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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: tat -1 Permit Number: • Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 452-1553 Fax: (772) 4652-1578 Commercial Residential x PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: X16 Address: LE. 0W.'6 _ 1 LL _ Legal Description: ge-meLs ��,^c C, i'"1' tortCC? _ solklor1 µ �arCal S-TBtj Property Tax ID #: y509 -501 `065'k - DOO - 1 Lot No. Site Plan Name: Block No. i Project Name: CCIC.CV1to`t Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: f "�� � 1 S lr % in • !1 •. SPG . { - oc> a � .S ,'r► F_a 6t 1 1 Q N N - ` " ,fAT�1LL-z CONSTRUCTION INFORMATION: AcIdit I worK to be nertormed under tis permit - checK all t= appy: ❑✓— HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors 11 Electric � Plumbing ❑Sprinklers � Generator � Roof Roof pitch Total Sq. Ft of Construction: SCI. Ft. of First Floor: o`,D 6 5 0 Cost of Construction: $ Utilities: Sewer Septic Building Height: OWNERAESSEE: CONTRACTOR: Name _M i _ Name: DENNIS ZACEK Address:,S-12) �e_*\e5 Vd Company: ARS City: ,e-Nawa-4 _ JEAC %A State: 'FL- Address: 2800 US HWY 1 Zip Code:, ]a94 -1 Fax: City: VERO BEACH State: FL Phone No. 11 Zip Cade: 329650 Fax: E -Mail: Phone No. 772-794-7221 Fill In fee simple Title Holder on next page ( if different E -Mail: TDABERKO@ARS.COM from the Owner listed above) State or County License: CMC1249753 If value of construction is $ZS00 or more, a RECORDED Notice of Commencement is required. I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III DE5I5NER/EN135INEER: X Not Applicame Name: Address: City: State: Zip:,Phone., FEE SIMPLE TITLE HOLDER: x Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMP x Not Applicable Name: Address: City: State: Zip: Phone: BONDING CO "NY: x Not Applicable Name: l Address: City: Zip: ,_,/_ Phone: I certify that no work or installation has commenced prior to the Issuance of a permit. St. Luce Counttyy makes no representation that Is granting apermit will authorize the permit holder to build the subject structure which �s in conflict with an 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 addltlons, 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 _ Signature of Ow r/ Lessee/Agent Signature of Cont or License Holder STATE OF FLORIDA COUNTY OF sLL-in The forgoing instruMprit was acknowledge efore me this _aday of Q 20 byld- Dooms Zawk IName of person acknowledging) �a. (Signature of Notary Public- State of Florida j Personally Known x OR Produced Identification Type of Identification Produced `rte 128ygy Commission No. r�xxossa 1 (Seal) Revised 07/15/2014 STATE OF FLORIDA COUNTY OF Nom. The fo oing Instrument was acknowledged before me this � day of ��/ . ZQ a by Dennis Zaak (!Nam of person acknowie Ing i ISlgnature of Notary Public- State of Florida) Personally Known x OR Produced Identification Type of Identification Produced Commission No. F'744Lf (Seal) STATE OF FLORIDA Comm# FF128494 T1I6II4fAA 14, E"Eal-s STATE OF FLORIDA Comm# FF128494 r REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS This combination qualifies for a Federal Enerl Efficiency Tax Credit when placed In servil between Feb 17, 2009 and Dec 31, 201 Certificate of Product Ratings AHRI Certified Reference Number: 8715785 Date: 5/18/2017 Product: Variable Speed Mini -Split Heat Pump, with Remote Outdoor Unit Air -Source, Free Delivery Outdoor Unit Model Number: MUZ-GL18NA-U1 Indoor Unit Model Number: MSZ-GL18NA-U1 Manufacturer: MITSUBISHI ELECTRIC COOLING & HEATING Trade/Brand name: MR. SLIM Series name: Manufacturer responsible for the rating of this system combination is MITSUBISHI ELECTRIC COOLING S 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): 18000 EER Rating (Coolfng): 13.40 SEER Rating (Cooling): 20.50 Heating Capacity(Btuh) @ 47 F: 21600 Region IV HSPF Rating (Heating): 11.20 Heating Capacity(Btuh) a@ 17 F: 13800 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 TNS IS A�CI�RF�TE. SEARCH OI THE HRI RFhFFhR�SICE # TO QUICK L�C{�E TH C�M811 1,2N IN THE DIRECTORY. abnJ"7 s fc lowed by." ante k () Ind cats a voluntary rera a of pre usly pu Iia ata, unless atxompen ed wi a wTt in rales en n, ntary rerate DISCLAIMER AHRI does not endorse the product(s) listed an 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 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.ahridlroctory.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;. AMU 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.ahridirectory.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.: 131395793542856746 ma Eat Start Date X .FS71 Installation Work Order Est, Completion Date (772) 567-3100 Corporate Custom r 2000 US Highway 1, Vero Beach, FL 32960 Relations American Residential Services of Florida, Inc. License ♦ CMC 1244753, CAC045878, CFC 1428283 (866) 803.0879 CUSTOMER • �7 EMAIL �) GALL;IJF ADDRESS CITYlSTAIVZiP L HOMF PHO r VVVKK PHONE YOUR DESIGN OPTION 1 OPTION 2 OPTION SIZE L vr-)TYPE ' r SIZE — TYPE SIZE TYPE EFFICIENCY EFFICIENCY EFFICIENCY LJ r$ -- $ $ $ $" $ $ $— Zan $ SUBTOTAL $ SUBTOTAL $ f fo SUBTOTAL $ MONTHLY EST' I MONTHLY EST. - $ MONTHLY EST - $ CUSTOMER INITIALS CUSTOMER INITIALS CUSTOMER INITIALS Warranty: :_ Parts Labor Warranty: Parts Labor Warranty. Parts Labor ,_ZCompressor _-._—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 prctc :t your home and removal of existing equipment. All work completed is done in accordance with existing codes and permits, as required. SPECIFICS OF • • SELECTEpOPTION: 1 ❑2 ❑3 $Wealpsrpraetor Hverrsting Zechnnefdi� �isaerneieCt' SUBTOTAL $ �Glaetiresl ar Lifetime Equipmeni Slab k —QgCO. $ Sound Isolation Pad: -Jp Rc;,c.nne-B•tiv-crqryt. $ ue on t QGaiGag Sarn+Kll �kamidilier / •❑Siert tilt P—����` mr Ire TOTAL $ ❑ Refrigerant LL Dryer, #Refrigerant Pipe El SZ;31 `' uag New ❑ Rei: onw.-ut ❑ CASH ❑ CHECK1f efngeranl Pipe Cover ❑ 5�glu y-Plapuut p uoLBipiag Expansi�.v,n Valve EI NowE,$oeennect y CREDIT CARD (LAST 4�s)� � c7 IYTstat -Type ❑ Return Plenum Home S.: rvi., a Plan - 1 Term (364 days) EXP APPROVAL— OUR GUARANTEES amfort Guarantee}iome Protr.Ftion Guarantee ❑ FINANCING' 4 Hcur Service Guarantee 100% U•,�;ondilional Money -Back Guarantee 'Payment options available with approved credit NOTES 1Je.Lo PCJ t1,."4 -5L),6-),3 A ; kJ. i I yltiQivw��,r1r- /S 4 acknowledge that my Fight to cancel has been explained to me orally and in writ ng, and without waiving my right to cancel, I authorize the performan-e of the work, subject to all terns and conditions set forth on the reverse sidu horeuf, plw any taxes upon cnmpletion. Buyer's Right to Cancel: This Is a home solicitation sale, and If you de not want the goods OF services, you may cancel this agreement by providing written notice to Me seller in person, by telegram, or by mall. This notice must Indicate Met you do net want the goads or services and most be delivered or postmarked hetero midnight of the third business day atter you sign this agreement. If you cancel this agreement, the seller may not keep all or part of any cash down pnyment. See the reverse side hereof for an explanation of this right. • Beth Te Owner: (a. a not sign this hence hnp i.. of contract in blank (6. you are enlithd to a cW it the cocdred at the time you sign. Keep it to prated your kpal rights. (c, This home Improffo ld wow may contain a m othew im create a Ken on your leaperty that could he faeclued an if you do not M. Be sure yen umlestacd all prsrisierd of the contract before rm sign. .—r 'il 1 i •. >n 1. n �, s r�� 1 A 1 _ 11 Property Card Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 373 NETTLES BLVD Parcel ID: 4502-501-0559-000-4 Sec/Town/Rangc: 02137S.41 E Account #: 120147 Map ID: 45/02F Use Type: 0100 Zoning: HIRD Jurisdiction: Saint Lucie County Ownership Michael Cucchiara Mary L Cucchiara 373 Nettles BLVD Jensen Beach, FL 34957 Legal Description NETTLES ISLAND INC, A CONDO -SECTION 11 PARCEL 373N ANDPRO-RATA SHARE IN COMMON ELEMENTS (OR 3914-382) Current Values Just/Market Value: $243,200 Assessed Value: $243,200 Exemptions: so Taxable Value: $243,200 Taxes for this parcel: SLC Tar Collecloes Office Download TRIM for this parcel: Download PDF 12 Ilfll��i Page 1 of 1 Total Areas Finished/Under Air (SF): 1,031 Gross Area (SF): 1,199 Land Size (acres): 004 Land Size (SF): 1,912 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.paslc.org/RECard/ 5/19/2017