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HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: " l Permit Number: Building Permit Application Planning and Development Services 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 PROPOSED IMPROVEMENT LOCATION: Address: Leal Description: ; l -S C ►4'r t r'l L LCA Ll _ Property Tax ID #: -. `}( — D "��L ©O 3 Lot No. Site Plan Name: _ -N Al f t✓ t CFI-\ Block No. — Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: EXACT AC CHANGE OUT NO DUCT WORK--- ���,��� � �Q (�ir1 4-�3 ' A ' CONSTRUCTION INFORMATION: Additional work to be ertormed under this permit —check all appy: ✓❑HVAC Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors _ Electric 0 Plumbing []Sprinklers❑ Generator ❑ Roof Roof pitch Total Sq. Ft of Constructio S Ft. of First Floor: Cost of Construction: $ Utilities:[]Sewer ❑Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name _ Qn7�7-("mak] Name: DENNISZACEK Y Address: Company: ARS City: _� t k State: _. Address. 2804 US HWY t Zip Code: q a Fax: City: VERO BEACH State: FL Phone No. 7 DB Zip Code: 32960 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 $2500 or more, a RECORDED Notice of Commencement is required. (0 - a--, / -7 SUPPLEMENTAL CONSTRU'C*TION 'LIEN LAW :INFORMATION: DESIGNER/ENGINEER: Name: Address: City: Zip: Phone: x Not Ap State: MORTGAGE COMPANY: Name: Address: City: Zip: Phori x Not Applicable State: FEE SIMPLE TITLE HOLDEI#: 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 commencine work or recordine vour Notice of Commencement. ► ) 3 Jar .� .ate s _ Signature of O er/ Lessee/Agent Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF s+Lude STATE OF FLORIDA COUNTY OF S1uxoa The forgoing instrut was acknowledge jbfore me The forgoing instrument was acknowledged before me this _ day of _ 20 by this day of . 20 _by Dennis Zamk Dann s Zack \, {Name of rson acknowledging [Name of per n.acknowl dgin J {Signature of Notary Public- State of Florida J (Signature of Notary Pu Vic -State of lorida J Personally Known x OR Produced Identification Personally Known x OR Prrl ntitpseeioa� Type of Identification Produced1 y THO t" � 1• bAtItiffikB Type of Identification Produced FF22Q930 � � E os= �oRil7a Commission No. FF2zo930 W � STATE OFFLOl�IDA Commission No. �} C"FF12gggq FF12e494 Expires E/212098 r�Yl1�YAc. CMMni n Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS S TR�St;u� RoaT�R Est. Start Date Installation Work Order EA. completion Date _ (772) 567-3100 Corporate Customer 2800 US Highway 1, Vero Beach, FL 32960 Relations Amen= Rea deniid Swam of Florida, Inc• Lcum # CMC1249753, CAC045078, CFC1428283 (866) 803.0879 CUSTOMER EM CALL SUP ADDRESS r- / i+ U �✓f+h �% CITY J��i� FC '70 7' .7 `.0"Z�p eJ .?Y�.r•L HGMEPHONE 2 _? � — D J }O_S C PH S J� W�RKPHONE • DESIGN UR HVAC SYSTEM SIZE �TYPE GrJ,' SIZE _TYPE 1,Y SIZE TYPE _ EFFICIENCY J Ctcf C/Ai EFFIC NCY ,r AtiEFFICIENCY__. $ )- $ $ f{D $ yd $ $ $ 31 $ . moo) $ �$ $ 727 SUBTOTAL $ SUBTOTA $ SUBTOTAL $� MONTHLY EST.' $ �.MONTH EST.* MONTHLY EST.' $ CUSTOMER INITIALS CUS MER INITIA CUSTOMER INITIALS _ arranty• -Parts ! La rranty: Pa Labor Warranty: Parts Labor Compressor Heat Exch er Compressor Heal Exchanger Compressor _Heat Exchanger Refrigerant rec osed of as required by law. Complete clean up including use of floor savers 10 protect your home and removal of existing equipment. All work completed is done in accordance with ex sling codes and permits, as required. SPECIFICS OF + • SELECTED OPTION- 1 ❑ 2 ❑ 3 ❑ Weatherproof ❑ Connect to Existing ❑ Electronic Air Cleaner SUBTOTAL $ Disconnect Electrical ❑ Media F Iter V Lifetime Equ pment Slab ❑ New Plywood Deck ❑ PCO $ ❑`Sound Isolation PadsReconnect Drain Line ❑ UV Light $ ❑ Liquid Tile Conduit ❑ Ceiling Saver Kit ❑ Humidifier ❑ Start Kit (Pan & Float) ❑ Dehum differ TOTAL $ y- ❑ Refrigerant LL Dryer— ❑ Main Drain Safety Switch ❑ Outdoor Un, I Pad Pipe 0 irldRefrigerant Seal New Connections ❑Flue Venting New )M Reconnect ❑ Support Attic Equipment ❑ Ductwork Connect on9 ❑ CASH ❑ CHECK# Refrigerant Pipe Cover 0 Supply Plenum ❑ Fuel Piping ❑ Expansion Valve (3 New AReconnecl ❑ Electrical Wiring ❑ CREDIT CARD (LAST 4#s) )AT -stat -Type t Return Plenum JkrHome Service Pian -❑ New I(Reconnect 1 Term (364 days) EXP APPROVAL OUR •A -ewomfort Guarantee ome Protection Guarantee ❑FINANCING' 24 -Hour Service Guarantee 100% Unconditional Money -Back Guarantee 'Payment options available with approved credit • r02,06 0315 -3 -T!' Written customer authorization will be obtained before beginning any unforeseen additional or extended work. ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES. • BUYER'S RIGHT TO CANCEL: This is a home solicitation 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 indicate that you do not want the goods or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement. If you cancel this agreement, the seller may not keep all or part of any cash down payment See the reverse side hereof for an explanation of this dghL • 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. CU ER SIGNATURE OA COMPANY REPRE ;ENTATIMC CUSMMER 51GNATURE DATE O 2016 An atl Residonlial 5mices LLG A9 rights Deserved. ARS1078 081715 DATE P.2F.; Michelle Franklin, CFA— Saint Lucie County Property Appraiser—All rights reserved, Site Addnass Parcel ID Account # Map ID Use Type Zoning: City1Caunty Ownership Gmgi. aJAmkcwfLFESTI 3WO Indilpr13mouaCT Pori St Lucie FL 3+v1. Legal Description EAGLES RETREATATSAVANNA CLuoirs4:2:lBLKS-LOT 1-'ORINSM-:aM6 +WMLs.N; CurrentValues JwtlMarket Value: $57.100 Assessed Value $52750 Fxemptinm $52.'150 Taxable Value s0 Taxes for this parcel: SLC Tax Cullecnx I office O Download TRIM rw this parcel. Dw rilmd PDF G Total Areas FmithoWodsi Air lSF } 1 ow Gross Area (SF) 17311 Land Sae (aesv) 0.2 Land Sim fSFI a.7C Property Identification 3W9 imago Bunlmy LT 3424.7n$4Wi6 la&3 15211' s 3ar24N n2W Saim Lucie Cuumy Z ` "Lr Th.s information is believed to ba comm at this time but it is . ub3cc7 to clan a and is not warranted. C Capyti$ht 2017 St Lucia County Property Appraiser All mill reserved. A n"Ict"al CERTIFIED Certificate of Product Ratings AHRI Certified Reference Number: 7490503 Date: 6/2/2017 Product. Single -Package Air -Conditioner, Air -Cooled Model Number: 50ZPC036--30" Manufacturer: CARRIER AIR CONDITIONING TradelBrand name: CARRIER Region: All (AK, Ai_, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, Mir 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: i 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 (Btl.lh): 35000 EER Rating (Cooling); 11.50 SEER Rating (Cooling)- 14,00 IEER Rating (Cooling): 'Ratings followed by an asterisk (') indicate a vol. ntarg nera,o of previously pubi,sheci data L-11055 accompanied with a WAS, which indicates an involuntary rerate. DISCIAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responslbil ty for, the product(s) listed on this Certificate. AHRI expressly dlsclalms all liability for damages of any kind arising out of the use or performance of the product($), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configuratlons listed In the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRL 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;` i 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 6 REFRIGERATION INSTIIUI The information for the model cited on this certificate can be verified at www.ahridirectory.org. click on Verify Certificate' link we make life bruer 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.: 131408948014940915