor. __. __Heat Exch er Compressor Beat Exchanger Refrigerant recovered and d spored of as requi d by law. Complete clean up includ ng use of floor savers to protect your home and removal of existing equipment. All work completed is done in accordance with existing codes and permits, as required. SPECIFICS • • • SELECTED OPTION: ❑ 1 ❑ 2 ❑ 3 eatherproof 714connect to Existing ❑ ironic Air Cl er SUBTOTAL $ Disconnect Electrical ❑ Me Filter Lifetime Equipment Stab 4–New Plywood Dock ❑ pCO $ ound Isolation Pads 'Reconnect Drain Une ❑ UV L.g $ quid Tile Condu t ❑ ing ave ❑ Hu fir t _ QQ o� ■Stara Irate" oa ❑ Dehuml fier TOTAL $ `h v Refrigerant LL Dryer .. 1;gMam Drain Safety Switch Outdoor Una Pa:: `&efrigerant Pipe 0 Seal New Connections CH40&4tgog ❑ New q9 Reconnect ❑Su�paA Attie Eelaiprpenl 0,Dutwork Connections ❑ CASH ❑ CHECK# Cj e r Supply Plenum 1,Expanslon V e ❑ New lenett ectrcal Wiring %CREDIT CARD (LAST 40u) ... _... _ _ num C�T slat –Type �RetLm Plenum He me Service Plan – ❑ New E�Reconnect Term (864 days) EXP APPROVAL ... OUR GUARANTEES Comfort [Guarantee ome Protection Guarantee 1 ❑FINANCING' 24- Hour Service Guarantee 1003%: Unconditional Money -Back Guarantee •Payment o tions'ay-ailabULOth approved credit NOTES t a n /-f r Z, ,Pins. DO q AU '{ `'j LC-.— �YNCl��00t��. aA -uyA % ; d(, -A o r 11. Written customer authr.•rization will be obtained before beginning any unforeseen additional or extended work. ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES • 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 mail. 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 acknowledge that my right to cancel has been explained to me orally and in writing, and wit I waiving my right to cancel, I authorize the performance f the work, su ject ll all terms and conditions set forth on the reverse side he of, plus any taxes upon completion. ZUMMERSIGNATIJ COMPANY NTATIYE CUSTOMER SIGNATURE DATE AT 0 2016 Armenian Residential Sery es L.L.C. AN rights reserved. ARS 1078 061715 8258