HomeMy WebLinkAboutPERMIT APP. AC CHANGE OUT APP 348 SEAHORSEALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
11
F t o R t n p
Permit Number:
Building Permit Application
Planning and Development
Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Commercial Residential x
V.�NU�A—W
OPOSED IMPROVEMENT LOCATION:
!C -C&
Address: oi"i� c5e A 4.&o i'. ,,o
lega I Description:
PropertyTax ID #: NO -5018-01 ,S — p0 Z
Lot No.
Site Plan Name: eftic.2 —�
�, 7+ ,� ��� Block No.
Project Name. '� C D�+' dw��
Setbacks Front_ Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Exact change out of wntar 14---i*--, installed 3 -
AC ur},t
3,3-00,0
CONSTRUCTION INFORMATION:
HVAC Gas Tank
13 Electric 0 Plumbing
Gas Piping
Sprinklers
50(4Cvr36
a app y
Shutters
EE]
Generator
Total Sq. Ft of Construction: S. Ft. of First Floor: _
Cost of Construction: $ 5 1 `'� Utilities: Sewer �5eptic
OWNERAESSEE:
Name 3'0-54'-
Address:
'0.SGAddress: c3 k Y-���-�-
City: _ i-� C— State: FL
Zip Code: _7fZ _ Fax: NIA
Phone No. -DI 11Q l �-
E-Mail: NIA
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is
CONTRACTOR:
QWindows/Doors
Roof
Building Height:
Name. Zack, Dennis
Company: American Residential Services
Address: 2800 US Hwy 1
City: Vero Beach state: FL
Zip Code: 32960 Fax: 772 794-9783
Phone No. 772 7947221
E -Mail. bderby@ars.com
State or County License: CFC1428283
or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: x Not Applicable
Address:
Name:
City State:
Address:
City:
ZiP: Phone:
ip ' Ph State:
FEE SiMPLE TITLE HOLDER- x Not Applicable
Name:
80NDINMPANY: x Not Appiicable
Address:
Name:
City:
Address:
Zip: Phone:
City:ZiP:
. Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
which Is in co�,1 imawith any applicable HomeaOwners tAssociationlrules bylaws or and covenants that build
ay restrisubject
t o proh bit 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, wails, 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
co'mmencin work or recording our Notice of Commencement.
►J '
_ 5ignature of 0�er,
essee/Agent Signature of Contra r/License Holder $
STATE OF FLORIDA
COUNTY OF STATE OF FLORIDA
SlLuda COUNTY OF St Lucie
The forgoing Instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ' day of
2{7 -.by this day of 20 _by
Dennis Zacek
Person ackn ledgi }
le
a of Notary ublic- State
Personally Known x OR Produced identification
Type of Identification Produced
Commission No. FF220930 {
r
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
BATE
COMPLETE
INITIALS
Dennis Zacek
[Name of person acknowledging }
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of identification Produced
Q-10MAS H, DAB commission No. FF22093o
INOTAr3Y PUBLIC (Seal)
o D
Comrs# FF128494
Expires 6/2/2018
SREVIIEWOR RE PLANS
V EVIEWON S EVEWLE I MREV EWVE
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RepsterakData of issaa 12/03/2015
Lon Reles a
JOSE L PEREZ OR [serest R IM devoted w** is be"tekssed
CARMEN ENID MEDINA PADILLA Ile
348 SEAHORSE TER
FORT PIERCE FL 34982-7944
JOSE L PEREZ
348 SEAHORSE TER
FORT PIERCE FL 34882 7944
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+ remdernt''Mle by Sel ersedlan ei the bottom of
The ceridicale of tale
2 Uponsaleo'thisveh0e lberollermtstcomplele
ilea notke of sale an the reverse side of this form
3 Fie mare yarr I bete plate from the vehicle
A See the web address below For more fdormallon and
the dppopnsteforms required for the purcholarto
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JOSE L PEREZ OR
CARMEN ENID MEDINA PADILLA
348 SEAHORSE TER
FORT PIERCE FL 34992-7944
1 it 1.66aider
NONE
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Parcel ID.
Accountir
Map ID
Use Type
Zoning
CityiCounty
ownership
Ttvptcal Islet Coop Ise
281 Tropical Ielea Cir
Fon Pierce FL 34482
Legal Description
TROPICAL ISLES I DR 2-1&2!611 L. YIT 1.23
Current Values
JusLINfarket Value
Attested Value
Exemptions
Taxable Value
Taxa for thus parcels SU T x CaElerto-. Offrr t7
Downlwd TRIM for this parcel: Doaal: d PDF O
Total Areas
FinishcdfUndcr Air (SF)
Groh Arca (SF)
Land Size (acrcsl:
Land Siu (SF).
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser — All rights reserved.
Property Identification
338 SF.AHORSE TERR
3410.501W254 -0g0.2
172776
3WiflK
Otos
PUD
Saint Luc, County
This information is helieved to he correct at this time but it is subject to change and is ruin %arramcd.
0 Copyright 2017 Saint Lucie County Property Appraiser. All rights reserved.
:CERTIFIED°
www.ahrldlrectory.orgCe"4`flcate of Product Ratin
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AHPI
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DISC;
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"ierf Deference Number: 7490503 Date: 6/30/2017
"ackage Air -Conditioner, Air -Cooled
ZPC036 --- 30"
RRIER AIR CONDITIONING
me: CARRIER
AL, AR, AZ, CA, CO, CT, DC, DE, PL, GA, HI, ID, 1L, IA, IN, KS, KY, LA, MA, MD, ME,
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX,
WV, W1, WY, U.S. Territories)
-itral air conditioners manufactured prior to January 1, 2015, are eligible to be
rens until June 30, 2016. Beginning July 1, 2016, central air conditioners
ed In region(s) for which they meet the regional efficiency requirement.
•-ponsible for the rating of this system combination is CARRIER AIR CONDITIONING
'n accordance with AHRI Standard 2101240-2006 for Unitary Air -Conditioning and Air -Source
i„ent and subject to verification of rating accuracy by AHRI-sponsored, independent, third
rapacity (Btuh): 35000
ng (Cooling): 11.50
ating (Cooling): 14.00
`sting (Cooling):
*k t'} indicate a voluntary rerate of previously published data, unless accompanied with a WAS. which Indicates an Involuntary rerale
product(s) listed an this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the
data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the
tory org.
is are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and
as. The contents of this Certificate may not, In whole or In part, be reproduced; copied; disseminated;
-ibase; or otherwise utilized. in any form or manner or by any means, except for the user's Individual,
Terence.
ION
del cited on this certificate can be verified at www.ahrldtreatory org, click on "Verify Certificate' link
d Reference Number and the date on which the certificate was issued,
e Certificate No., which Is listed at bottom right.
ting, Heating, and Refrigeration Institute CERTIFICATE NO.:
ALUM
AIR-CONDITIONING, HEATING,
8 REFRIGERATION INSTITUTE
we make life herttr-
131433019849659932
�Q e� C - r`i f Est. Start Date
/a
Installation Work rder Est Completion Date [?
• • (772) 567-3100 Corporate Customer
Plumbintl •Air 28DO US Highway 1, Vero Beach, FL 32960 Relations
HoRIM9 AiwtrroR-rsich thisnxesclFloliL%hir.tkerzo#CldCI2407rr4CAL'n45a7R,CFL1428283 (866) 803-0679
CUSTOMER P
ADDRESS��
HOME PHONE _ �
SIZE,31� TYPE
EFFICIENCY LL
eftca
EMAIL
TCELL PHUN .
YOUR HVAC SYSTEM DESIG
•-
S E (00 TYPE+
EFFI ENCY (`
$
$
lij
5TYPE
EFFI !4I
CY
$
SUBTOTAL $ SO SUBTOTAL $ SUBTOTA $ .
MONTHLY EST' $ — MDNT IL ST. • $... - MONT Y EST • $
CUSTOMER INITIALS -— CUSTO ER INITIALS CU OM
INITIALS
Warranty: Part —� Labor Wa ly: Parts Labor Womanly: Parts '--Labor
Compressor Heat Exchanger y� Compressor ,_— -_Wait Exchanger_,Compressor —Heat Exchanger
Refrigerant recovered and disposed of as required by law. Complete clean up including use 641 floor savers to protect your home and
removal of existing equipment. All work completed is done in accordance with existing codon and permits, as requ red.
S PECI FI CS OF •U R I N STALLATION 11111111111111711511ECTEDOTU Ire =74 t ❑ 2 ❑3
❑ Weatherproof
Disconnect
❑ Lifetime Equipment Slab
❑ Sound Isolation Pads
❑ Liquid Tite Conduit
❑ Start Kit
❑ Refrigerant LL Dryor
❑ Refrigerant 5pJipe
❑ Now [Reconnect
❑ Refrigerant Pipe Cover
❑ Expansion Valve
56slat—Type T_ -
0Connect to Existing
eetronic Air Cle r
Electrical
[3 Mau Filter
❑ New Plywood Deck
❑ PCO
❑ Reconnect Drain Line
❑ UV Lig
❑ Coiling Savor Kit
❑ Hu difier
(Pan & Float)
ehumidifier
Main Drain Safety Switch
❑ Outdoor Unit Pad
❑ Seal New Connections
❑ Flue Venting
❑ Support Attic Equipment
❑ Ductwork Connections
❑ Supply Plenum
❑ Fuel Piping
❑ Now ❑ Reconnect
❑ Electrical Wiring
❑ Return Plenum
❑ Home Service Plan _
❑ Now ❑ Reconnect
1 Term (364 days)
SUBTOTAL $ 260
$
TOTAL
❑ CASH CHECK#
rr—
CREDIT CARD (MST 4#t) 41T
EXP APPROVAL..u.
nfort Guarantee Z�e Protect.on Guarantee ❑ FINANCING'
Hour Service Guarantee 004h Unconditional Money -Back Guarantee *Payment options available wit ,approved credit
NOTES
Ipr� l Lt WR 3 -MO u,n„+ So �C D
r_� . -%;-V.. As-. . ,,rr- 4rrn(-•� i4 �f
. Written rminmpr nulhnri7minn
heninnino anv unforeseen additions. or efiended 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 right.
• I acknowledge that my right to cancel has been explained to me orally and in writ ng, 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 +mprovement contract in blank. You are entitled to a copy of the contract at the time you sign.
Keep It to protect your le I rights. This home improvement nontract may contain a mortgage or otherwise create a Hon on your property
Ihat c ul lie ferecloed n if you do not pay. Be sure you widerstand all provisions of the contract before you sign.
0115 E SIGNATURE � PATE COMA91114-F113 NTATNE
CUSTOMER SIGNATURE OA1 L
n 7007 Amo, R,.aw1—OW 3nrvw:na I L C. All rnhln rM mq d.
ARSio7e a5oW
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