HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
OUNTY �
r L O R
Permit Number:
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
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address:,$ Qf)']
Legal Descri tion•
g p M✓1 �r55�--�-
Residential x
Property Tax
Site Plan Name: y
Project Name—
Setbacks
am+Setbacks Front v°
Back: Right Side: Left Side:
Lot No. .3'-t
Block No. 3_�)
DETAILED DESCRIPTION QF WORK:
Exact change out ofItcInstalled AJ0 AjUCVt,,
$ Jv j�
kW(S-r'74Cr,�.rrr �
�' a 4^CC430 q
028 Zcyb L' -rui+ FZ V GN -I;o 30 L_
CONSTRUCTION JNFORMA oN
Additional`work to be ertorm undertha s perma
it–chec app y;
,�dAC E] Gas Tank ❑Gas Piping_ -Shutters J�
L_I Windows/Doors
Electric 0 Plumbing Sprinklers 11 Generator nn
i.� Roof
Total Sq. Ft of Construction: S. Ft. of First Floor:
Cost of Construction: $ utilities:12Sewer EiSeptic
OWNERAESSEE:
Address-: S. ;X _)
City: 3, Vr State: FC
Zip Code: Fax: NIA
Phone No. 7 _ 9,71 – f L1.6
E -Mail: NIA
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
CONTRACTOR:
Name: Zacek, OR:
Company: American Residential Services
Address: 2800 US Hwy 1
City: Vero Beach FL
State:
Zip Code: 32960 Fax; 772 794-9783
Phone No. 772 794-7221
E -Mail: bderby@ars.com
State or County License %–,r a4 97 5
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
v�-rra .
5UPPLEMLNTAL.CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY:
Name: Name:
Address: / Address:
City: / State: City:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City: /
Zip: Phon f.
BONDING COMPANY:
Name:
Address: ✓
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the Issuance of a permit.
x____ Not Applicable
State:
x Not Applicable
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, 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 vour Notice of Commencement.
_ Signature of oer/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF StLude
The forgoing Instrument was acknowledged before me
this _3_ day of 12 P2, ( , 24 acknowledged
r Nnnis Zacek
(Na a of person acknowle ng j
(Signature of Notary Public- State of Florida )
Signature of i'ontra r/License` Holder
STATE OF FLORIDA
COUNTY OF sttuce
The f oing instrument was acknowledged before me
this day of f , 20 4_.:Z by
Jannis Zacek _
(Name person acknawledgin )
1
N �'a& Lia
(Sig is ure of Notary Public- State of Florida )
Personally Known x OR Produced Identification Personally Known X OR Produced identification
Type of identification Produced Type of Identification ProducedFf G
Commission Nom la�� ission Nom EEZW "1 ��y/ Se*{pµdH.BABER*
THoMAi� H, W"iii
NOTARY PUBLIC t NOTArY PUBLIC
C T= F t h } ^trrm* FF'128494
Revised 07/15/2014 ,. 01FF�28494Er:+;-.N&/'J2098
F re,- 61M013
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
Certificate of Product Ratings
AHRI Certified Reference Number: 9474297 Date: 3/31/2017
Product: Split System: Air -Cooled Condensing Unit, Coli with Blower
Outdoor Unit Model Number: 24ACC430A*030*
Indoor Unit Model Number: FB4CNF030L
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA
AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ,
NY, OH, OR, PA, RI, SD, UT, 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: COMFORT 14 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): 28200
EER Rating (Cooling): 12.00
SEER Rating (Cooling): 14.00
IEER Rating (Cooling):
• Ratings followed by an astedsk (') indlcale a voluntary rerale of previously published data, unless accanpanied with a WAS, which Indicates an irwolunlary rerate.
DISCLAIMER
AHRI does not andorse the product(s) listed an this Certificate and makes no representations, warranties or guarantees as to, and assumes no responslbAlty for,
the product(s) listed on this Cenlficate, AHRI expressly disclaims all Ilabilky for damages of any kind arising out of the use or performance of the product(s), or the
unauthorized alteration of data listed an this Certificate. CertMed ratings are valid only for models and configurations listed In the
directory at www.ahrldirectory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and
"I,
confidential reference purposes, The contents of this Certificate may not, in whole or In pert, be reproduced; copied; disseminated;
it
entered Into a computer database; or otherwise utflired, In any form or manner or by any means, except for the user's Individual,
personal and confidential reference.
AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION
a REFRIGERATION INSTITIRE
The information for the model cited an this certMcate can be verHled at www.ahridirectory.org, click an 'Verify Certificate' link
we mate lire bettrr"
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
Q201�4 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
131a6eo5az4ot2o
Michele Franklin, CFA—Saint Lucie County Property Appraiser—AA rights reserved.
SheAddrat
parcel ID,
Aom w 0:
Map ID:
useTym
Zoning:
Citycm lty
Ownership
W iRiam F Tiopm
5207 Birch Or
Fan Piero, rL 349C
Legal Description
INDIAN RIVER MATES -UNIT 07• ELK 50 LOT 34 (" AWS) (OR 3305-510)
Current Values
JustlMarkd Vduc
fe41m
Assmed Value
839,107
Fatemptiem:
133,107
Thuable Vain
s25,00n
Tum for this perm!: SLC Tax Cdlecmes Office O
Download TRIM for Ibm petrel: DowWmd POF O
Total Areas
FaruhdUader Air (SF): Lon
Gtme Atm (SF): 7.233
Land Sim(aaea): 0.23
LxW 5im (SF): Ilkwo
Property Identiflcation
5207 RIRCII OR
7402-tae-47sLaoaO
1256m
34WS
0100
RSI
Said Lucie Caumy
This infarumdon is helkwd m beam. st gtie face but if ir:tlbjea b lad b now
O Copyright 2017 Saint Lurie County Prnpaty AMmmm AD rights tverved,