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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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_15713 Commercial Residential x PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION Address: ,0 ¢} r S g it Pc ed—c e 11 Legal Description: Property Tax ID #: ' i( L Site Plan Name Lot No. Project Name: Block No. U`� Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replacing A/C, exact change out, no duct work with dt i�cJ Rh e RA1gaLIRj-1 .104 or - 'Q 'Q 141 � �`{ I � i fin} s kc,v e -1 ! `(5 / P Lf (DC) p 137- CONSTRUCTION INFORMATION: itiona wor to a Orme un er t sperms — c ec a aPP VAC Gas Tank ❑Gas Pi in _ P g Y� Shutters Windows/Doors ?Electric � Plumbing �5prinklers 11 Generator Roof Total Sq. Ft of Construction: S. Ft. of First Floor: Cost of Construction. $ 0 a Utiiities:11Sewer USeptic Building Height: OWNER/LESSEE: g t CONTRACTOR: Address: u City: State:—EZ— Zip tate:—EZ—Zip Code: Fax: Phone No. Q 9 — 4., r-, E -Mail: Fill In fee simple Title Holder on next page ( If different from the Owner listed above) If value of construction is Name: Zacek, Dennis Company: American Residential Services Address: 2800 U5 Hwy i City: Vero Beach State: FL Zip Code: 32960 Fax: 772 794-9783 Phone No. 772 794-7221 E -Mail: bderby@ars.com State or County License: CMC1249753 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: x Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Name: Applicable Address: City; Zip: Phone: MORTGAGE COMPANY: x Not Applicable Name: Address: City: State: Zip: -- Phone: BONDING COMPANY: -L_Not Applicable Name: Address: City: Zip: ,. Phone• I certify that no work: or installation has commenced prior to the issuance of a permit. 5t. 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 commencin 7, work or recordin our Notice of Commencempnt _ Signature of ower/ Lessee/Agent STATE OF FLORIDA COUNTY OF SL 1.11Fa The forgoing instrument was acknowledged before me this _ day of 20 ,by Dennis Zack (Name of person acknowledging Signature of Cont or/License Holder S STATE OF FLORIDA COUNTY OF siuxae The forgoing instrument was acknowledged before me this — day of 20 _by Dennis Zaewk iName of person acknowledging) i (Signature of Notary Public- State of Florida ) (Signature of Notary Public- State of Florida) Personally Known x OR Produced Identification Personally Known x Type of Identification Produced THC1MAs y OR Produced Identification ype of Identification Produced Commission No,_-FFtanasol (ATE OF FLORIDA Carni# FF128494 Commission No.-Fes�a. ';w)4. t"gPA0 ►$$. NOTARY PUBLIC Revised 07/15/2014 ` rCorm*FF128494 . I' moires 6/2/2UIS REVIEWS FRONT ZONING SUPERVISOR PLANS COUNTER REVIEW REVIEW VEGETATION SEA TURTLE MANGROVE REVIEW DATE REVIEW REVIEW REVIEW COMPLETE INITIALS Ta S vc. - i1;c}-%�.1 L 9, I . -� 1 - Est. Start Daie'l -A3- I-). Installation Work Order Est, Completion Date�1- (772) 567-3100 Corporate Customer 2800 US Highway 1, Vero Beach, FL 32960 Relations Amen=Readenl[WS+-.a ofFlr-t-,Yri.,cs•MCMC1240753,CAC04sa7B.CrC14282113 (866)803.0879 CUSTOMER a -ter EMAIL CALLSUP 5 ` ADDRESS �O` `'�CYN vG CnY,STATf, C# Qin-,(., V -L- 3 Lk i'"T HOME PHONE)ry�`_!]1/) - (, V�3ll CELLPHONE wORKPHONI_ YOUR HVAC SYSTEM DESIGN SIZEt� TYPE �� S E a`�V r� TYPE SIZE, -TYPE {n EFFICIENCY ILA-', {r��� EFFIENCY �b� EFFICIENCY $ �+ $ $�_, SUBTOTAL $ SUBTOTAL $ 5`135 ( _ SUBTOTAL $ MONTHLY EST.* $ MONTHLY T.- $ MONTHLY EST. $ CUSTOMER INITIALS CUSTO R INITIALS CUSTOMER INITIALS Warranty: 10 Parts I Labor Wa nty: Parts Warranty: , Parts Labor Compressor Heat Exchanger Labor Compressor Heat Exchr Compressor Heat Exchanger Refrigerant recovered and disposed of as required by law. Complete clean up including use of f oor savers to protect your home and removal of existing equipment. All work completed is done in accordance with existing codes and perm ts, as required. SPECIFICS OF +UR INSTALLATION E&Igggli D181:1 I [elk, 1 ❑ 2 ❑ 3 gWeatherproof *Connect to Existing ❑ eclronic SUBTOTAL $Disconnect ZAirleaner Electrical ❑MraFil 1361-lfellme Equipment Slab ANew Plywood Deck ❑ PC Sound Isolation Pads ,Reconnect Dra:n Line ❑ UV Li _ Liquid Tile Condu-I Q4;e4ing-6arcr Q ❑ Humr It ar O° ❑ Deh midifi TOTAL $ _ efrigeraM LL Dryer Main Drain Safety Switch 1%,0 door Unit Pad Seal New Connections 14 veoiuxg • I ,Refrigerant Pipe .M w ❑ New-AReconnect ❑ po 1 lswent qDuctwork Connections ❑ CASH ❑ CHECK# e ng ASupply Plenum Ell El lel Piping, Expansion Valve ❑ New Q Reconnect p QElecincalWirng CREDIT CARD(LAST 4#s5-PaA 1$�T "tat -Typo Return Plenum ❑New INReconnect 12 Home Service Plan -. 1 Term (364 days) EXP APPROVAL. OUR GUARANTEES %Comfort Guarantee 0 Home Protection Guarantee ❑FINANCING' 9L24 -Hour Seryce Guarantee IR 100% Unconditional Money -Back Guarantee *Payment options avalable with approved credit • 5-0�k �u �9a N 7 'Pau i-) 5 it,,,_ Written customer authorization 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 exp ained to me orally 4writind without waiving my right to cancel, I aulhorizo the rfoJtnance of the work, suubject to al. terms and conditions set forth onhereof, plus any taxes upon completion. CUSTOMER SIGNATURE DATE NTATIVE CUSTOMER SIGNATURE 0 7016 An n Rosidenlial Services LLC. All rights rosmad DATE ARS1078 0[.1?15 3 -as -t1 DATE 8256 i AHROU ,r 1 Certificate of Product Ratings AHRI Certified Reference Number: 7490963 Date: 3/30/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1424AJ1 Indoor Unit Model Number: RHIP2417STAN Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD 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: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. 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); 24000 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): ' Ratings followed by an asterisk (') indicate a voluntary rerale of previously published data unless accompanied with a WAS which Indicates in 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.ahvidirectory.org. TERMS AND CONDITIONS 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 noL 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. Alit -CONDITIONING, HEATING. CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on 'Verity Certificate' link %,e make life better and enter the AHRI Certified Reference Number and the dale an 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 C R FICATE NO.: 131353439715525649 Property Card Page 1 of 1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 2404 ROSARITA AVE Secfrown/Range: 33/34S/40E Map ID: 14/335 Zoning: RS4 Ownership James Green Sarah Green 2404 Rosarita Ave Fort Pierce, FL 34946 Legal Description PARADISE PARK BLK 8 LOTS 14 AND 15 (OR 882-1234 939-255: 2718-26) Current Values Just/Market Value: $37,300 Assessed Value: $33,935 Exemptions: $25,000 Taxable Value: $8,935 Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Download PDF G Parcel ID: 1433-701-0144-000-6 Account #: 11706 Use Type: 0100 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air (SF): 1,080 Gross Area (SF): 1,404 Land Size (acres): 0.37 Land Size (SF): 16,200 This information is believed to be correct at this time but it is subject to change and is not warranted. > Copyright 2017 Saint Lucie County Property Appraiser. All rights reserved. http://www.paslc.org/RECard/ 4/14!2017