HomeMy WebLinkAboutBuilding PermitAll APPCICASEE 119FU(,MO� i tsE CO141PCETED FOR APPCICA r ION 10 BE ACCEPTED
Date: l V1) 11l_] Permit Rumber:
M -
Building Permit Application
rran.,;.., pnu uu-.r�...u.. [ sem. -:ces
d -IOU V: g:.,;v A4c.,vc, Fort Kv, c� FL J4Ydl
t'ROrre:�//LJ�GL-1�] F�n:�//LJ�6L-s5/ts Commercial Residential
PERMI I APPEILATIUN FUR: To Saluct from dropboxt, cliuk arrow at the end of line
Legal Description:
PropeRy Tax ID H: Lr wrJL\D�LSLL_ Cot Ro.
Site Plan Name: 6beR Ro_
Project Name: +
Setbacks Front Back: Right Side: Eeft side:
DE i l;XED riEzic.RiP I IUM uF WuRR:
Raplaoc AC, exact change out with tort, SEER, IC KW AC unit
CONSTRUt ii 10111 llgFuRMA i IuN:
Additional work to be L) rtormed under thispermit - c ec III r appy:
HVAC Gas Tank F]Gas Piping _ 1.)MutEers winan :;lOoor�
Electric 0 Plumbing Sprinklers Generator ROOF Root pitoti
Total 5,i. Ft of Construction: s Ft. oY First moor:
r
Cost of Construction: $C SO�I%�. Otil;ties: Sewer Septic Building Height:
WNER LESSEE: zlt
R
CUM I RAC..I UR:
amee6linC8 '
laame: Do -Rim /a wR
address:
LCrmpanr: ARS American Residential Services
City: State:•
Address: 2800 US Hwy ,
I-ip Cotlo 5;� Fa
City: veto 19eacn state: FE
PhoneNo.r,113-
cipCotle• 62V50 F.^: —
E -Mail:
PRone No. 772 794-72ip3
Fill in Yee simple i We Florae. on no;t pore ! if different
E -Mail: 011tvjt.11 ass, COCA
from the Owner listed above)
state or County Cicense: CMC'z49f56
rr varue or construction is 44Sut, or more, a KeruRosp 11lotice or Commencement is requir`a.
5UPPLEMER iAt %--UMS I nut.l luN EIEM Mvv WuRmm I IuM:
DESIGNER/ ENGINEER: x root Applicable
MI'vRr GAGE [OITIPAMir ICot ApplicaSle
(Came:
name:
AaQre55:
AUaress:
City: State:
City: Jtate:
Lip: Phone:
Lip: Phone:
FEE SIMPLE TITLE HOLDER: x Not ApplicablE
BONDING COMPANY: x Not Applicable
Name:
(Came:
Address:
hddress:
City:
city:
Zip: Phone:
Zip: Phone:
I ecrtir, rh..t me -v.-R vr In'ColloLiam R., camffirncca prier to Inc ;33eof,ce of .. perrmi[.
St. I'ucie County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
7.nirM i3 In conflict :I[P..i o�,X pl.e.,Ulc MOM= �ncr, A� Vvlotion relc�, syIZ;= or..FiNCo7U5..RL tn-t rm.�c trict yr proniSit Bach
structure. Please consult wit your Rome Owners Association an'u review your'uees for any restrictions which may apply.
In consideration of the granting of this requested hermit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approves plans, tele rlorisa Suhtling COaes ans.. Lucie County Amensments.
I rFc Tolle-ing 6eili9ing pe�rrlit opplie..tie�� erg e�.rnpt tro,,. enae.so:ng, tell evnear.-ene, rC7ic-:.-arm .aaition.,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-resisential use
wARRlliv'u I U OWNIER: Tour faiiure to Recons a notice orr Commencement may resurt in your paying twice for
improvements to your prz;pErty. A NoticE of Cummancament must be r1ccordEd and pasted on the Jobsite
5erore tie first inspeMion. If you intenti to o5tain financing, consait with ieniaer or an attorney Before
commencing work or recording your Notice of Commencement.
_ signature or v erg [essee/Agent
STATE OF FLORIDA
COUNTY OF z:eeae
The for Dins instrument was acknowledged before me
thi, I Ma, OTA_RCeMM [Q EL -O,
Signator. of Lantra r/Ciccnee R.,lacr
STATE OF FLORIDA
COUNTY OF sle0wie
he forgoing instrument was acknowledged before me
this � Ela, of t 6,
onn:a ce;; A c
a of pets k wledgins j ( m f per�o„
Signature tart' PuullC- State of Plorisa ) i g tore of N
r9 Ppblk/State of Florida )
Personally Known - OR Protleces IsentiricatierlI Personally Known ^ OR ProMucetl luentirication
ype of Identification Produced Type or Ide..trication Produced
Commission Iao.&rJ (.eal) Commission Pao. CzCa VF�6 `J (Seal)
;; DOLIEER Sur-civAA ,
B MV COMM13SON # 0GO71535
Revised 07/15/20 L-� EXPIRES Fei rtSW l E8, zOz1 'n IRT C13RIM135113N FF GG'ur 1533
"., EAPIReo Peontary 0, zsz r
KEvlEw�)
FROvT
CvumIER
ZONING
ntvlEvv
SUPERVISOR
RtvlEw
PLANS
REVIEvv
VEGETATION
REvlEvv
MANGROVE
REviEvv
SEA TURTLE
REvlEvv
DATE
EOTvIPEE I E
INITIALS
ARSRESCUE
- ROOTER
insrallarion WorK mer
1772) 567-3100
2800 U3 Hrgriway 1, Vero Beach, FL 32960
.,mericml Rssivern® aarvkms m FkMCI% Inc
Lien-• N CMC1249753, CACD45678, CFC1428283
Esi. Start Date 7�/
M. vompletion Date
Verperat� C :merrier
Relat.ons
w8661803-0879
ear—min r Em
CALL SL P
ADDRESS
HOMEAHON�
i�
ELLPHONE
YOUR HVAC SYSTEM DESIGN
WORKPHONE
OPTION 1
OPTION 2
OPTION
51ZETYPE 4e -l-
514t TYPE
SIZE TYPE
EFFIC,IEAU1 .+cFFIC,IRN�.rJ
tFFICIENCY
'fez $ .�
$
$
$
5UBTOTAL $._ /S T�
5UBTOTAL$ ��5�
SUBTOTAL $
MURTt1LY R5r.' a
WIvRTRLY 5T.' 3
MONTHLY EST.'
CUSTOMER L.ITIALS
CU RR INRIAW
=r3mMER INITIAES
Wonantr:t Porta Pe LaborW
unq: 4 v Parts @'.• Labor
Warrani-y Pads Labor
�Con+plbcaer L_Rvot Exchanger
O U6mPx..cer Hart Exchanger
__-,Comp oanor Hv.T EKch.nga
t0nloao oiherwiaa nosed, .11w --mica ata from The mar infactorer.
SPECIFICS OF •
SEf >=a i EQ OPTION: 1 02 03
❑ We-therproof ❑ Now Plywoud Deck ❑ UV Lighi ..
Disconneci 0 R_coRne■t Dwrin LiR_ ❑ Humidifier
SUBTOTAL l5 _
J1Lifetime Equipment Slap ❑ Ccili„g 5arwr En15 Dehumi-aifier
Yb -and toolation Pods (Pan a Fl.,at) G v-_ttloor Unit FiA
15 Liquid Tite Conduit p Main Drain 5afely 5 .itch G Flue Venting
3
❑ 51 -rt Kit ja Seal Now Connvc.6na 7Duetwork Connections"
TOTAL $ dp
❑ Refriyeranl LL Dryer_ G Support Mic Equipment oCore M `°' __d pi'.
El Duct Rlea�fieetieno
Ref.;gemnt Pipe 'on Sepply PIIC�Cy%��m (mm Nmw r°, °Cc=e ar woN
❑ Ne- ❑ Reeenneot ❑ Na : ld Hecoi,Deci
D New Duct system
❑ RefrigerantP,pe Cover p'Retum Plenum ❑ No Dom Work
❑ CASH ❑ CHECK#
0 Expan,.ien Val - G New Reconnect ❑ Fuel Piping
C7 L:REDR c RD f= a#sl
WfT siaa -Typ2- � El Elec w is Air Clea„er! o Electrical Wiring
.
❑Modin Filim
)di-,onnect to E1lislmg rRome 5e -.ice Plan -
EXP APPROVAL
tleetrieal O PC,v 176,—... {364 dayc]
. -
OUR
❑ FINANCING'
flTF,umfort Guarantee Rome Protection Guarantee
JZI 24•Hocr Survive Gears -tee 100% 0 -so Bitional MerreyBack Go—two
r
•fit o0i9m r._ilable with ioiU�Rl cmdii
• vvntten customer authorization -11 be obtained before beginning any ■nfere..ee...dditienal er extiT-naed -crk,
• ANY CLAEM5 FOR CONSTRUC—i ON DEFECTS ARE SUBJECT to I r1E NOTICE AAD CURE PROViSION5 OF CRAPTER St
FLORIDA STATUTES.
• BUYER'S RIGFITTO CANCEL: This Is a home solicitation sale, and if you do not want the goods or services, you may cant
this agreement by providing written notice to the seller in person, by telegram, or by mail. This notice must Indicate that yl
do not want the goods or services and must be delivered or postmarked before midnight of trie third business day after yi
sign this agreement If you cancel this agreemeni, the seller may not keep all or part of any cash down payment See 11
reverse side hereor r ane anatlon or tris ffgrit
• I acknowledge that c has n explained to me orally and in writing, and withast -awing my aht to tante', I authorize t
performance of the o j t to 11e s and conditions set forth on the reverse side h.-reof, plus any taxes upon comp't=tion.
Notice To Owner D n s n t provement contract in blank. You are entitled to a cop o niract at the time you sign.
Keep it to protect o I Thi ome improvement contract may contain a mortga erwise create n on your property
trial could be fo if y -a of pay. I3e sure you un'eerstand ml provisions or th con befery yet "g_
CU ER SI DATE COMPANYREP NSAT;at.
41 01-1
Co.—MER si-nn,URE an
v lo,.....,•.ic� ns■iom1� 9■is�■: CCG r�i riplh■ fe■AypQ nR4 0 070 171 e, 7
1(� "Ux,ka Cv.
Certificate of Product Ratings
mirini iellluell Reference MumBer: ta+-90 M nate : 14-43--47Vis Moiler status :,Rctl.a
AFIRI i ypo : be -A
Series : R41 OA AC SPP
vuitfoor unit Brant! Mame: %HRRIER
Outdo-. Omit MoBal Aem6ar (Comae„mor or Sin-yle PouRcay.) : 50ZPCU48-30""
Region: mil t>iR, RE, ?KR, RE, CM, CZ3, C f ,17C, 19E, Ile, GR, PL, ID, IC, IPG, IM, Ra, RT, u., NIP%, RID, RIE, RII, Rhm, ICH RIs,
M I. MC, MO, RE, MR, MJ, MM, Nv, My, OR, OK, OK, PA, RI, 5C, 50, I A, I X, O I, VA, VT, WA, WV, WI, WY, U.S.
f erritories;
Region Mate: Central air conuitioners manuractureti prior to aanuary f, e0 rd are eligil7le to Ce Installe'o in all regions
"mill Jan. 30, 2016. B.-Bimnins Jely 1, 21316 ..antral air wnditi.,,-,ors can only 6e installed in reyion(s) for
wRIcR they meet the regional efficiency requirement.
t Me manufacturer or anis CARRIER protiuct Is responsiare Tor the rating or this system comelination.
Rateu as follows in accoMance Will Me latest edition or mMSIrmMRI c f 070+0 wkn AEoen'aa r anti z, Performance Rating or Onito.—,
Air omditioni, a & Air•5ouroo Meat Porn,. E.,aipment and 3e6laot to r"tiny aecom' y 6y A11171-sponsorQa, Independent, third paM7 testing:
Cooling Capacity (A2) - Single or High Stage (95F), -utull : r vvu
5ct!R : r�.vt3
EEK (Az) - 5imsta or FliaFi 3t --S. (95F) : 11.50
I'Active” ,nuoel aimas are rno5a u.at an .,HRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models th-1 F. being
,.,arketed but -ro net yet baing produced 'Production Sopped' Madel Smie. are thuae trfa. anr,197,l Qen6iwtien grogram Participant is no longer producing BUT is still
ailing a.- offering for Tele.
Ratln s that are a=m aniaC by WAS Ind: la an n:olanta ra'.. T. o ..-.6 : ubl;shod rat riq Is shQiiwi_AioriQ with theLTS_ vious i E ...,8 iS
DISCLAIMER
r.rlRf au� f iui erfaorsa use pm .Gctto/ Ifaiao on u,fs car6H6na13 no meRes no representations, warranties or guarantees as to, and assumes no responsibillry for,
th- product(z) listed ■.,1131: CartifiL--ta. AHRI o,.pr_ly disdains ..II IL.biIL7 for damag= of any kind arlo.ng on,, uT tie use or pe..ormance of the productisi. or the
■naath■rl-.d-Ito._tl=e of d_ta IL -ted an thi_ C-rtifl■et■. C■rtiflad rati..gc are :alld only for m■dols -nd aonfigo.-tlo.,s listed i.. ;he
directory at www.ahridirectory.org.
TERMS AND CONDITIONS
TN= C■rtlflo-t■ ad its wnt_rrts .c■ p.■prl_t..r,- p -.-dents of AHRI. Thf= Cerlifleeta shall only be e -.d far Indiada-I, pert -.,-1 -nd
confidential reference purposes. The contents of this Certificate may not. In whole or In part, be fpr■de■.d; ■■pied; diz--ln-tad; �. _�
entered into a computer database; or otherwise utilized. In any form or manner or by any means, except for the user's individual,
p—nal and onfi&mJ-I refarenee. ...11-eamen7o..1mu, riEw,.mo,
CERTIFICATE VERIFICATION &
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on 'Verify Certificate" link r.,.kc inti bar;,er'
one aniwr iha ..gFil een.flao flefarenra Ramoar anti Ow unto un wilicfl trio certificate was issued,
-hloh in II -t=d -bare, --rid the Certif enle No,, whkh io IlsLd -. bottom righz
02018Air-Conditioning, Heating, and Refrigeration Institute CERTIFIVAi E IQu.: 181891742118952064
Property Identification
Parcel 117: 001050
laenducadon *: 7 1 a0c00 i'o, i r+
Account Status: Open
Location: 19 SANTA MARIA CT
City: saint Covin County
Ba3inw3a Aom.: Hawkins,
Poll St Lucie, F[
E'awara G
Business Type: 7180 - Sp Lks
oem: Hawkins, Vicki Haines
Riverfront
Contact: Edward G Hawkins
statc Celle: a-i4-tiM-171o5ile
Tu.rAaaea:
Home r,uachmenLS
valaW
OwnersRip
Current values
Hawkins, Edward G
Market Value:
19 Santa Maria Ct
$550.0
Poll St Lucie, F[
Exemption value:
3+952
$0,00
msset
Taxable Value:
MH Main Area
$050.00
Return Received:
Mot Tet Reoai.aM
Penalty: Ione
130rrn10.0 I RIM]
PDF 19
Exemptions
Grant Exemption Exemption Description ft-- viviption
Tw-r Cade veteran's oisaoility Value
LVV I zz;uu $0.000
Asset Group anti value
A3oct
valec
MM Carport
$153.1330
Asse.
Value
MH CentralAC
$320.00
ZF.0
msset
value
MH Main Area
$0.00
Azzat
valaW