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
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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