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HomeMy WebLinkAboutBuilding Permit Application.,KEE mPPEIMBEE INFO Rlua i BE COMPEETED FOR mPPEit7t i ION i u BE mCCEP i ED Dale: I I li Permit Number: Bunaing Permit Application Planning and Developmenr Services 8uildiny and Code Reyularion Division 2300 Viryinia Avenue, Forr Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 commercial Resiaental PERMIT APPLICATION FOR: Merfiallical PRuPOsEu IMPROvEMERI EUCAIIQN: Address: 2118 NETTLES BLVD, JENSEN, FL 34957 Eegal Description: METTEE5 i5LmMO IMM, H CUME)0-5EC i ION I PRKCEC i io iAML) PRO -KA i/A 5FImRE IN COR11MOM ELEMEM i 5(CiR 300-2113; WZii- 135 1: 39a0-cii53 Property Tax ID #: 400z-50 1-0 i 1-000-3 EOL NO. Si.e Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: A/C CHANGE OUT NO DUCTWORK INSTALL CARRIER 2.5 I On 14 SEER 5KW [�Uf195IR:UC- IUR INFUKMA I IUN: Add izional work to e e orme under Tispermit—c ev, 5 ORVAC Eivas ianR 0Gas Piping _AenG„ W111iIv..��Dvor� [1 1EleLTric ❑ PlumBing ❑]prinRlers Generator El Roof Root pitch i otal ]q. Ft of Construction: ]Ft. Of First Floor: CO3T Con3traction: oT 5 Utilities:12 Sewer Septic Building Height: uvvRER/E05EE: CUR i KALI UK: Name ia&70E i ORSIM Name: DENIM z^CER ►address: zFc35u PROC i OR RD Company: HR5 City: CAN i ON Sr[e: Aa[Ire33: 2800 US HWY 1 Zip Code: 48188 Fax: City: VERO BEACH Sate: FL Phone No. , f244Mts iz+ Zip Code: a4�50 Fax: E -Mail: Phone Ido. »z-561-si00 Fill In -ee simple i hie Roller on next page i If tiff rcnt from the Owner listed I E-Rlaii: CLIGHTSEY(a�ARS.COM State County License: CMC1249753 abovel or It .alae of unstractioi, 6 $7590 .,.- more, a RECORDED Notice of Commencement is required. 'SVE'C11O�1�T'AL'(�URS.t.t�lJ.U[:1. LAWMOMTI!F DESIGNER/ ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: CHLOE TURBIN Name: CG.RIS ZACEK Address: 2118 NETTLES BLVD, JENSEN. FL 34957 Address: -Z— FlloC70R rtD City: CANTON State: City:—seee�R State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ MOL applicable QOrvDING COMrANY: _Mot HpplicaBle Dame: 19.rmc: Address: 2800 US HWY 1 AVOFc.V City: City: tip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Rpplication is RereEy mane to oatain a permit to Qo Me worn aRl7 iR;t.n.tion ..3 inaicatea. I e.rt.fy tfiiat no work or installation has commenced prior to the issuance of a permit. at. Pucie Zounty makes no representation that is granting a permit will authorize theermit Roeder to Uuila tMe sa6;ett .tr-i ter. _ wnion is in vont iet .ryitfi —I a pli..5le dome Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult wit your Flome Owners rtssociation ana rc-ic : ,oar aeca for am, .�.tr:ctifln, -;-.R;cn may apply. In consideration of the granting of this requeste'o permit, I do Rereay agree that I will, in ali respects, peRor.., the :orK :n accordance 70 tRc ..ppFo-ea plan., tMe Florian SailaiRb Coae, on8 st. [uric County Armcndment.. I K. 6e:I13in6'cr—it .pYhc.tiona are cnc... pt tram 0.-.d.rg..ing a gull concurrency review: room additions, accessory structures, swimming pools, fences, wares, signs, screen rooms and accessory uses to anotRer non-r��:aenti..l a,e yvmRlalla13 10 OvvNER: Your failure to Record a Ivotice or Commencement mi y rti.elt in yowr payinu, twice for impruvEments to your property. A Notice of Commenzement must be recorded and posted on the jobsite Before tRe first inspetTion. IT you intentl to oBtain financing, consult with hndet ur an attorney before commencine work or recurdinE your Notice of Commencrrment. Signature of Owner/ Les /Contractor as Agent for Owner '1112"Z4 Signature of Uimractor/156ifise RolQer STATE OF FLORIDA STATE OF FLORIDA 00011 I jr Or INMAN RIVER COUNTY OF Inman m rhe fD going instru nt was acRnowleaaged BeTore me The forgoing instrument was acknowleaagea Before me tai. It aur of - z"v 21W by tn:, L Bay at .Tstcr.rst+zr/ . 20lfKby (tame of person making statement Name of person making statement Pcr30191ally Known x OR Roaucea laentii-cation Per�en.11y Known x OR Produced Identification r ype of Identification r ype or Identification Produced Produced ,r , o TY IIGHTSEY �� {sign. arc at Nata Flic- blY,. Sig tort of NuAFF1922P •� CnnrnussirTn u FF 9290.E2 Co.T,R1h,ion No. FF929045 %.'�,e ¢om ission No. _ g M- Cf�eal - 7n•.• Exu •+^ ctouer zv, zu _ OvIv6a1 20. 1019 REOEvva FROrvI cO119111MG �ZjPERvIjVK PEAKS vEGETAIION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REvllvv REvlevv REvIEvv REvIEw HIE ftECEIVEQ DATE CUMPEET1 EO Rev. 8/2/17 I t{eN9inp .1■.ew.bing . Air T Rola! EFFICIENCY ' t- � k - 1 l!E,'t. Slart Dale Irw�ialla�i�rr VMiK Ur ffer Eat. Ce-mpl�tieR Data r i Me) 551-3100 cmporata Customer 2800 US H;gh-y 1, Vere Oc-ch, FL 32960 Relat;ena Amo......Rade.balsernm®lFlixidghit tie.#CMC 1249753,CACe45MCh_1.�c`a`: (866)803.0879 i trvuvn F Pti6nE '- 'PE _/��.-.� ��- SIZE Z -I TYPE EFFICIENCY e $�T. - $- $ ��% ✓tet $ _ $ GALL SUP rrurcn muni 51ZE TYPE FFI%_,dENCY _ 5UBiuTA[ 4-,2.3G. SUBTOTAL f.� ! / SDBTuTAG MvNTHLY EBT" $ MONT Ea7 ` $ ' MONTHLY ST $ CUSTOMER INITIALS C OMER INITIALS _. . CUSTO ER INITIALS _ vy-pranty: P_rta C b.m P rt .-- �l Labe W r nty: P..rts Labor 10—iompressor Heal Exchanger _Compressor _�Q Heat Exchanger _. „ .Fomppessv . Hw-t Exeh-gem Rvfrig.mnt .u.VM( »nd dicpoead of s mogao:ad by I»-. Ce.-pleto ale»n up inolading ozo of floor a.:c.o to pr tact yoa. ho rri o and tarn. al of a , ti cga'pmont. All :ork ztirmplat.d is don- ir. uvrordunco :ith o�ia:ing codas ..nd pannus, z;3 required. SPECIFICS OF _ YOUR SELECTED OPTION: 1:11 ❑ 2 ❑ 3 ❑ Waa:horprooF Y1 Connect to Ex'ming Diu-nnacl Elauir:c..l Lifetime Equipment 51ab G New Plywood Deck J9 Sound lool�tior. Pudo ❑ Recannact Drain Lina C Liquid Tile Conduit C veiling Saver Kit ❑ Start Kit iPan & Floatf ❑ Rafrig.rant LL Dryer— ❑ MY,r, Dreir; S..foty 5=tch © R■Frg■p-nt Pipe G Beal New Connections [j Ne- ❑ Rause .neat ❑ Sapport Attie Egeippner.l ❑ Refrigarant Pipe Cover Z Supply Plonom 17 Expansion Valye e New OReconnect A T al.t -TypRetem Ple - m ❑ Na- 2RIc—mReot ❑ Elec:n7nic Air Clourier ❑ Media Filter G PCO G UV Light G Hemidifism ..W ❑ Deharnpdp$er�_ _a ❑ On' door Dnp, Pad ❑ Roe Venting C Ductwork Connections 15 Fuel Piping 0 Elawine-I Wiping Ff Ho a S. -.Ica PI.,R - i Torm (364 day.) Guarantee dome Protection Guarantee Se. lee Guam mles X, 0096 U�asriditienal M�rvy eyaL`R ue�,tee SUBTOTAL $_ _w_ 4. - TOTAL $ �� 17 CASH I7 CHECK# ❑ CREDIT CARD (LAST 4#0; - EXP APPRi VAL 'P..yma-': op:mmu u;rp..ble-.rth approved vedi: W.itteR _eatemsi..e1he.'w1 eR -ill be ebl..ined befew beginmimU -Fryeniereceen o<Idni nal or e.dended work. ANY i.XXIM5 FUR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NCITICE AND CURE PROV151ONS OF CHAPTER 558, -LORIDA STAT u I t5. BUYER'S RIG& TO CANCEL: This I=.. home _..citation -to, and If y -a do not vont the good. or services, yoa may cancel :hi....g. umont by pre7iding written notice to the seller in per7on, by tul.grom, �r by mail. This notice must Indicate that you io not :ant thvgoods or.ur wi— nd mus: be delivered 4r po.tm.rke before midnight of the third business day after you dgr. will. agmer%enL If you cancel this agreement, the seller may not keep all or part of any cash down payment See the vveme side hereof for an explanation of this right I acknowledge that my right to Cantel has been explained to me orally and in writing, and w Ihoet --wing nm, right to �_maal, I aethu-o the 7erformance of the work, subject to all terms and condilions set forth an the aide hereof, plea _y t -au epee eerepletpen, V..tice To Owner - Do not sign .his h.mu impr—munl numracl in blanll. Tou are entitled to a copy of the contract at the time you s-gn. ceep it to protect your legal rights. This home improvement contract may conta n a mortgage rwisa create a lien on your property hat coul'u be fore iosed on 'f you do not pay. Be sure you understand al prnvisions of contract cfore you sign, �oS7OralR ��Qn1.l llr{r=, � c;.InP..n YR INrIV� //ll e7Fsl l 'r7::....—"n R"kizim see 2 r -r--1 npnu rc.e..00. ..R3. ore [375: ,7 s Mr, � m As anal Lvivivi. ih ridi rec I oi y.a r(i ■ don �01Zt-rm�w■ LAWLIflUdW U1 rUUUUL;L Md1L1F1$Jb AHRI Certified Reference Number: 7490502 Date: 12/13/2017 ProauM: single-Pacitage mimonafioner, mimoolea Model Number: SOZPCO30--,30" Manafactrimr: 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- PH_ RI_ SC_ So_ f N. f h. UT, VA, VT, WA, WV, Wl, WY, U.S. Territories) Revlon Note: Central air conditioners manufactured prior to Janua,—y 1, 2015, are eliiiible to be insualled Ito all regions until June 30, 2016. Beginning July 1, 2016, aenirai air conti loners %--Uri ..nly be I.rstalled in regionis) f. -,r .,hich they meet thu reglonal efficiency requirement. Series name: Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIVNING Rated as followr, In accordance with AHRI Standard 2101240-2008 for Unitary Alr-Conditioning and Air -Source Heat Pump Equl,.ment and subject to verification of rating accuracy by AHRI-spoF,swmd, lr=,dupend-rnt, third party testi,,-rg: Cooling Capacity (Btuh): c6vvG EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): ' Ratings followed vy -., --terisk r) indicate . volen af—ry reale of previously published data, enle- aor ;-_..hied with a WAS, which Indicates - involunwry mrsta. AHRI de.. rot andom the prodect(s) Wad ...this Centflcat. -nd makes -a represe..tations, warrmrUva v: searenwaa as m, and responslblilty for, tiro ,..�_daag=) listed .r thla Certificate. AHRI wrpressi, dlsd.Irrs.11 II.bIIRy far damages of ony kind .rising.ut of the use or perfo. ..... nea of tha product(:), 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.or& TERMS AND CONDITIONS This Certificate and Its contents aro proprietary products of AHRI. This certificate shall onry be used for Individual, pereer.l .rrd ML91 confidential reference purposes. The contents of this Certificate may not, In whole or In pert be reproduced; copied; disseminated; cnrcrcu inw o compamr o.wO.a.; or imarmse oaltzuo, In a„y wrm or mannan or ;i any means, except for the user's individual, peraon.l and—nfldvntl..l refs .ncv. AIR-CONDMONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION IN571AtrE .�.e information .or We model died on this certificate can be verified at www...Hridirectory.org, click on 'Verify Certificate' link we make lir_ better" .nd en.er the AHRI Certified Reforenee N.mber ...d ¢he d.m an which th. c rdflceaa Irw Issaw, -hl.h I= luted -trove, and the Certificate No., whish Is listed .1 bottom right 13157ss22saaas�a 4201.4 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: MichoAo Fre.—.lain, CFA-- Saint Ceae Cmnty P—party AppoWgur — All riwfits mwrviRl. Co. Pm .t V.Iow J=04mim Vat= Asseraed Vatue: Triable Value: Taxes fortbis puml: SLCTn Collecrds ofrwlg Downt"d TRIM for this priccC Oo+n kmd PDF O Total Areas r'trmoemv .,c(vFY Land uR (•.F): 7So 762 0.06 2 467 This infalwniw is believed tobe correct st dtis time but tt- subject toorad : ax -wwwd. O wp, _'cif 2017 Saim Lucie C—ty Pm"Appwim A= rcreved Property IdantBtmtIon SitcAddress: 1i is SET, — 90-1) Acmmi 0: I19r�i map m: .37a U= Iypr. o:ec zanint: r.Ilm City7eat9ap: �— e'a+e eaieir Ownership aloe Y Twbin (TR) C*flwk Mi 481$6 MPI 0.3—ptivn N6TILFS ISLAND INC. A CONDO•SECTION 1 PARCEL BRAND AND PRO•ItATA SHARE IN COMMON F!2']ADUS (OR 800.2075; 7529.1367: 393(.2953) Co. Pm .t V.Iow J=04mim Vat= Asseraed Vatue: Triable Value: Taxes fortbis puml: SLCTn Collecrds ofrwlg Downt"d TRIM for this priccC Oo+n kmd PDF O Total Areas r'trmoemv .,c(vFY Land uR (•.F): 7So 762 0.06 2 467 This infalwniw is believed tobe correct st dtis time but tt- subject toorad : ax -wwwd. O wp, _'cif 2017 Saim Lucie C—ty Pm"Appwim A= rcreved