Loading...
HomeMy WebLinkAboutBuildling 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)452-1578 Commercial Residential x PERMIT APPLICATION FOR: Mechanical ~i PROPOSED IMPROVEMENT LOCATION: Address: / '0 Legal Description: TAS '72v Property Tax ID thSite Plan Name: Project Name: �-T,_6 11D Setbacks /L Lo � Front Back: . Right Side: Left Side: DETAILED DESCRIPTION OF WORK: 34'rg ce7 Lot No.�� Block No. Replacing A1C, exact change out, no duct work with'C �r-.�«� ST N � ,6 x CONSTRUCTION INFORMATION: HVAC Gas Tank UElectric 0 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 4yd r OWNERAESSEE: FKLJGAJ ROo6 L ni — c pec c air , apply: Piping Shutters Sprinklers Generator QWindows/Doors Roof S. Ft. of First Floor: Utilities Ifewer ewer Septic Building Height: ht: Name , Wff t, Address: 17 a -o - j vat City. State: E(_ Zip Code: 3 Fax: Phone No. ' -7 ?Q • b —� E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) If value of construction is �oe CONTRACTOR: Name: Zacek, Dennis 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: bderby@ars.com State or County License: CMC1249753 or more, a RECORDED Notice of Commencement is required. w;l( �llocJ SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNLKIENGINEER: x Not Applicable —` Name: MORTGAGE COMPANY: x Not Applicable Address: Name: City: 10, Address: State: ZIP: Phone: City: State: Zip: hone: FEE SIMPLE TiTLE HOLDER: X Not Applicable Name: BONDING COMPANY, Address: x —Not Applicable Name: City: Address: Zip: _ Phone, City: 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, 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, i€ you intend to obtain financing, consult with lender or an attorney before commencin work or recordin our Notice Of Commencpmp„r 01 _Signature �Ow�r/Less=e//Aggent STATE OF FLORIDA COUNTY OF SL Lucie The forgoing instru ent w s acknowledged before me this -&—day of r • 20 l by Dennis Zecek e,pf person JJ%110 Lure or +vataryWublic- State of rida J Personally Known x OR Produced Identification Type of Identification Produced Commission No. FFi�gc9y (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING DATE COUNTER REVIEW COMPLETE INITIALS THOMAS W. bMtI%k STATE OF FLORIDA Comm# FF125494 Signature of Cont or/License Holder s STATE OF FLORIDA COUNTY OF slu-is The fo% off' g instru nt wa acknowledged before me this !J day of r 20 Ll by Dennis Zacek of person acknou (Signature of Personally Known x OR Produced Identification Type of identification Produced Commission No. .&EZzaQZpFFrai?y9 I (Seas) NOTARY PUBLIC STATE OF FLORIDA SUPERVISOR PLANS VEGETATIONESA TU Qt MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW ARS. RS. ROOTER. , /Vwc+ - 1dH>✓4y - Ah U y15 Est. Start Date si-lY- 11 Installation Work Order Est Completion Date - Is' -1l (772) 567-3100 Corporate Customer 2800 US Highway 1, Vero Beach, FL 32960 Relations American Resdcnliar Servccs of Flmda, inc License 0 CMG 1249753. CAC045878, CFC 1428283 (666) 803.0879 CUSTOMS EMAIL n otr; CALL SUP ADDRESSt�ao D C"ISTATEI , L Cit. HOME PHONE .} + 16 _ a "T i CELL PHON -qiq-a��-�� WORK PHbNE YOUR HVAC SYSTEM DESIGN OPTION 1 OPTIONOPTION SI s�,n TYPE r r %Lf SIZE 5 O r% TYPE rf k< SIZE _ TYPE EFFIC NCY LN 5te,r L EFFICIENCY �r _ _ EFFICIENCY _ $ _ $ 10 l�t>� $ $ $ - $ gINITIALS CP— SUBTOTAL $ C SUBTOTALMONTHLY EST • $ MONTHLY EST, ` $CUSTOMER INITIALS CUSTOMER INITIALS arranly. Parts bor Warranty: 1 r Parts yr Labor Warranty. Parts Labor Compressor Heat Exchang r . r Compressor Heal Ex --hanger _Compressor Heat Exchanger Refrigerant recovered and disposed of as required by law. Compete dean up including use of floor savers to protect your home and removal of existing equipment A I work completed is done in accordance with existing codes and permits as required. OF •UR I NSTALLATION ❑ 3 er Weatherproof �'Connecl to Existing ❑Vidih SUBTOTAL $ isconnect Electrical ❑ U,Lifetime Equipment Slab 19 New Plywood D..ck ❑ IQ Sound Isolation Pads Meconnect Drain Lim,, ❑ $ Liquid Tate Cr.nduct ihrTg�veiL Kit ❑ PStart Kit Ibal? ❑ TOTAL $ t( Refrigerant LL Dryer_ tkMaln Drain Safety Switch Outdoor Unit Pad Refrigerant Pipe M.Seal New Connections ng ❑ New 62'Reconnect '-E;5uppor1-PAtie Equipment R Ductwork Connezbons ❑ CASH ❑ CHECK# ❑iRe Pi t4SupplyPlenum .9-FPng 03 Expansion Va1v ❑ New 4 Reconnnvt P � Electrical Wring CREDIT CARD (LAST 4#sJ _ � ® T-stat-TypeIWReturrl Plenum Home Service Plan - �— ❑ New 0 Reconn t 1 Terni (364 days)' EXP APPROVAL OUR GUARANTEES ER Comfort Guarantee QHome Protection Guarantee ❑FINANCING' Q 24- Hour Servi, ;u Guarantee CA 100% Unconditional Money -Back Guarantee 'Payinn. t cplions available with approved credit • Fd y e NFa6o J acknowledge that my right to cancel has been explained tc me orally and in writing, and without waiving my right to cancel, I authorize the performance of the work, subject to all terms and conditir no set forth on the reverse side herr-of, lYw, any taxes upon-omplehon. Buyer's Right to Cancel., This is a home solicitation sale, and 11 you do not want the ponds or services, You may cancel this agreemenl by providing written notice to The seller in person, by telegram, or by mail. This notice must indicate that you do not want the goads or services and must he delivered or postmarked before midnight of the third business day after you sign this agroemenL If you cancel this agreement, the seller may not keep all or part of any cash down payment. See the reverse aide heraaf for an explanation of this right. • Hilo L Owner. (a. Do not sign this home imprevement contract in fdanL M. You are a milled to a copy at the codract at the time you sign. Keep It to protect your legal rights. (c This have Improve ant tract may contain a mortgage or otherwise auto a tion on your pmpaiy;Whalcodd he laredosed It you do not pay. Be sure you malusta ll all provisions of the contract before a k .7 TOMER SIGNATURE DATE COMPANY REPRESENTATNE 4-15-1) CUSTOMER 51GNATURE DATE DATE 0 2016 American Residential Samcaa LLC. Atl rights ro Nod. ARS 1079 091716 8255 Michelle Franklin, CFA— Saint Lucie County Property Appraiser —AII rights reserved. Sitc Address Parcel ID Account M Map ID Use Type Zoning: City/county Ownership 391ui 11 xtaris cwe�dmm M NICK- PU Bos 3274 Fat Piarcc FL J494K Legal Description Tl%tBERLAKL ESTATES LUT 32 (4149 ACt (OR 3145.2486) Current Values Justlhlarkct Value: Assessed Value: Exemptions Taxable Value: Taxesforihisparcel SLCTac Cii-!.'1OI(000 Download Titlhl for this parcel. D-1-1 PPF O Total Areas Finished Under Air (SF)- Gross Amu (SF) Land Size (acre) Lard Stu (51F). SI37,9no 3121.055 130.000 $71019 21126 4,442 049 21.344 4 Property Identification 1720 TINMERLAKE nit 23m 61t•au6.tsa1.9 12925 23 aces 0100 RS -2 5auq Lucie County 'yyam �-- �. T. This tnformstion is believod to be correct at this rime but it is subject w thanca and isnot warranted C Copyright 2017 Saint Lurie County Property APPascr A0 myitis tescnal. This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service ar g between Feb 17, 2009 and Dec 31, 2016. Cedfic,te of Product Ratings AHRI Certified Reference Number: 9160443 Date: 4/17/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 24ACC660A*030* Indoor Unit Model Number: FV4CNB0061- Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING 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: PERFORMANCE 16 AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 210/240-2008 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). 53000 EER Rating (Cooling). 13.50 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): ' Ratings followed by an asterisk (') indicate a voluntary rerate v previously published data unless accompanied with a WAS which Indicates an Involuntary rerata 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.abridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and Al confidential reference purposes. The contents of this Certificate may not In whole or in part, be reproduced; copied; disseminated. Lrr_r entered into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's Individual, M personal and confidential reference. AIR-CONDMONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on 'Verify Certificate' link ue make life hcuer, 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,; 131369G38763942290