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HomeMy WebLinkAboutBuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 0 --- - 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) 452-157$ Commercial Residential X PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: Legal Description: C Lb{s 13-! Property Tax ID #: 4o D 3 —0 OC>'o "] Lot No. Site Plan Name: II /1 Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replacing A1C, exact change out, no duct work with 0412-c e2 3 T0.1 1 17 -5E E -P— ooa 2�t'�4U aZ LI C. 3 -13 Co A- D3 F�0 6 U f i�1 C � r )dos CONSTRUCTION INFORMATION: r ono wor to e e Orme under this permit -check, a appy: JVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors ❑ Electric 0 Plumbing ❑Sprinklers Generator ❑ Roof Total Sq. Ft of Construction: Cost of Construction. $ SFt. of First Floor: _ Utilities. Sewer ❑Septic Building Height: OWNERAESSEE: CONTRACTOR: Name � , c Name; Zacek, Dennis Address: k 03 o A -GT rlo,,t-c- y <`t� Company: American Residential Services City: S2 -l'-- !1!, r4rp, State: qtr Address: 2800 US Hwy 1 Zip Code: 3' Lf Of Fax: City: Vero Beach State: FL Phone No. 7 7-2-' ` (, 7 s-� Zip Code: 32960 Fax: 772 7949783 E -Mail , coyW1 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. 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 apermit 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, 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 commencinP work or recordinK +your Notice of Commencement. _ Signature of 0 r/ Lessee/Agent STATE OF FLORIDA COUNTY OF SLLude The forgoing instrument was acknowledged before me this _Lqday of Z G,F 20 L-1by Dennis Zecek (Name of person acknowledging { isigiliature of NotaryPublic- State of Florida j s Signature of Cont or/License Holder STATE OF FLORIDA COUNTY OF SILude The for oing instrument was acknowledged before me this day of 041!t_ , 20 1_2_ by Denn}s ZwAk (Name f person acknowledging J ISlgnature of Notary Public -State of Florida j Personally Known x OR Produced Id s"o [tom Personally Known X Type of Identification Produced _-Wd.A_ ra_R _. Type of identification Commission No. FF220930 AmsCbffr 1 �9q Commission No. 612120113 Revised 07/15/2014 OR Produced -++[den fi KO .-_J.—leAAL7 DA cotes FF= C,i,�s 61yzo1S REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Michelle Franklin, CFA— Saint Lucie County Properly Appraiser --All rights reserved. Property Identification Site Address Parcel ID Account N Map ID U1CTypr Zoning: Citycounry Ownership Jerry A WElrath 447 E Easy ST Fat Pierce FL 34932 Legal Description INDIAN RIVER LSTATES-UNITaC- OLK 11 Lr1TS 13 AND 141hlAP )A 11SXOR )M-1$39. 3793-2633) Current Values Jusalatkcs Value SI41,1art Assessed Value: $139,333 ExaWtons 3133.417 Taxable Value- SS333 Taxes forthis parcel SLC Ta; Cul. c:tw'� OfI:� O Download TRIM for this parcel DowalmdPDF12 Total Areas FmishcdNnduAv (SF) - Cmss Arra (SF): 2,444 Land Size (um): r. 98 Land Sur (SF) 79 3tai 403 EASY ST M12.4404120341011.7 36706 Wits 11110 RS -3 Seri t Luc. Coady This mfonnatian u bciimd w be correct at this lure, but it a subJec9 to change and is not warranted. 4 Copyright 2017 Saint Luca County Property Appraiser Alin ghts msmd. This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service anal CERTIFIED"Ann between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 9177134 Date: 3/15/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 24ACB736A*031* Indoor Unit Model Number: FV4CN(B,F)005L 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): 36000 EER Rating (Cooling): 13.50 SEER Rating (Cooling): 17.00 IEER Rating (Cooling): ' Ratings followed by an asterisk (') indicate a voluntary rerate or previously published data unless accompan ad w th a WAS, which indicates an involuntary rerate 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.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 farm or manner or by any means, except for the user's Individual, personal and confidential reference. AIR-CONDITIONING, HEATING. CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited an this certificate can be verified at www.ithridlrectory.org, click on 'Verify Certificate' Ilnk „e make life 6mler- 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 ©2014 Air -Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: 131340602770152633 Installation or Order Eat. start nate cup . • r Est. Completion Data ,. (772) 567-3100 I ti 707- �%%�- $QD 57 Corporate Customer 2800 US Highway 1, Vera Be , FL 32960 Relations American Revdentd Services of Florida, Inc License # CMC 1749753, CAC445878, CFC 1428283 (866) 803-0879 C MERnp L Ej r EMAIL CALLsuP ADC E r1 Cir f IP 1%& ' c l HQb j Nf CELL PHON'c WORK PHONE YOUR DESIGN OPTION 1 OPTION OPTION `I SIZE 3'6-\ TY P SIZE .3.An TYPE ?�/ SIZE J %�'r TYPE &AA4�1,- 47 EFMtENCY ✓ FICIENCY EFFICIENCY �7 r $ $ $ k.u-a $ - $ r $ $ $ SUBTOTAL $ O SUBTOT $ SUBTOTAL $ 961 MONTHLY>EST.' $ MON T LY EST ' $ MONTHLY EST' $ CUSTOMER INITIALS CU OMER INITIALS CUSTOMER INITIALS Wa anty: P Parts Labor)Warranty: %C Paris _._ %"s, bor Warranty: JD Parts Labor Compressor Heat Exchanger_Compressor Heat Exchanger _Compressor Heat Exchanger Refngerant recovered and disposed of as required 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. OF • • SELECTED OPTION: ❑ 1 ❑ 2FAN Weatherproof Connect to Existing ❑ Electronic Air Cleaner _ SUBTOTAL $ 7 C? d/ Disconnect Elertrit.al ❑ Media Filter d�// uelime Equipment Slab ❑ New Plywood Deck ,o 01sp ❑ PCO Sound Isolation Pads XReconnect Drain Line ❑ UV Light • 5 $ $ Liquid Tile Conduit �eiling Saver Kit Humidifier ,x1 ❑ Start Kit (Pan & Roal) ❑ Dehumidifier - Main Drain Safety Switch TOTAL $ )ECRefrigerant LL Dryer_ ❑ Outdoor Unit Pad XRefrigera_nt,Pipe Seal New Connections ❑ Flue Venting 0 New Reconnect Support Attic Equipment •' ❑ Ducawork Connections RPrigerent Pipe CoverSupply Plum ❑ Fuei Pipingg0❑New SH ❑ CHECK# Reconnect i�❑ Ex anion Valve Electri ;al Wiirin ZREDITCAR (LAST 4#s) S5'02 .J �} \ATstat-Type Ohetum Plenum �lomeService Plan - ❑ New Reconnect Q 1 Term (364 days) j EXP APPROVAL OUR GUARANTEES 4Comfort Guarantee [Home Protection Guarantee ❑ FINANCING' 24 -Hour Service Guarantee 1001 t, Uncond lional Money. Back Guarantee 'Payment options available with approved credit • %llFw COp .it,ih..P S� 1UAJXd L'o w't? '. d'll CB -736 403 - AN . FV,Ic�IFoo5-L00 I acknowledge that my right to cancal has been explained to me orally and in writing, and without waiving my right to cancel, I authorize the performance of the work, subjwA to al terms and conditions set forth on the reverse side hereof, plus any taxes upon completion. Buyer's flight to Cancel: This is a home solicitation sale, and N you do not want be goods or services, you may cancel this agreement by pra rkling written notice to the seller in person, by telegram, or by mail. This notice must indicate that you da 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 aide heroef for an explanation of this right. • Notco 10 Owner. (a. Bo ad sign this home halnorement contract in blank. (h. You aro etdilled Is a copy of the contract at be time you sign. Keep It la protect your legal rim L (e This home imprmanent uatmq contain a mortgage or sthdwlse create a Chen on your prop ity that could he loredued on t you do not pay. Be sure you understand all provisions of the contract before yell si p///y/'