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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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: 13 S14AD LN ?off 2SZ Legal Description7k'5tr:"V- U!1 : + 2 'raL% L=Pr ISP 3z Zz 02 37WI--/ Property Tax ID #: 3C{ g X51 O -�©�1 �S� �0� "y _ Lot No. tt Site Pian Name: Block No. 1 Project Name: bNL ZJ"AN(a&- c �1�__ Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: EXACT AC CHANGE OUT NO DUCT WORK— ekae- L -'-( TIM - 17 S IEC -e-- ID k LJ 4TaC>ok"-L"4 aL(,4C-e:-7W8A i©31* — FgQJ P odE:)/-- CONSTRUCTION INFORMATION: Ad Cl itiona I work to 13e erformed un er t is permit- c ec a appy: �✓ HVAC Gas Tank Gas Piping Shutters O Windows/Doors _ Electric 0 Plumbing Sprinklers []Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: sy Cast of Construction: $ _ CI Utilities: Sewer 0 Septic Building Height: OWNER LESSEE: CONTRACTOR: Name RCeA\ Name: DENNIS ZACEK Address: 13 "5"Pi:14 Lltmlir� Company: ARS City: t �t State: _L Address: 2800 US HWY 1 Zip Code: �?q 01 SZ Fax: City: VERO BEACH State: FL Phone No. 'Z k r 7ZZ Zip Code: 32960 Fax: E -Mail: O Q ad -is . Cdr.- 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. ENTAL CONSTRUCTION LIEN LAW INFORMATION: .+wwrSr�/CIVU11IVrtK: x Not Applicable Name: Address: City: ��Siate. Zip: P ne: FEE SIMPLE TITLE HOLbER: Name: x' Not Applicable Address: city: Zip: Phone: MORTGAGE COMPANY: x Not Applicable Name: Address: City:11111111111111� State: Zip: phone: BONDING Address: City: zip:. Phone: X Not Applicable I certify that n]o/ work or installation has commenced prior to the issuance of a permit. St. Is in Count makesno applicablelHome Owners tAssociationru e5 authorize ylaws or andpcovenants that may restrict subject ohibit structure 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 COMmencin.g work or recording our Notice of Commencement. 1 _ Signature of 0 er/ Lessee/Agent STATE OF FLORIDA COUNTY OF StLude Signature of Contra/License Holder S STATE OF FLORIDA COUNTY OF stLudo The fo ing lns ument was acknowledge fore me The fo olng instr nt was acknowledge before me this day of 20 �by this day of�Gfi[� 20 by Dennis Zocek person Personally Known X OR Produced Identification Type of Identification Produced Commission No. (Seal) THOMAS H. DAE NOTARY PuBLi1 Zacek (Name of (Signature orNotary Public-Stateof Florida I Personally Known x OR Produced Identification Type of Identification Produced Friar %nmission No. tf4y (Seal) ..cftW.ets tH0MAd H, bA gRK8 Revised 07/I5/20I4 w rQ Ccn m k FF128 s,94 :REVIEW:S:FRONT ZONING SUPERVISOR PIANS COUNTERREVIEW REVIEW REVIEW INITIALS STATE: OF FLORIDA Com FF128494 VEGETATION I SEA TURTLE I MANGROVE REVIEW REVIEW REVIEW Michelle Franklin, CFA— Saint Lucie County Property Appraiser —All rights reserved. SitcAtkims Parcel ID Amami # 1tlap ID Use Typc Zoning: City/County Ownership I lelcn Dudek 313 Shady Ln Purl S1 Lucie, FL 3493: Legal Description Rl; LR PARK -I SNIT 2- BLK I I LOT 9(MAP 34=N) kf)R 3769.1360 Current values last/Market Value.. Assessed Value F.aerwinns Taxable Valuc: Taxa for thispanel 5LC Tas CSI lectw's OlTice O Download TIUM for this parcel Duwidmd PDF O Total Areas F'nishedlUnder Arr (SF) Gross Arca (SF): Land Sm (arm) Land Sme(SF) 5123 6m $123.600 5n s1:3.6n0 1,68 3.059 0.22 9,490 Property Identification 313 51IAnY LN 341%S11,000-004-4 41810 WRN 0100 KS -4 5auit Lucre Canty This information is believed to be correct at this tune but it is subject to chat&c and is not warranted. C CupynQltt 2017 Saint Lucie County Property Appraiser All riylts reserved. tCAL r 40 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: 9177651 Date: 6/19/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 24ACB748A" 031* Indoor Unit Model Number: FV4CNB006L 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 2101240-2006 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): 48000 EER Rating (Cooling): 13.50 SEER Rating (Cooling): 17.00 IEER Rating (Cooling). ' Ratings followed by an asterisk (') indicate a voluntary rerato or previously published data, unless accompanied with a WAS which indicates an involuntary rerato 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 damoges 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 a* for models and configurations listed In the directory at www.shridirectory.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 6 REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.abridirectory.org. click an 'Verify Certificate' link 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 02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131423706510415785 I A . Hent rill ' pl un,bi nt1 ' Air Est. Start Dale 1� Installation Work Order Est. Completion Date (772) 567-3100 Corporate Customer 2800 US Highway 1, Vero Beach, FL 32960 Relations Ammran Resldentint Swff-esofrlaxtaln_ Limnsef CMC1249753.CAC045818,CFC14?8783 (866) 803-0879 GUSrT)MEREMAIL CALLSLIP c v t ADDRESS C ISTATEIZIP u/1 � A_ .f &/:eFZ JY_0GL HOMEPHONE CELLPHONE WORKPHONE YOUR DESIGN If SIZE. / TYPE 6q11 -,t1_ SIZE Sr TYPE CAM t% SIZE .TYPE _ , _ .,_ EFFICIENCY /7 FFI IENCY /7 EFFICIENCY our 0 7 $ _ %)7-1 �__ A -i $ Z $ �� � .$ A-0, U $ $ yf_ Wd _ _$ '10 $ $ _tis 1° $ - A? 6d Y $ $ 9�0� UBTOTAL $ SUBTOTAL $ SUBTOTAL $ ONTHLY EST.* $ `Iso MONTHLY T * $ ,?� MONTHLY EST * $ USTOMER INITIALS COSTO R INITIALS CUSTOMER INITIALS Warranty: LO Parts La r Warrdnty: �U_ .Paris f Labor Warranty: Parts _ . _ _ Labor -JOL-Compressor, , Heat Exch ger ._ A Compressor Heat changer Compressor Heat Exchanger ri eranl recovered and di of as required by law. Complete clean up Including use of floor savers to protect your home and ramous a g equipment. All work completed is done in accordance with existing codes and penults, as required. SPECIFICS OF • • SELECTED OPTfON. 1 ❑2 ❑3 ❑ Weatherproof ❑ Connect to Existing ❑ Mecironic Air Cleaner SUBTOTAL $ Disconnect Electrical ❑ Media Filter _ ❑ Lifetime Equipment Slab ❑ New Plywood Deck ❑ PCO $ Sound Iso'at on Pads 'i .Reconnect Drain Line ❑ UV Light $ tt ❑ Ceiing Saver Kit ❑ Humidifier (Pan & Float) O is Start Kit [3 Dehumidifier TOTAL $ ❑ Relrigerant L.L. Dryer Oain Drain Safely Switch ❑ Outdoor Unit Pad %Refrigeran Pipe Pseal New Connections ❑ Flua Venting '' ❑ New Teconnect ❑ Support Attic Equipment ❑ Du-Avvork Connections ❑CASH ❑ CHECK# refrigerant Pipe Cover Supply Plenum ❑ Fuel Piping ❑ Expansion Va'vo ❑ New econnect p ❑ Electrical Wiring ❑CREDIT CARD (LAST 4#s) Sstat -Typo P-Relurn Plenum 4�1 tHome Serv:- u Pian �- ❑ 1� New Reconnect 1 Term (364 days) EXP APPROVAL OUR GUARANTEES omfort Guarantee ome Protection Guarantee FINANCING' 424 Hour Service Guarantee 00% Unconditional Money,Back Guarantee 'Payment options available with approved credit NOTES 3/S sa q-a.94qCando..19A ,6?VJ0 OD.3 �o �� � Dov • Written customer authorization wil' be obtained before beginning any unit nreseen 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 mall. 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 righL • I acknowledge that my right to cancel has been explained to me oral.y 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. Notice To Owner - Do not sign this home improvement contract in blank. You are entitled to a copy of the contract at the time you sign. Keep it to protect your legal rights. This home Improvement contract may contain a mortgage or otherwise create a lien on your property that could be foreclosed on if you do not pay. Be sure you understand all provision of the contract before you sign. CUSTOMER SIGNATURE D E GOM REPRESENTATNE CUSTOMER SIGNATURE DATr 0 2017 A—m RnmdmI.1 Sorvicow LL t:. Al rinhie mearved. ARS1070 01501111 6/9- 7 DATE 9256