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HomeMy WebLinkAboutaC CHANGE OUT APPLICATION 13605 INDIAN RIVER DR.ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED COUNTY Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 1300 Virginia Avenue, Fort Pierce FL .34.982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Commercial . Residential x lrnr 1+ PROPOSED .IMPROVEMENTLOCATION. Address: l a 6P © 5 �� L aLn Legal Description: p~ R /p 37- 4 PropertyTaxlD#:�oq -761 Site Plan Name: Project Name: C V_" OV0Ct is Setbacks Front. Back: Right Side: . Left Side: DETAILED DESCRIPTION OF WORK: i� Exact change out of A -C_ W)(-� (�►'22(2� �gr�e.C3_7464 _03 F'VgC.N12�,Op CQL Lot No.� Block No. 11 - Ton/ - <d yam! - 11/470 00 07vh CONSTRUCTION INFORMATION: itiona work to e e orme un er t rs permit — c ec aJ I a PP Y: HVAC Gas Tank ❑Gas Piping Shutters 11 Electric OPlumbing I3prinklers 0Generator Total Sq. Ft of Construction: S. Ft. of First Floor: _ Cost of Construction: $ Utilities:12Sewer QSeptic M, Address: ,,e, 4� OZ_ City: n� � State: FL Zip Code: 3 k4 5-r7 Fax: N/A Phone No. a - cF 2- y �- E-Mail: N/A Fill in fee simple Title Holder on next page ( If different from the Owner listed above) CONTRACTOR: Windows/Doors Roof Building Height: Name: Zacek, Dennis Company: American Residential Services Address: 2800 US Hwy 1 City. Vero Beach State: FL Zip Code: 32900Fax: 772 794-9783 Phone No. 772 794-7221 E -Mail: bderby@ars.com State or County License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPUMENTAL-CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable Name: MORTGAGE COMPANY: x Not Appli e Address: Name: City: Address: Zip: PhoS e: City State: ne: ZIP: Phone: FEE SIMPLE TiTLE HOLDER: x Not Applicable BONDING COMPANY: x -11-11 Name: Not Applicable Address: Name. City: Address: Zip: P ne: City. Zip: _. Phone: I certify that no ork 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 Nome 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 accessary 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'm�mencin work or recordin our Notice of Commencement. I — gnature of 0 er/ Lessee/Agent Signature of Contra r/License Holder s STATE OF FLORIDA COUNTY OF s+u,STATE OF FLORIDA de COUNTY OF S1 Lucia The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this -:;L day of 20 Eby this _;L_ day of 20t - by Dennis Zacek [Nam of person acknowledging40F[orida Dennis Zacek (Name o erson acknow1g, n .) 11 . 101V d � 4�. (Si nature of Notary Public- Sta} (Si nature of Notary Public- State of Florida } Personally Known x OR Produced identification Personal) Known x Type of identification Type of identification Produced y OR Produced Identification Produced Commission No. PPROM FF1.7I y�y (Seal) Commission No. F�/� I THOMAS H. DABERK W y (Seal) i THOMAS H. DABERKO { Revised 07/15/2014 STATE OF FLORIDA ra 111111,1111 t CarratW FF128494 STATE OF FLORIDA •CaMN FF128494 :REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW )ATE INITIALS O R b _ 44& 1 �(' -�S i Est, Start Date _ Installation Work 4rdero Esl. Completion Date (772) 567-3100 Corporate Customer plurnb n9 • Air 2800 US Highway 1, Vero eeach, FL 3'7960 Relations Hemiri9• AmejimnRCSklenkalSum= 01FbKki, Inc- License &C°.tC124975aCAC,045RIACFCIQ82E1;1 (866)803.0879 CUS1oMER ,moi& `' -� FMAILl ` CALL SLIP ADDRESS • �- ..- _ �. __- ,xISKThTE/ZFf + HOME PHONF WOKRHONN ln SIZE �"1aL TYPE5.r SIZE yUV4 TYPE _SIZ TYPE EFFICIENCY _�tC i E fCIECYIR --�EFFICI CY_�t _VAkal"ISO _---- - — - $ 'Ry -5.- _ $ $ — SUBTOTAL $ SUBTOTAL $ SUBTOTAL $ j5 MONTHLY EST.' $ MONTHLY ST.' $ MONTHLY $ CUSTOMER INITIALS _ CUST ER INITIALS CUSTO R INITIALS Warranty: 10-- Part —Labor W ranty: _W_ Parts -i_ Labor W anly: I n _- Parts � Labor Compressor !j Heat Exchanger _Compressor _Heat Exchanger 19 Compressor 0193 Heat Exchanger Refrigerant recovered and 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 perm is, as required. SPECIFICS OF & SELECTEDOPTlON: F47M-2=3 ❑3 ��- DDiisconnect 7-u lime Equipment Slab nd Isolation Pads ❑ Liquid Tito Conduit ❑ Start Kit ❑ Refrigerant L.L. Dryer I4efrigerdnt PJi ❑ Now ('Reconnect ❑ Refrigurant Pipe Cover ❑ Expansion Valve ET -stat -Typo _1�> R (FConnect to Existing Electrical ❑ Now Plywood Dock O'Reconnect Drain Line ❑ Coiling Saver Kit (Pan & Float) ❑ Main Drain Safety Switch ❑ Seal New Connections ❑ Support Attic Equipment L7 Supply Plenum ❑ New Reconnect 0,60turn Plenum�n E3 New 0 econnect nfort Guarantee Hour Service Guarantee ❑ Media Filt;Pl , ❑�PCO _ _ [$UV Light e,_._ E3 Humidifier ❑ Dehumidifier �~ 26utdoor Unit Pad ❑ Flue Venting ❑ Ductwork Connections ❑ Fuel Piping 9l,�./lactrical Wiring L]+Fiomo Service Plan - 1 Term (364 days) lame Protection Guarantee 00ut Unconditional Money. Back Guarantee SUBTOTAL $(3, bo 6! TOTAL $ _ ❑ CASH ❑ CHECK# ❑ CREDIT CARD (LAST 4#si EXP APPROVAL l� ❑ FINANCING' *Payment opliona available with approvod credi' be obtained before beaimmna anv Jntareseen additional or extended work • ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 5515, FLORIDA STATUTES. • BUYER'S RtGHTTO CANCEL: This is a home solicitation sale, and it 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 paymenL See the reverse side hereof for an explanation of this righL • I acknowledge tha my right to cancel has been explained to me orally and in writing, and without waivng my right to cancel, I authorize the performance of 11 work, subject to a I terms and conditions set forth on the reverse side hereof, plus any taxes upon completion. Notice To Ow - Do not sign this home improvement contract in blank. You are entitled to a copy of the contract at the lime you s-gn. Keep It to pia your legal n lits. This home improvement contract may contain a mortgage or otherwise create a lien on your property that4�-'r eel sed d ou do not pay. Be sure you understand all provisions of the contract before you sign. /11 / , 7/_� -- 6 _ - EA,s1i{r -COMPANY RE. ENTATWE CUStOAiCR S1GNATUR!_ rhh1L Dq �s 7n#7 Amnrrnn 77.ewM.nrixl Srrvrhl l f• AX rx.l,,. r,.�r•rmrl AG4trn7A MMAi? B25B Property Card Page 1 of 1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address; 13605 INDIAN RIVER DR Secrrown/Range: 09:37SA I F Map ID: 45,09S Zoning: RM -5 Ownership Natasha D Jordan Mark D Keller 13605 S Indian River DR Jensen Beach. FL 34957-2246 Legal Description RE -SID OF 9:10-3741 (WATER TOWER I HOMESITE NO 3) COMM AT IRON ROD AND CAP #4049 ON SLY LI OF PARCEL REC IN OR 545-703, TH S67 DEG 16 MIN 30 SEC W 88 06 FT. TH S 22 DEG 43 MIN 30 SEC E 28 90 FT FOR POB, TH CONT S 22 DEG 43 MIN 30 SEC E 66 25 FT, TH S 67 DEG 16 MIN 30 SEC W 68 90 FT, TH N 22 DEG 43 MIN 30 SEC W 66.25 FT, TH N 67 DEG 16 MIN 30 SEC F 68 90 FT TO POB (0 10 AC) (OR 4008-2663) Current Values Just/Market Value: $198,900 Assessed Value- $177.755 Exemptions: $50.000 Taxable Value: $127,755 Taxies for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF 19 Parcel ID- 4509-801-0009-080-0 Account #: 134662 Use Type 0100 Jurisdiction: Saint Lucie County Total Areas Finished/l finder Air (SF): 1,980 Gross Area (SF): 3,112 Land Size (acres),, 009 Land Size (SF): 4,018 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/RF,Card/ 7/7/2017 This combination qualifies for a Federal Energy A "IMF Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. directury.org Certificate of Product Ratings AHRI Certified Reference Number: 9177651 Date: 6/28/2017 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, Hl, 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 2101240-2008 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): 48000 EER Rating (Cooling): 13.50 SEER Rating (Cooling): 17.00 LEER Rating (Cooling): 'Ratings followed by an asterisk (') indicate a voluntary rerate of previously published data, unless accompanied with a WAS which indicates an Inv . . 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 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.ahridiroctory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and PM confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; capled; 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 &REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahrldfreclory.org, click on'Verlfy Certlficate' I nk 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. CERTIFICATE NO.: 131431238i99s5as1E 02014 Air -Conditioning, Heating, and Refrigeration Institute