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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLIC�PLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services 80ding and Code Regulation Division 2300 Virginia Avenue, Fart Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-157$ Commercial Residential x PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 11 b �t? K 77 Legal Description: (Y rqv; i Property Tax ID #: Site Plan Name: Mpn!U k Ic.rc-Q !'—L 3 Lot No. 0117' Project Name: r`{ Block No. 6L Setbacks Front` Back: Right Side: �i Left Side: DETAILED DESCRIPTION OF WORK: Replacing A/C, exact change out, no duct work with Csr-Pvq uAc r cr�r- 3'ro►� - 17 S�R� CONSTRUCTION INFORMATION: rt ono wor to a arme un er t s permit — ci HVAC Gas Tank Das Piping p R UElectric Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ OWNER/LESSEE: 15hutters Q windows/Doors Generator CJ Roof So' Ft. of First Floor: Utilities:Sewer Septic Building Height:__. wame l._v. 1 l AL1 Address: City:I i erCZ State: Zip Code: W 2 Fax: Phone No. — 7 Ya 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: Vera Beach State: FL Zip Code: 32960 Fax: 772 794-9783 Phone No. 772 794-7221 E -Mail: bderby@ars,com State or County License: CMC1249753 If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: —+. P%+jvcn/CIYl71fVCtK: �c Not Applicable Name: / — Address: City' 7 State: zip' Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: _ Phone: MORTGAGE COMPANY- x Nat Applicable Name: Address: City; State: Zip: ___. Phone: BONDING COMPANY: Name: x Not Applicable Address: City: 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 y res 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 n the jobsite improvements to your property. A Notice of Commencement must be recorded and posted o before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. r _Signature of Ower/ Lessee/Agent STATE OF FLORIDA COUNTY OF sLcude The for oing instru ent was acknowledg before me this d2 of 201 -2 -by Dennis Zacek of person Notary Public- State Personally Known x OR Produced Identification Type of Identification Produr�� >sdkb Commission No NOTARY PUBLIC OF FLISNPA _ CaTeW FF125494 Revised 07/15/2014 FJ2l�n•�. S€gnature of Cont or/License Holder s STATE OF FLORIDA COUNTY OF s«d. The forgoing instrument was acknowledged efore me this 4_!�_day of 20 by Dennis Zacek (Name of person ackrtov (Signature of Notary Public- State of Florida j Personally Known x OR Produced Identification Type of Iden A'ridlib"' 14 NOTARY PUNLfr± Comm REVIEWS FRONTZONING SUPERVISOR 1 PLANS COUNTER REVIEW REVIEW J REVIEW i 6TC INITIALS 9E -FLORIDA (Seal) FF128494 VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW I REVIEW RESCUE AS ROOTER. Installation Work Order Est Start Date 62 4;47 �.--�� Est. Completion Date Avl (772) 567-3100 2800 US Highway 1, Vero Beach, FL $2960 Anieocan Resdenipil Svw es of FloridA Inc License 4 CMC 1249753, CAC045818. CF Corporate Customer Relations CFC 1428283 (866) 803.0879 CUSTOMEREMAIL CALL 5 ADDRESS / d!T iP r J HOMEPHONE CELLPHONE WORK PHONE YOUR DESIGN SIZE TYPE IZE TYPE SI TYPE EFFICIENCY EFFICIENCY FICIENCY $ Z$ $ $ $ $ $ SUBTOTAL $ ?� SUBTOTAL $ _ ', / 6_ SUBTOTAL $ 4 a � MONTHLY E ," $ MONTHLY $ MONTHLY EST ` $ CUSTOM INITIALS CUSTO R INITIALS CUSTOMER INITIALS Werra 'V Paris 1 Labor War my _j(P Parts � Z bar Warranty. '0 Parts �% Le Gompressor ,-°Heat Exchanger Compressor Heat Ex ger -Zig Compressor Heat Exch ger Refrigerant recovered and disposed of aslCquired by law Complete clean up includin se of floor savers to protect your and removal of existing equipment. All work completed is done in accordance with existing c d grmils,.as rs • • SELECTEDOPTION: ❑1 ❑2 03 ❑ WeatherproofConnect to Existing onic Pur Cleaner SUBTOTAL. $ O� Disconnect Electrical a FilterLifetime Equipment SlabNew Plywood Deck $Sound Isolation Pads A Reconnect Dra'n Line g t❑ $g Liquid Tote Condu.l ❑ Ceilin Saver K'l dili❑ Start Kit (Pan & Float) midifi Xd TOTALRefgerant LL Dryer _ Mann Drain Safety Switch oor nil adRefrigerant Pipe .0Seal New Connea'ons nting❑ New XReconnect ❑ Support Attic Equpoem ork Connec ' ns ❑ CASH ❑CHECK# Refrigerant Pipe Cover 15upply Plenum ipingEx ansuon Valve ' ❑ New Reeonnee.tp rcal Wiring ❑ CREDIT CARD {LAST 4#s} T stat –Type Return Plenum Home Service Plan –❑ Newff Reconnect 1 Term (364 days) EXP APPROVAL OUR .•. ;9 FINANCING - Comfort Guarantee Z Home Protection Guarantee 24 -Hour Service Guarantee /— 100% Unconditional Many -Back Guarantee 'Payment options available with approved credit • I acknowledge that my right to cancel has been explained to me orally and in writing, and without waiving my right to cancel, I authorize the performance of the work, subject to all terms and i.ondilions- set forth on the reverse side hereof, plus any taxes upon completion. Roper's Right to Cancel: This is a home sagcitation 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 lndleete that you ds not want the goods or services end must be delivered or postmarked before midnight of the third business day eller you sign this agreement. If you cancel this agreement, the seller may not keep all or part of any cash dawn payment See the raversa aide hereol for an explanation of this righL • Italia To Ormer: (a. Be not sign this home hi p memmt contract in hlarlk. (h. You are entitled to a copy at the centrad d the time yeu sign. your legal clods. (L This hems improvement contract may contain a ma iplip or otwMse caste a he on your pnparty That could he foreclosed on it you do not pay. k you u ,end all provisions of the contract beta? y?u FL .._Y2 aw citsio 1FR S1f;NArtIRr nATi 17.17IMPANY RFP Nil m CUSTOMER SIGNATURE OA C 7,`;.16 Artm� Randarneal Snrr.c.+s LLC. AlhiRMs rewr. d. AR8 IoM 08 1715 DATt 8256 Propetty Card Page I of I Michelle Franklin, CFA -- Saint Lucie County Property Appraiser — All rights reserved. Property Identification Site Address: 1708 PASEO AVE Sec/Town/Range: 21: 355,,40E Map ID: 241215 Zoning: RS4 Ownership Lots L Medina 1708 Paseo AVE Fort Pierce, FL 34982 Legal Description MARAVILLA PLAZA BLK I I W 30 FT OF LOT 13 AND ALL LOT 14 (0.23 AC)(OR 3748-2536) Current Values Just/Market Value: $63,400 Assessed Value: $63:400 Exemptions: $38,400 Taxable Value: $25,000 Taxes for this parcel: SLC Tax Collector's once p Download TRIM for this parcel: Download PDF p Parcel ID: 2421-802-0146-000-6 Account #: 29703 Use Type: 0100 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air (SF): 1,125 Gross Area (SF): 1,766 Land Size (acres): 0.23 Land Size (SF): 10,018.8 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/ 5/12/2017 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 9177134 Date: 5/12/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 24ACB736A*031* Indoor Unit Model Number: FV4CN(B,F)005L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING 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: PERFORMANCE 17 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 (Btuh): 36000 EER Rating (Cooling): 13,50 SEER Rating (Cooling): 17.00 IEER Rating (Cooling): ' Ratings followed by an asterisk (•) indicale a voluntary rerate of previously published dale. unless accompanied with a WAS which indicates an Involuntary 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 an 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.ahlidlrectory.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; 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 A REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahrldlroctory.org click on -Verify Certificate" link ,w make life twtter 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 ®20U Alr-Conditloning, Heating, and Refrigeration Institute CERTIFICATE NO.: (31390668354447663636