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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: / 7 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 ~— PROPOSED IMPROVEMENT LOCATION: Address: Legal Descriptio Property Tax ID #.- Site :Site Plan Name: Project Name: (t . N les e -AA les 17-S6- '81 78 6- . 8=C \ s fAy9� s aa�s- I 70 2101 - OD(') - ff�L _F&-ro-62- Lot No. Block No. Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replacing A/C, exact change out, no duct work withJ 3 - 1-0,k)— LD i{c�.)^ 14 Sr�i✓F� ..3-5—COO v � ��- CONSTRUCTION INFORMATION: �•=W �r+�erin�s permit—c ec a aPR Y: HVAC Gas Tank ❑Gas Piping _Shutters Electric 0 Plumbing Sprinklers Windows/Doors n Roof Total Sq. Ft of Construction: Q Generator �[ Cost of Construction: $ S . Ft. of First Floor: r Utilities: Sewer Septic Building Height: OWNERf LESSEE: CONTRACTOR: Name cooS.P_[] /" !r�%o Addi City: State: 'i C .. Zip Code: 3 Fax: Phone No. 3 -3— l 6 o l E -Mail: Fill in fee simple Title Holder on next page ( if different frorn the Owner listed above) If value of construction is 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 7947221 E -Mail: bderby@ars.com State or County License: CMC1249753 or more, a RECORDED Notice of Commencement Is required. SUPPLEMENTAL CONSTRUCTION LIEN LAVA INFORMATION: -- - - Name: -- •rr... ...arc Address: City: State: Zip: Phone - FEE SiMPLE TITLE HOLDER: x NotApplicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY. Name: Address: City: Zip: one: BONDiNG COMPANY: Name: Address: City: Zip: --. phone: `X Not Applicable State: X Not Applicable I certify that no work or installation has commenced prior to the Issuance of a permit. St. Lucie Count makes no representation that is granting a permit will authorize the ermit holder to build the subject structure which is In convict with any applicable Home Owners Assopation rules, bylaws or ancovenantsthat 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 r.,ordinR your Notice of Commencement. _ Signature of Ow r/ Lessee/Agent STATE OF FLORIDA COUNTY OF SL Lud. The forgoing Instru nt was acknowledged before me this.! day of t 20 12by Dennis Zacek person of Notary blicPu�_ State Personally Known x OR Produced Identification Type of identification rroduced_ Fr a�yry Commission No. -rFaawse Revised 07/15/2014 REVIEWS I FRONT ZONING COUNTER I REVIEW INITIALS THOMAS H. DABI 40TARY PUBLIC i STATE OF FLORI Expiras 61J2018 Signature of Cont or/License Molder s STATE OF FLORIDA COUNTY OF stcude The forgoing instru ent w s acknowledged before me this �k day of 20 L�_ by Dennis Zacek f person acknowledging ) s of Notary Public -State Personally Known —L_ OR Produced Identification Type of Identification Produced 1::rr- ra Commission No. *Feaaaa— y 4/ r FtM eTMOMAS H. DABE TARy PUBLIC STATE OF FLORIDA Expires 6!2!2018 SUPERVISOR I PLANS VEGETATION SEATURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW RESCUE ARS ROOTER Est. Start Date Installation Work Order Est. Completion Date (772) 567-3100 Corporate Customer 2800 US Highway 1, Vero Beach, FL 32960 Relations Amen Reademal Scm ti of Ildda. K. Crenae A CMC1249753, CAC0451178, =1428283 (866) 803.0879 CUSTOMERCC� ��C EMAIL IP 'y ADDRESS r ` pJn Ne p'�1 l CITYISTATEIZIP . d _ / G7 3,n 1 r r HOME PHONE 7 77` 533 _ % belt I CELL PHONE WORK`PPHOONGEt— YOUR DESIGN OPTION 1 OPTION 2 OPTION SIZE TYPE v SIZE 3 7T TYPE (79A_-r&k SIZE TYPE EFFICIENCY EFFICIENCY N SUM EFFICIENCY $ �.. .50 OP603 ` $ <�P- vo $ $s $ �$ $ 'Jrscfrt�Sr 11G SUBTOTAL $� SUBTOTAL $ +y SUBTOTAL $. MONTHLY EST ` $ MONTHLY EST.* $ MONTHLY EST.' $ CUSTOMER INITIALS _ CUSTOMER INITIALS CUSTOMER INITIALS Warranty: Parts Labor Warranty: , Id Parts Labor Warranty. Parts Labor Compressor Heat Exchanger _Compressor . Heal Exchanger .. ,, ., Compressor , Heat Exchanger Refrigerant recovered and disposed of as required by law. Complete clean up Including use of floor savers to protect your home and removal of ex sting equipment. All work completed is done In accordance w th existing codes and perm Is, as required. + • - + SELECTED OPTION: ❑ t ❑ 2 ❑ 3 ❑ Weatherproof ���� L15onnect to Existing ❑ Electronic Air Cleaner SUBTOTAL $ Disconnect Electrical ❑ Media Filter Equipment Slab ❑ New Plywood Deck El PCO $ �p'L/ifetime Ir Sound Isolation Pads ❑ Reconnect Drain Line ❑ UV Light $ ❑ Liquid Tile Conduit ❑ Ceiling Saver Kit ❑ Humidifier ,Jr�fC/L [3Start Kit (Pan & Float) ❑ Dehumidifier TOTAL $ ❑ Refrigerant LL Dryer. ❑ Main Drain Safety Switch ❑ Outdoor Unit Pad ❑ Refrigerant Pipe G'Seal New Connections ❑ Flue Venting ❑ New [3 Reconnect ❑ Support Attic Equipment ❑ Ductwork Connections ❑ CASW E]CHECK# ❑ Refrigerant Pipe Cover ia-Supply Plenum ❑ Fuel Piping ❑ Expansion Valve ❑ New Meconnect [3 Electrical Wiring ❑CREDIT CARD (LAST 4#s) stat -Type ErRetum Plenum QWoome Sery ce Plan - ❑ New C'1'Reconnect 1 Term (364 days) EXP APPROVAL OUR GUARANTEES ❑ Comfort Guarantee ❑ Home Protection Guarantee ❑ FINANCING' ❑ 24 -Hour Service Guarantee ❑ 100% Unconditional Money -Back Guarantee -Payment options available with approved credit NOTES .y t I t-( StC2 3rol- Ca►-rNL Pt.[1 L) P- Cr Cas I G "_L S, J-tm, r -\, .L w . ,IA— 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 righL I acknowledge that my right to cancel has been explained tome orally and in t ng, and without waiving my right to cancel, I authorize the performance of the work, subject to all terns and conditions set forth on Iii erse side hereo luny taxes upon completion. Certificate of Product Ratings AHRI Certified Reference Number: 7490503 Date: 4/21/2017 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: 50ZPC036-»30** Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER 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: 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): 35000 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): ' aatinps followed by an asterisk (') Ind tate a vaiuntaryrerate of previously pubNshed data unless accompanied with a WAS, whlch indicates an invduntary cerate 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 Habllity 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. Certifled ratings are valid only for models and configurations listed In the directory at www.ahridiiectory.org. TERMS AND CONDITIONS ok "Ems 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; '�.■ r 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-CONDMONINa, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTMI E The Information for the model cited on this certificate can be verified at www.ahrlifirectory.org, dick on "Verity Certificate" link we make Ii re biNw!. 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. 131372726679227491 CERTIFICATE NO.: 02014 Air -Conditioning, Heating, and Refrigeration Institute Property Card Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Site Address: 1199 NETTLES BLVD Seefrown/Range: 02/37S/41 E Map ID: 45/021 Zoning: HIRD Ownership Joseph A Caronc (TR) 21966 Yellowstone Lane Lakc Forest, CA 92630 Property Identification Parcel ID: 4502-501-1386-000-7 Account #: 120971 Use Type: 0200 Jurisdiction: Saint Lucie County Legal Description NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 1199 AND PRO -RATA SHARE IN COMMON ELEMENTS (OR 1595-159) Current Values Just/Market Value: $95,100 Assessed Value: 583,600 Exemptions: $0 Taxable Value: $83,600 Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Download PDF O Page 1 of 3 Total Areas Finished/Under Air (SF): 830 Gross Area (SF): 860 Land Size (acres): 005 Land Size (SF): 2,010 Price $90,000 $100 $75,000 $20.000 $12,000 $16,500 http://www.paslc.org/RECard/ 4121 /'2417 Sale History Date Book/Page Sale Deed Grantor Code Oct 7, 2002 1595 10159 XX00 WD Angelucci,James A Dec 10, 2001 1465 10935 XX01 QC Angelucci,James A Feb 20, 1997 1061 12696 XX00 WD Kenneth W Deloof Dec I, 1981 037010288 XX00 CV Mar 1, 1978 02841 1478 XX00 CV Mar 1, 1977 026610076 XX00 CV Building Information (1 of 1) Finished Area, 830 SF Gross Total Area 860 SF Exterior Data View: Roof Cover: Roof Structure: Building Type: MHH Year Built. 1991 Frame: Grade: PKMA Effective Year: 1994 Primary Wall: Story Height: 1 Story No. Units: 1 Secondary Wall: Interior Data Bedrooms: 0 Electric: Primary Int Wall: Full Baths: 0 Heat Type: FrcdHotAir Avg HgVFloor: 0 Half Baths: 0 Heat Fuel: ELEC Primary Floors: A/C %: 100% Heated %: t00% Sprinkled %: 0% Price $90,000 $100 $75,000 $20.000 $12,000 $16,500 http://www.paslc.org/RECard/ 4121 /'2417