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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) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 7g5g P-AI-vr, A i ,,, E Description: 4 O re- `fi 7 -y— ! &3-- Property Tax ID Site Plan Name: r Project Name: Setbacks FrontBack: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: rt ono1 war to e eorme un er t rs permr — c HVAC Gas Tank ❑Gas Piping OElectric 0 Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ OWNER/LESSEE: NameT,- Addre Lot No. -9—L- Block No. 137- v 1+ zoo -i NA aPP Y: Shutters Windows/Doors Generator Roof S. Ft. of First Floor: UtilitiestSewer 0 Septic Building 8 Hei ht: City: o�� Z(,t Cl State: Zip Code: 4[ 5 Fax: Phone No. —j 7 of — $1 2► Q� E -Mail: Fill In fee simple Title Holder on next page ( if different from the Owner listed above) 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@ irs.com State or County License: CMC1249753 If value of construction is $ZSOfl or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Na--�V•/ LaruRYCCR: x Not Applicable Namee:: Address: City State: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COM Name: PANY: x Not Applicable Address: City; State: Zip: Phone: ONDING COMPANY: EN -0t Applicable Name: Address: City: ZIP' Phone: I certify that no work or installation has c menced prior to the Issuance of a permit. w Lucie Countyy makes no represents n that is granting a permit will authorize the permit holder to build the subject structure which is In lease t with any applicab Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult wrth your ome Owners Association and review your deed for any restrictions which may apply. In consideration of the granting this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approv plans, the Florida Building Codes and St. Lucie County Amendments. The following building perms PPlications 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 recording aur Notice of Commencement. Si�Ower/gent STATE OF FLORIDA COUNTY OF ss. ��d The f Ing instrum nt was a knowledge fore me this oday of C t 20 �by Dennl3 Lmek of person Notary Public- State of Personally Known x OR Produced Identification Type of Identification Produced pl�- r a Cammisslon No. ,Fa� a! y I} rkp W. aAk NOTARY PUBur Revised 07/15/2014 E FRONT DATE COUNTER COMPLETE INITIALS Comma FF128494 Exp:ros 612r is Signature of Cont or/License Holder s STATE OF FLORIDA COUNTY OF saws The forgoing ins tru nt was cknowledged b fore me this— day of 20 Lby n--;. va (Name of person acknowledeina l n of Notary Public- State of Florida } Personally Known x OR Produced Identification Type of Identification Produced Ff-- I Z V - ion No. ?F25eaae, 7-/ (Seal) MW THOMAS H. BAeERM0 STATE OF FLORIDA d Come* FF128494 ZONING SUP ERV150R PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW Est Start Date 0 • • Installation Work Order Est Completion Date (772) 567-3100 Corporals �C.�t. 2800 US Highway 1, Vero Beach, FL 32960 Relallons Ammicim Rmdential Services ul Flcnda, Inc License • CMC 124W53, CACU45878, CFC 1428283 (6661 803 0879 CUSTOMER EMAIL CALL `:.LIP L ADDRESS 'r �1TYIS TAiEIZIPk Z 9 �n r NOMEP NE d �� CE'IPHONE • OPTION 1 •' • OPTION LL SIZE [��TYP I�r r��' i jj SIZEI ✓J TYPE ,/ t SIZE TYPE EFFICIENCY EFFICIENCY/., _ _ EFFICIENCY $ $ $ NAq $ SUBTOTAL $ SCV 2 SUBTOTAL $C�_ SUBTOTAL $ MONTHLY EST" $ — _ `_ MONTHLY EST - $ �. MONTHLY EST' $ _ CUSTOMER INITIALS CUSTOMER INITIALS CUSTOMER INITIALS _ Warranty: [Z Parts _ ._ Labor Warranty: / t� Pads Labor Warranty: Parts Labor 1�ompressor Weal Exchanger L+V Compressor Hoat Exchanger Compressor Heat Exchanger Refrigerant recovers and disposed of as required by law Complete clean up including use of floor savers to protect your home and removal of existing equipment. All work completed is done in accordance with existing codes and permits, as required. �li:i M1 $112•wteoSELECTEDOPTIOtl�gl ❑2 03 ❑ Weatherproof ❑ Connect to Existing ❑ Electronic Air Cleaner SUBTOTAL $ Disconnect Electrical ❑ Media Filter ❑ Lifetime Equipment Slab ❑ New Plywood Deck ❑ PCO $ Sound Isolation Pads ❑ Reconnect Drain Line ❑ UV Light $ Liquid Tile Conduit ❑ Ceiling Saver Kit ❑ Humidifier ❑ Start Kit (Pan & Float) ❑ Dehum difier TOTAL $ ❑ Refrigerant ILL. Dryer ❑ Main Drain Safety Switch ❑ Outdoor Unit Pad ❑ Refrigerant Pipe ❑ Seal New Connections ❑ Flue Venting ❑ New ❑ Reconnect ❑ Support Attic Equipment ❑ Duclwork Connections ❑ CASH ❑ CHECK# Refrigerant Pipe Cover ❑ Supply Plenum ❑ Fuel Piling D ❑ Expansion Va've ❑ New ❑ Reconnar I Electrical Wiring y p 9 ` ?A DIT CARD (LAST 41fe) _ [3 Return Plenum Tome Service Plan - T stat -Type ❑New ❑ Reconne .l 1 Term (364 days) EXP APPROVAL - OUR GUARANTEES Comfort Guarantee Wome Protection Guarantee ❑FINANCING• 24 -Hour Service Guarantee 00% Unconchlional Money -Back Guarantee 'Payment options available with approved credit • P� ct j rt2L S� I acknowledge that my right to ;:an, ul has been explained to me orally and in writing, and without waiving my right to cancel, l authorize the performance of the work. sub.a:.t to all terms and conditions a4t forth on the reverse side hereof, plus any taxes upon completion. 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 eefler 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 offer you sign this agreement II you cancel this agreement, the seller may not keep all or part of any cash dawn payment See the reverse side hereof for an eaplanatian of this fight. r Notice Te Owner: (a. Do net sign this home impravment contract In blank. (h. You aro emitted to a copy of the contract at the tine YOU sign. Keep R to protect your lapel rights. (o, This how lopnevemenl con 1 may contain a e or etherwiso rule a ho on your property that could he loredesed on If you do not pay. Be sure you endesfand all provision of the conkaol bel s (// CUSTOM Si NANiE DACOMPANY E SENTAT1111 CUSTOMER SIGNATURE � DATE E }� a 2018 Anunrar RuedoM W Sanwa L.LC AN ngltla ruwnal. a � S.iuTd .-51715 a250 Certificate of Product Ratin AHRI Certified Reference Number: 3575943 Date: 4/26/2017 Product: Variable Speed Mini -Split Air -Conditioner, with Remote Outdoor Unit -Air -Source, Free Delivery Outdoor Unit Model Number: MUY-GE12NA Indoor Unit Model Number: MSY-GE12NA Manufacturer: MITSUBISHI ELECTRIC COOLING & HEATING Trade/Brand name: MR. SLIM Series name: 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, NO, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SO, 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. Manufacturer responsible for the rating of this system combination is MITSUBISHI ELECTRIC COOLING & HEATING 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): 12000 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 20.50 FootNote 11 - The AHRI 2101240 cerUfled EER ratings are calculated under the same methodology as the EER ratings at T7 conditions of ISO 5151 2010 and ISO 132512011 CERTIFIED RATINGS FOR VARIABLE -SPEED, MINI- AND MULTI -SPLIT SYSTEMS ARE VALID FOR ALL COMBINATIONS OF INDOOR UNITS (BASED ON COMBINATION TYPES) WITH THE SPECIFIC OUTDOOR UNIT LISTED ABOVE AND IN THE AHRI DIRECTORY OF CERTIFIED EQUIPMENT. VISIT WWW.AHRIDIRECTORY.ORG TO VERIFY THAT THIS COMBINATION IS AN ACTIVE LISTING AND THE DATA LISTED ON THIS CERTIFICATE IS ACCURATE. SEARCH ON THE AHRI REFERENCE # TO QUICKLY LOCATE THIS COMBINATION IN THE DIRECTORY. Raling5 followed by an asterisk (') indicate a voluntary rerale of previously published data, unless accompanied with a WAS, which Indicates an itwz�untary rerale 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 Ilabality for damages of any kind arlsing 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.ahridirectory.org. TERMS AND CONDITIONS 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-CONDITIONING, HEAT11140, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTEThe information for the model cited on this certificate can be verified at www.ahrldirectory.org, click on -Verify Certificate' link we make life better - 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.: 131317090031287839 Property Card Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Site Address: 7958 Homed Lark CIR See/Town/Range: 24/36S/40E Map ID: 34/24S Zoning: Ownership Neil D Geary (LF EST) Jane A Geary (LF EST) 7958 Homed Lark CIR Port St Lucie, FL 34952-3195 Property Identification Parcel ID: 3424-702-0088-000-6 Account #: 155442 Use Type: 0200 Jurisdiction: Saint Lucie County Legal Description EAGLE'S RETREAT AT SAVANNA CLUB PHASE 2 (PB 43-21) BLK 60 LOT 21 (OR 3975-1652) Current Values Just/Market Value: 580,300 Assessed Value: $73,997 Exemptions: 549,497 Taxable Value: $24,500 Taxes for this parcel: SLC Tax Collector's Olrice p Download TRIM for this parcel: Download PDF p Date Feb 24, 2017 Feb 24, 2017 Feb 1, 2017 Feb 1, 2017 Jan 15, 2010 Nov 9, 2004 Sep 30, 1997 View: Building Type: MHA Grade: SAVL Story Height: I Story Page 1 of 3 Total Areas Finished/Under Air (SF); Gross Area (SF): Land Size (acres); Land Size (SF): Bedrooms, 0 Full Baths- 0 Half Baths: 0 A/C %: 100% http://www.paslc.org/RECard/ Roof Cover: Roof Structure: Sale History Book/Page Sale Deed Grantor No. Units: 1 Code Interior Data 3975 11652 0139 LE Savanna Eagles Retreat LLC 3975 11648 0139 LE Westerman Kate E 3960 10920 Oi I 1 OA Westerman Kate E 3960 / 0918 ON] 1 PB Westerman (EST) Joan F 3173 i 1348 4116 LE Westcrman,lrvin T 2107 1 1587 XX01 LE Community Savanna Club JV, 110611324 XX02 WD Building information (1 of 1) Finished Area 1,736 SF Gross Total Area: 2,770 SF Exterior Data Bedrooms, 0 Full Baths- 0 Half Baths: 0 A/C %: 100% http://www.paslc.org/RECard/ Roof Cover: Roof Structure: Year Built: 2004 Frame: Effective Year: 2004 Primary Wall: No. Units: 1 Secondary Wall: Interior Data Electric: Primary Int Wall: Heat Type: FrcdHotAir Avg Hgt/Floor: 0 Heat Fuel: ELEC Primary Floors: Heated °o, 1000.. Sprinkled %: 0% 1,736 2,770 0.2 8,581 Price $152,000 s0 s0 s0 5100 $0 $4,000,000 4/26/2017