HomeMy WebLinkAbout8499 LABELIA CT PSL PERMIT APPALL APPLICABLE INFO MUST 13E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �-.;> -3 !
Permit Number:
Building Permit Application
Planning and pevelopmertt Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34.982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address:
C,,
Legal Description: 54Lr,014 LQ, `
0v —1gle-38� air yam --
Property Tax ID #:
Site Plan Name: Lot No. -2-
Project Name: Block No.
Setbacks Front�� Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacing A/C, exact change out, no duct work with
/0 kL'J 3 -5 000
�`er 1 ��N - 1`f 5
�3-�-u-h - acf�
CONSTRUCTION INFORMATION:
unurr iris permit — chat a
aPP Y�
HVAC
Gas Tank ❑Gas Piping _Shutters
Windows/Doors
Electric 0 Plumbing Sprinklers 11 Generator
Roof
Total 5q. Ft of Construction:
S. Ft. of First Floor:
Cost of Construction: $--
Utflitles: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
.,- - - -
Address_: � / l3EL 14 '
City: r`r �S7` Lae,/ C_ State: P74—
Zip Code: -3t' 9SZ Fax:
Phone No. 772_ -g7/-
E -Mail:
Fill In fee simple Title Holder on neW page ( if differ~
from the Owner listed above)
If value of construction is
Name: Zacek, Dennis
Company: American Residential Services
Address: 2800 US Hwy 1
City: Vero Beach
State: FC
Zip Code: 32960 Fax. 772 794-9783
Phone No. 772 794-7221
E -Mail ager 0
State or County License: CMC1249753
or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
—��•�+••�+•/UM3111rCC11: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x at Applicable
Name;
Address:
City:
Zip: nna•
MORTGAGE COMPANY: x Not`Applicable
Name:
Address:
City: State:
Zip: phone -
BONDING CO Y: x Not Applicable
Name:
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Assocition rules,
structure. Please consult with Your Home Owners Association and review deed for an nrestrict that
whichtma prohibit hibit such
In consideration of the granting of this requested permit, I do hereby agree that i will, in al respects, perform the wok apply.
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 rarnrrimp.iour Notice of Commencement.
_Signature of ow r/ Lessee/Agent 1
Signature of Cont or/License Holder s
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SL Lude
COUNTY OF stuzw
Thef oing instrume t as c! owledge efore me
this day of 20b
Y
Dennis Zamk
person
—5,lat—c vi ivotary Public- state o nri a J
Personally Known x OR Produced Identification
Type of Identification Produced
3x,
Commission No.—F22os3a �WARYPUSI_ic
STATE OF FLORIDA
Revised 07/15/2014 Elcniras 61'-12018
REVIEWS FRONT ZONING ISUPERVISOR
COUNTER REVIEW I REVIEW
INITIALS
The forgoing instrument was acknowledge before me
this qday of C,.�-c' 20 �7 by
(Name
Dennis Zacek
of Notary Pu$fic- State of Florida)
Personally Known x OR Produced Identification
Type of identification Produced
Commission No. FF220930 'r14e(5AW)4DAB3ERK0
NOTARYPUBLIC
tg
Cornu* FF12Es94
'Fxoires 612!2418
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW
Q W a NP5
Eat. Start Date
Installation Work Order
Est, Completion Date._.
(772) 567-3100 Corporate Customer
2800 US Highway 1, Vero Beach, FL 32960 Relations
Amerman Residential Services of Florida, tnc. License 4 CMC 1249753, CAC045Ta CFC 149R9AA fRRRI An'A.nA7Q
SIZE_TYPEpr�
EFFICIENCY
$
H2„$ 399
$ 2 c–
_
SUBTOTAL $
MONTHLY EST,' $ o`
CUSTOMER INITIALS _.
SUP
IZE- TYPE CGlrr/' SIZE TYPE
FFICIENCY 15 EFFICIENCY
-_$ _ $
_ $
$ — 33f`” _- $ -
$ y _$
UBTOTAL $ — SUBTOTAL $
ONTHLY EST. $ _ 7.5, "d _ _ MONTHLY EST' $ _
INITIALS ._ I CUSTOMER INITIALS
Warranty: .%O Parts -I Labor Warranty: _Z Parts Labor Warranty: Parts Labor
/0 Compressor Heat Exchanger -k-Compressor Heat Exchanger Compressor _ _ Heat Exchanger
-):Z�ML=-ovmuLmd.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.
SPECIFICS OF TOUR INSTALLATIONSELECTED OPTION: ❑ 2 ❑ 3
❑ Weatherproof
Disconnect
A, felime Equipment Slab
Sound Isolaticn Pads
❑ Liquid Tite Conduit
❑ Start Kit
❑ Refrigerant LL Dryer_
'Shafrigerant Pipe
❑ New 5k§econnect
JRefngerant Pipe Cover
❑ Expansion Valve
AT -stat -Type _
❑ Connect to Existing
Electrical
❑ New Plywood Deck
Reconnect Drain Line
❑ Ceding Saver Kit
sPan & Floal?
❑ Main Drain Safety Switch
❑ Seal New Connections
❑ Support Attic Equipment
'XSupply Plenum
❑ New" Reconnect
IWRetum Plenum
❑ New xReconner<t
❑ Electronic Air Cleaner
❑ Media Filter,
❑ PCO
❑ UV Light
❑ Humidifier
❑ Dehumid fier
❑ Outdoor Unit Pad
❑ Flue Venting
❑ Ductwork Connections
❑ Fuel Piping
❑ Electrical Wiring
dome Service Plan -
1 Term (364 days)
Guarantee Home Protection Guarantee
Service Guarantee ;100% Unconditional Money -Back Guarantee
S /4)4,4-A, E r-.r-z�- z cW 9
SUBTOTAL $
TOTAL $
❑ CASH ❑ CHECK#
❑ CREDIT CARD (LAST 4#s)
EXP APPROVAL
❑ FINANCING'
'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 conditions set forth on the reverse side hereof, plus any taxes upon completion.
Buyer's Right to Cancel: This b a home solicitation sale, and II you do not want the goads or services, you may cancel this agreement by providing written notice to the
seller In person, by telegram, or by mail. This notice most indicate that you do not want the goods or services and must be dekerod or postmarked balers midnight of the
third business day after you sign this agreement. It you cancel this agreement the seller may not keep all or part of any cash down payment Sae the reverse side hereof
for an explanation of this right
• Attlee b Omer. (a. Bo not sign tMs hmne Improvement contred in blank (b. You arc entitled to a copy of the contract at the gale you alga Keep It to protect your legal rights. (c. This home
impravenleld cooirad may contain a mortgage or otherwise auk a ben on your property that could he foreclosed an II you do not pay, Be sure you understand all provisions of the contract
belere you sign.
C 23.17
ME DATE CQMPA EPRESENTATIYE
CUSTOMER SIGNATURE DATE
0 2016 Amsr,cen Residential Serviwa LLC. All rights reserved. ARS1078 091715
.S z3 -I'7
BATE � i
0256
'L_ Am 0 ft CERTIFIEW
A
Certificate of Product Ratings
AHRI Certified Reference Number: 7490503 Date: 5/23/2017
Product: Single -Package Air -Conditioner, Air -Cooled
Model Number: SOZPCO36-30**
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER
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;
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): 35x00
EER Rating (Cooling): 11,50
SEER Rating (Cooling): 14.00
IEER Rating (Cooling).
' Ratings followed by an astorisk r) Indicate a voluntary rerate of previously published data unless accompanied with a WAS which indicates an involuntary 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 liability for damages of any kind arising out of the use or performance of the producl(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.
T AND CONDITIONS n�
Thisis 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 1
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified at www.ahrldirectory.crg, click an `Verify Certificate' link Ne make Isle Lewes
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.: t3140fM67362346917
Michelle Franklin, CFA— Saint Lucie County Property Appraiser—All rights reserved.
Sitc Addms
Parcel ID
Accomt p
Map ID:
Use Type
Zoning:
City/Caunty
Ownership
)asn E Geblurih (LF ESTI
6199 Labctia n
Pon St Lucie, Ft 34952
Legal Description
SAVANNA CLl1S PLAT TIIRH RLK 24 LOT 17(()R 79&197 216742111
Current Values
JusWarket Vahtc
Assmsetl Valuc
Exemptions
Taxable Value:
Taxes for this pa=l: SLC Tax CWww s Office O
Download TRIM for this parcel. DowNmd POF O
Total Areas
FonshedUnder Air (SF):
Giuss Area (SF)
Land Siu (serer 1
Land Sue fSF):
µ7,3U11
I51,nM9
W.n99
sn
1.095
I,6N1
013
5.n1
Property Identification
8499 LAIIELIA CT
3125-7n349t63.(M1
129975
W25.9
nem
Put)
Saud Lucie County
This mfor ration is believed to be correct at this time but it is sub)ecr to cion a and is not warranted
C Copynllbi 2017 Saint Lucie County Property Apptaiscr All nils tesmcd.