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HomeMy WebLinkAboutBuilding Permit Applicatione w�n oK ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Planning and Development Services Building Permit Application 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 PROPOSE1MPR0LOCATION: - - - . _ - - _ ..: VEMEN,T L ATION:. - - D Address: L " Legal Description: • ' nAJS Property Tax ID # Site Plan Name: Lot No. Project Name:i'r'1 �� CSV O ! Block No. Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replacing A/C, exact change out, no duct work with ILI.� S�V� .3.5 701 - " G42�Lre�L �' ��,�-�. 10 kL.J CONSTRUCTION INFORMATION: Additional work to oe errormeci under this permit — cneck a!r appiy: HVAC Gas Tank ❑Gas Piping In5 0 butters � Windows/boars Electric 0 Plumbin 8 O5prinklers 1:1 Generator � Roof Total Sq. Ft of Construction: 5 . Ft. of First Floor: Cost of Construction. $ (E5L �b u �~ Utilities:11Sewer 05eptic Building Height: OWNERAESSEE: CONTRACTOR: Names�P�Ip p r{j_k T=i_ esil Name: Z:acek. Dennis Address - /6 g City: a 9{ -� Q� Company: American Residential Services Stater Address: 2800 US Hwy 1 Zip Cade: __z Lfof V �— Fax: City. Vero Beach Phone No. �� �— arra y —`y State: FL G E -Mail: Zip Code: 32960 Fax: 772 794-9783 Phone No. 772 794-7221 Fill In fee simple Title Holder on next page { if different E -Mail: A4er1Yy@af&.eam_4 from the Owner listed above) Q r'S Jon- P11State or County License: CMC1249753 If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required. N SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: 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. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commep�ement. Signature of 0w trig / Le s e/Agent STATE OF FLORIDA COUNTY OF st Lucie The forgoing instrument was acknowledged before me this _ day of , 20 _by Dennis Zamk (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known x OR Produced Identification Type of Identification Produced Commission No. FF220930 (Seat) Revised 07/15/2014 REVIEWS FRONT ZONING COUNTER REVIEW DATE COMPLETE INITIALS Signature of Cont2 or/License Holder STATE OF FLORIDA COUNTY OF stLu- The forgoing instrument was acknowledged �before me dZ this day of �_ 20 !L by Monts Zack IN7r person acknowledgin (Signature of Notary Public- State of Florida ) Personally Known x OR Produced identification Type of Identification Produced Commission No. 4F42esse �0). CRPLIBLIC FI•I?A8ERK0 STATE OF FLORIDA is arrTrAk F F l IM494 Expires 602018 SUPERVISOR PLANS VEGETATION SFA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW Certificate of Product Ratings I I AHRI Certified ReferenceI'I Number: 7490506 Date: 4/29/2017 Product: Single-Package Air-Conditioner, Air-Cooled Model Number: 50ZPC042--30** Manufacturer: CARRIER AIR CONDITIONING TradelBrand name: CARRIER Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, 1D, IL, IA, IN, KS, KY, LA, MA, MD, ME, Ml, 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): 41000 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.50 IEER Rating (Cooling): ' Ratings foikrwed by an asterisk I') indicate a voluntary reraie c(previously published date, 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 products) 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.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; A. 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-CONDMONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTtPJM The information for the model cited on this certificate can be verified at www.shridirectory.org, click on 'Verity 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 rlght I 13137956t7013854f}663 ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: est. gosA IW J � , EPi Crarrtptr Date r'uMxn�++e +birder^us, lN'G► Ifl�l6# g�tsP +' (77 2) 613i 1f}0 Beth C t f 24 "r a,OCK4,,/- yr" 4cmw a`i infieeating wa !Elecir,ca: Equvrne l *Lab rz WNW pkt# ki Iartr comau KI ORecorinad -Type Carport a,a 24-k'L?urS�„�„� D=onors"..a-g 9WwWgftn_R (Aw is Faal% S� i Naw Connections Ist,pplyPle+�um New i�Rec mnect Return m PE mew Z Reconnect Edna_- Asir Deaner Ueda Fdtar- h ,-,0 J XV09 r_- iher. M it Pad 8nectiortgrs�ice Plan - 1 Term (984 days) ©Home Protection Guarantee O 1€N Uncoridlt anal hack Guarantee I SU TOTAL TOTAL ©CASH ©CHECK# O CREDIT CARD (LAST 4#s1 EXP—APPROVAL 0 FINANCING• 'Fbyment options svatLable �d rrad:7 C�Aa a"'�''snm•� � wa l � abtu�cd. hFlare eery Fs7R CANS'TAUCTLm o pEFg beginrrng axry unfore �t CIA � by PWdI CTS ARE SUEUECr TD �. sdditio,tiai or Murded work. S RI[ili -M ��t Thie is a THE NOTICE AND CURE PROVISTONS OF C7HA this saute goodserceryl s dtoato eeilc in ndRYOU donot >� x€42tom;e, g t 1�nt r al nu cae `r+a bn dalivo i►o>lthta by 1e1eg teen, or thL Thls otfce evPe� You e[lexyr at"'el sa leda sxl r 4r by mail, 5f eFut „ 1.4 yxp4 iron e8 them, the.settar may not loop III] enit[night aT the ahir # must Indicate tha, you W i hE . be,�,n Aght, ail or part of nail h d r ex5 day $Iter beesl tr.'s to me or�ify and in , *seraYrne4i has the L✓± �� - atYa iarth Qn IFie r s, dv wnhout'rrs`ng r'tly right tot u'i ea Rt hErnaf, Plux Eny :ap t•. t,� e., P1 u . trM, Rt r'N�9 wI--►.C.G xlTir,.. rKn - _ - TYPE � -- SIZE + v SIZE �T,YPE � -- 5w � ?#5w ECIENCY � -1 � sizE -TYPE _ -- EFFTGENCY r $ — SUBTOTAL n� - aiWAL $ - _ _-_ SUBTOTAL $ ES $ - -- - _ -- MQN'rMLY T.' NTHLYUTt•.' S -- MONTHLY EST,' Ste— — CUSTOMER INITPALS _ STOMER INtTl1�t5 CUSTOMER INITIALS �-- _----- - - LLbo -Ir r.nty �� �a - Labor Wantonly. — Parte _ _ _Htwi Etrrlienger ---compressor Hent F�tdlanar door cNBFQ la protest your home and vx7sa•ui wn 6npaaad of as mgti,red by law. Cornptr a clean up Including use done in mth awating codes of 13 and perrnite, ore requ�rad. of rrrrrrsgivah+e" ~ PA work comypleted 1, - w=Tdtutce ------------ gPLECTEO OPTION: T 2 ❑ 3 yr" 4cmw a`i infieeating wa !Elecir,ca: Equvrne l *Lab rz WNW pkt# ki Iartr comau KI ORecorinad -Type Carport a,a 24-k'L?urS�„�„� D=onors"..a-g 9WwWgftn_R (Aw is Faal% S� i Naw Connections Ist,pplyPle+�um New i�Rec mnect Return m PE mew Z Reconnect Edna_- Asir Deaner Ueda Fdtar- h ,-,0 J XV09 r_- iher. M it Pad 8nectiortgrs�ice Plan - 1 Term (984 days) ©Home Protection Guarantee O 1€N Uncoridlt anal hack Guarantee I SU TOTAL TOTAL ©CASH ©CHECK# O CREDIT CARD (LAST 4#s1 EXP—APPROVAL 0 FINANCING• 'Fbyment options svatLable �d rrad:7 C�Aa a"'�''snm•� � wa l � abtu�cd. hFlare eery Fs7R CANS'TAUCTLm o pEFg beginrrng axry unfore �t CIA � by PWdI CTS ARE SUEUECr TD �. sdditio,tiai or Murded work. S RI[ili -M ��t Thie is a THE NOTICE AND CURE PROVISTONS OF C7HA this saute goodserceryl s dtoato eeilc in ndRYOU donot >� x€42tom;e, g t 1�nt r al nu cae `r+a bn dalivo i►o>lthta by 1e1eg teen, or thL Thls otfce evPe� You e[lexyr at"'el sa leda sxl r 4r by mail, 5f eFut „ 1.4 yxp4 iron e8 them, the.settar may not loop III] enit[night aT the ahir # must Indicate tha, you W i hE . be,�,n Aght, ail or part of nail h d r ex5 day $Iter beesl tr.'s to me or�ify and in , *seraYrne4i has the L✓± �� - atYa iarth Qn IFie r s, dv wnhout'rrs`ng r'tly right tot u'i ea Rt hErnaf, Plux Eny :ap t•. t,� e., P1 u . trM, Rt r'N�9 wI--►.C.G xlTir,.. rKn - _ - ang a Property Card Page 1 of 2 Property Identification Parcel ID: 010443 Identification #: Marmorato, Frank 706020168187 Account Status: Open Location: 1699 WALDEN Pond Dr POND DR City: Saint Lucie County Business Name: Marmorato, 34945 Frank Business Type: 7060 - Golden DBA: Marmorato, Phyllis Ponds Contact: Frank Marmorato State Code: 814190 -Mobile Year Added: Home Attachments Ownership Current Values Marmorato, Frank Market Value: 1699 Walden $1;148.00 Pond Dr Exemption Value: Fort Pierce, FL $1,148.00 34945 Taxable Value: $0.00 Return Received: Not Yet Received Penalty: None Download TRIM PDF 12 Exemptions Grant Exemption Exemption Exemption Year Code Description Value 2008 TPPX Tangible Personal $1,148.00 Property Exemption Asset Group and Value Asset Value MH Carport $187.00 MH CentralAC $280.00 3.5T MH Main Aram Tn nn http:.',-"www.pasic.org/TPPCard/ 4/29/2017 May 0817, 03:44p Golden Ponds 772-595-0723 p.1 A 55 OR OLDER UNNUFACTURED HONIE COMIIII; NITY TO: �1N� FROM: DATE: j RE: FAX TRANSMISSION f2r ]QUAL HOUSP C; OPPORTmrrY PAGES (INCLUDING COVER SHEET) 1") �� 1800 Golden Ponds Drive. Ft. Pierce, Florida 34945 Phone (772) 465-8005 • Fax (772) 595-0723 • www.goidenponds.com May 08 17, 03:44p Golden Ponds 772-595-0723 p.2 1 AWLim Satisfaction to: pearl of fthway Safety and Nmar Vehicles. Nett Hirkman Budding, Tallahassee. FL 32294-0500 A08846 leerilficatlon Number Year !Rake — Body VJT-L-BHP l Vessel Regia. NFa Title tk-mbe- - �ELFLLJ339113S3AA _. _ _1988 'EfARR FLS 60' ReguteredG"xTwr Date of Issue 04/11/2017 - i.kn .Release DEBORAH JUNE FRANKLIN 'merest In Me desanaed vehicle is hereby released 1599 WALDEN POND DR By W FORT PIERCE FL 34945 Tile Date ILR3CRTAVT INFORMAMOH 1 When ownership of the vehicle described herein is ttansfened the selterlAUST complete in full the sf Traner o r71re by Se for sectlon al the botlom of Mad To the co rriticale of rifle. 2 Upon sa a of thisvehicle theselernustcamplete DEBORAH JUNE FRANKLIN the notice of sale on the re-mme side of this form 1699 WALDEN POND DR 3. Femove your license plate tram the veh.cle. ' FORT PIERCE FL 34945-2417 4. See the web address below for more ntotmetionard the appropriateforins required forlhe ourchsserto title one register the vehicle, mobile nonto or Vesset. f htlpr/Jwvuw flhsmv govlhtmilliilirf.him 1 - 11111111111l 1t11111111t1c 11111111111111(j 11 fill III 11111116111111 klai 16 ation F*aher Ydor — Make - Betty NR-UBHP — vessel Rrgis Ns 111 111jthhr — r' s f 1 s ff Llan Release t I FLFL• J338113538 1988•I$A1 r RR i HS I so; I r 48082024 � kd~ in the desctted veluale a her-ahy fntrased PIe r Color E3rary Brand 5ecatisary Band -- tlse. Ptev hsue' Cate FL r UMC 1 PRIVATE 02/27,/2013 ( k fm Odeeler Stales cr Verse Maaufacturer ar ON arse i Fbi Malenal Prep tale ar Issue — + 04/ 1,1 /2017 Do+n Rg,as(txicd Uwiwr DEBORAH JUNE FRANKLIN 1699 WALDEN POND DR FORT PIERCE FL 34945 3 - ] at Lipiltolll>:r a r NONE ' : P7I 0M1Mx% OF MOTORIST SERVICES TALL;AWSSEE FLDRIDA DEPARTMe1T OF HtGWAY SAFETY AND MOTOR VEHICLES Li:' Control Number -� � t`' »� ` r i.i -i' l A�/VYh�t - !�\ - :. Rsbert R. Kyooch Terry L, Ahaees = Dileelar Erer0ii a Directcr i = TRASISFER OF TITLE ITY SELLER (This se --an rust re canpleled at the time of sale I Fitd`rol ndlorr4tt It wregnin Orsi tk Pella dote Ile Pnilegpuchmaeit nuns wiling prise nod dart told in o.ners fioa wilt Ile tranp(W of ownendip Fiihm to Paanptew w pe-vidlog oflat"Lsnent ray mall in flim. an ear itmriwvm t Thio Odi in wsnnbit ra hefhm fmin Pry lien. exwPI Pa satodaa tlln fxn of de cc4 flode and the rurnrvchitk at womI daarn"Ired P Int-tL: trPa,-• erred to' hills•Mu1lEt11orPaeiPtit�nikaet- .. — Addreea:_- - (ilei hied Fn0.YSelNng PYiec �„ _ - Stltef mot F.-te f)zIvSald'-- -- — 6•Wil'is"AmthisOl-rF.adiplwtnnaklnnwesnu1�1111_1.1 it 11 iaareUlWtPr:b�A3ete:tda•dllinhyurtltyd"ou,he6rwPfra�L^srr.vul�eL'Iradanra:�rrs:dTX - 1. rd1 ceI,P AL'iV.1L hr[L&1GE it W OLX'95 O{: rf: hIECHANI AI-I.AfitS. 7. is vOTT'i1�.M.'!i"NLM17A.F AGE UmfsR PBM73ES CIF PERJURY, I DECL ARE THAT 1 IIAVIE READ THE PDREGDING DOCUMENT AND THAT THE FACTS STATED IN IT JIBS TRUE 9F'LI.fP. IN*".. Lie .1FI.t.HR Mnat _ SiFe Hwe Hips i1Pat::. PritP1 }kre: Priv l Here_ _- — 3e1ti ear dP91P>r# i ieolreA7�pber �_ Iia lis _ _ Tua Cel teeth: — F y" 'V �, F'UACEiti"1pRMlu• .. C0•PUHLNA-SERMLA +" 3lferkfa7: _=d•P .� __ Sian Here _ x NOTICE PENALTY 111: REtNliRl�.BY tJNf 1IF eIOT smtf TIED FOR TRANSFTeR yYfTlQ120 DAVSMTSt DATE OF PURCH}f,SE, �� f »l r 'it/' "! ►� .. — _ _ ^ i-"t'PI h ._ '7 y _""v EP JWAr, A R�scuE ROOTER. Est. Start Date >� ! Installation Work Order Est. Complet on Date 17 (772) 567-3100 Corporate Customer 2800 US Highway 1, Vero Beach, FL 32960 Relations AmewmRescknLWSemoesolTiaida i[ LP_g1muMCMC1249753.CACo4587a cm!429201-- (866) 803.0879 CLIMMER ADDRESS 4! + '�' HOMEPHONE EMAIL J CALL Sul 3954 CITY,��STTAJTF .21P,erj-p P/ I WO 1 PP"ONNE OPTION OPTION OPTION yD��rco,_� SIZE TYPE EFFICIENCY SIZE 3 �I� TJYrPE EFFICIENCY 1"y 5"/''�P• SIZE TYPE EFFICIENCY Ft�uC�t [ v� $ $_O sy•cm $ $ A&?!VN.b.Dw_ $ -1370, aD $ $ $ sys6. In $ $ $1,Ico. O $ 0%%_ $ $ $ SUBTOTAL $ SUBTOTAL $ SUBTOTAL $ ] MONTHLY EST.- $ MONTHLY EST * $ MONTHLY EST " $ CUSTOMER INITIALS CUSTOMER INITIALS CUSTOMER INITIALS Warranty: Parts Labor Warranty: Jj�__ Parts j Labor Warranty: Parts Labor Compressor Heat Exchanger _Compressor -----44aaLEw1aWr 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 existing equipment. All work completed is done in accordance with existing codes and permits, as required. • • r ' • SELECTED OPTION: [11 [32 [__13IiA 1 Weatherproof lidConnect to Exist'ng Electronic Air Cleaner SUBTOTAL $ 7 t/l7 isconnect Zuelime Electrical Media Filter Equipment Slab 171 Na ..Qly g J. ❑ CO $ ound Isolation Pads XquidTile Conduit ElLight B Eel:,,Gu. %:: $ Start Kit , ❑ Hu idifier / (Pan B Floatl ❑ Deh Idifier� TOTAL QL —Ed-Fiehrgera-, LL C'_,21"1 �I L �.., 3✓./, Conteh ❑ Outdo it Pad •8�+1� New Connections ❑ Flue Ve gPAYMENT ❑ New ❑ Reconnect . f',.. Serer t3 LuNNwi r w✓L4�;Nr �� t ❑ Duct rk nections Supply Plenum ❑ CASH ❑ CHECK# r, pans:'on Valve 7:PaNew 1:31F P ping O'Reconne�.t Wiring ❑ CREDIT CARD (LAST 4#s) T -stat -Type �ctrical Return Plenyym Home bervice Plan - ❑ New fa Reconnect 1 Term (364 days) EXP APPROVAL OUR GUARANTEES 13 Comfort Guarantee ❑ Home Proleel'on Guarantee la FINANCING" ❑ 24 -Hour Service Guarantee ❑ 100% Unconditional Money -Back Guarantee 'Payment options available with approved credit iZ CA)1ya 4TP '•,n customer authorization w'll be obtained before beginning any unforeseen additional or extended work. 'IMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 556, -1 ITES. TO CANCEL: This is a home solicitation sale, and if you do not want the goods or services, you may cancel Wading written notice to the setter in person, by telegram, or by mall. This notice must Indicate that you services and must be delivered or postmarked before midnight of the third business day after you jou cancel this agreement, the seller may not keep all or part of any cash down paymenL See the : an explanation of this right y right to car cel has been exp aired to me orally and in writing, and without waiving my right to cancel, l authorize the yOlt sub;e/t to all to s d cond}''ons et forth on the a sl hereof, p:us any taxes upon complel on. � U► 1 l��nm�1 ��i7 � �