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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Mrs Permit Number: Building Permit Application Planning and DevelopmentServices Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR PROPOSED IMPROVEMENT Address: —Q31 Legal Description: 8�4-cw_o. f, Property Tax ID #: ON: Commercial N s Na 4 (_6Q Residential x I A- E:� 'i Site Plan Name: Lot No. -1 Project Name: �4A(L bfl 0 A4zi c _x, _T' Block No. — 2 Setbacks Front. Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Exart change out of AC UV► I t1ristalled 0_A-tt 9_ 43 �, 6 C),3o 'F13L{C_I3IFO 3 6L_ CONSTRUCTION ,INFORMATION: Addrtrona war to e e Orme un er t rs permit — c ec a a PP Y HVAC Gas Tank []Gas Piping LJShutters 13 a Windows/Doors Electric 0 Plumbing Sprinklers Generator Raaf Total Sq. Ft of Construction: 5. Ft. of First Floor: Cost of Construction: $ UtilitiestSewer USeptic Building Height: OWNER/LESSEE: Name Address:. City: _n7r L State: FL Zip Code: 3 `1 �- i Fax: N/A Phone No. Z — D 7 E -Mail: NIA Fill in fee simple Title Holder on next page ( if different from the Owner listed above) If value of construction is CONTRACTOR: Name. Zacek, Dennis Company: American Residential Services 1 Address: 2800 US Hwy I City: Vero Beach 32980 State: FL Zip Code: Fax: 772 794-9783 Phone No. 772 794-7221 E -Mail! bderby@ars.com State or County License: t (� `a = D or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL.CONSTRUCTION. LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable MORTGAGE CO Name: Name: Address: Address: City: S ate: :- City Zip: Ph e: Zip: FEE SIMPLE TITLE H LDE Name: Address: City: Zip: Phone: x V piicable BONDING Name: Address: City. zip:. Phone: x Not Applicable State: ne: x Not Applicable I certify that no work or installation has commenced prior to the issuance of a permit. which is in conflictawith anyapplicableiHomeaOwners tAssociationirule5, bylaws or and covenants that may restrict ore 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 recordin7 eour Notice Of Commencement. �Jature of ' SignO er/ Lessee/Agent STATE OF FLORIDA COUNTY OF spume The f oIng Instru ent was cknowledge efore me this day of 20 - by n (Na Dennie Zacek r r. — V i 4 Notary Public -State Personally Known x OR Produced Identification Type of Identification Produced Commission No.+r-R2�f'o2$Wf _(SealhHOMA314.I301 NOTARY PUBLIC Revised 07/15/2014 REVIEWS I FRONT ZONING COUNTER I REVIEW INITIALS J_ Signature of Contra r/License Holder s STATE OF FLORID COUNTY OF Lucia The forgoing instru t wassa knowledged before me thl� day of c 20 LI7 by Dennis Zacak person acknowledging) of Notary Public- State of Personally Known x OR Produced Identification Type of Identification Produced Ltmmission No. -P* e / y� _�SeliIjHMAB M.1iABER NOTARY PUBLIC SUPERVISOR PLANS REVIEW REVIEW Comm# PF125494 Expires 6/2/2018 VEGETATION I SEA TURTLE MANGROVE REVIEW REVIEW I REVIEW Property Card Page 1 of 1 Michelle Franklin, CFA — Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 2310 N 45th ST See/Town/Range: 31 /34SI40E Map ID: 141315 Zoning: RS4 Ownership Carolyn J Hall 2310 N 45th St Fort Pierce, FL 34946 Legal Description HARMONY HEIGHTS NO 4 BLK 9 LOT SAND N 28 FT OF LOT 4 (OR 404-1110) Current Values Just/Market Value: $67,700 Assessed Value: $56,459 Exemptions: $31,459 Taxable Value: $25,000 Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Download PDF IM Parcel ID: 1431-801-0089-000-3 Account #: 10812 Use Type: 0100 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air (SF): 1.381 Gross Area (SF): 1.981 Land Size (acres): 0.27 Land Size (SF): 11,703 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.pasic.org/RECard/ 4/20/2017 Certificate of Product Ratinas AHRI Certified Reference Number: 9543716 Date'. 3/15/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 24ACC436A*030' Indoor Unit Model Number: FB4CNF036L 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 (Stuh): 33000 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14-00 IEER Rating (Cooling): Ratings followed by an asterisk (') indicale a voluntary rerale of prev,ously published data unless accompanied with 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 fisted In the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and Its contents aro 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 form or manner or by any means, except for the user's Individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION 6 REFRIGERATION INS nVTE The information for tate model cited on this certificate can be verified at www.ahridirectory.org, click on 'Verify Certificate' link M. make fire Lraer- 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.: 13134f)682408778833