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