HomeMy WebLinkAboutPermit App Armundo Miranda 9 Bernardo LnALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: al at. 119 Permit Ivuml3er:
Builaing Permit Application
-a uC-st1PF... V,.t.5w,
1j�]i3 V„ y„nw APc„ac, Fort P,'�, « FL 34982
PRone: {lit) 46t-1553 Fay: jt/2) 462-1578 t,Orrinrlel'Cial Resiaential 60001-
PERMI I APPLICATION FOR: Tu Select from drupbax, click arrow dt <he end of line
PRuPuSED iRIPRuvEMEIQ 110CAi 1019:
Address: 4 'bias Acurilo ice, Vbr i• ,+ Luc 6 , F L a 4451 --
tegal Description: -M
(eQ2l2=09&*a�US_IEnAW-5 tnh -S ;2 LYS #'l
Property Tax IG it: [vt lao.
Site Plan Name:
Project Name: _ Y Y.1 I Y-cLnd a
Setbacks Front Back: Right Side: Eeft aide:
136J lay.
DE I RILED uESLRIP i 1UR UF wuKK: 1
Replace AC, n,,a�t Change uat with %J tun, SEER, / O KW AC unit
TN( O O Lx c±- wow 1`
CONSTRUCTION IRFuRIGIRi lu>a:
Additional Work to'[�orme a un d er is permit -c
[THVAC Gas Tank ❑Gas Piping
11 Electric 0 Plumbing Sprinklers
Autters wintlowsl0wam
Generator ROOT
Total Sq. Ft of Construction:Ft. of First Floor:_
Lost of Construction: $ ri . 3 d . OZ3 Ctiiit;c.:Sewer [7 Septic
OWNER/ LE55 EE:
Name of sr►U: CLC M i, "cine`_
Address: Gi
City: :' l” Stat.: FL
Lip Cwdi : 3 Ll 9 5 'A — Fax:
Prone No. a 53- 2to-7- 40 3 a
E -Mail:
Fill In fee simple i itle AolBer on next page i R Bitterent
ii- m LIRc 13 .rner listed above)
Building Height:
Name: Denniz LaeeR
Com pan,: ARS ARleHcan Residential Services
ABdress: 2800 US HWy 1
City: Vero aeacM
,.ip Cotle: Jz960
Phone eco.
Fa;; -
E -Mail:
State or County cicense: CIVIC 1/1aro3
It Baia= at con.trection is $2500 or more, a RECOROdY Notice of Commencement is requirea.
ROOT pizcn
Mate: "
SUPPEEMENTALCOIQ5' ROLTIDN EI EC LAIN IIQFORlO[ATlO.{4:
DEaiGNER/EAGINEER: x Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Addre3b:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FcE �1MIFEE r I i CE ROCDErt: x Igot Applicable
1301111-ulma COMPART: x MOE Applicable
Name:
Rame:
A130ress:
AUUTr.3:
City:
City:
Lip: PRone:
Lip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
�r. Cucie County mages no representation Gnat is granting a permit will authorize the permit Ilolaer to guile tRe suBject structure
which is in conflit t with any, a plicable Home Owners Rssoclation rules, bylaws or and covenants that may restrict or prohibit such
3tracture. Please can salt r. it Flame OrMe1 A53aciutlOn aRij yaa7 area Tor rte.—.r re3trict"Ori. ;.Ricin Tur -1-151 r•
In evn.,i3e;:.6wm oT the granting aT ON regsestea permit, I ao Iiereuy agree that I will, in all respects, pelTorm the worR
in accordance with the approved plans, the Florida Building Codes and St. Cucie County Amendments.
he following building permit applications are exempt from undergoing a full concurrency review: room additions,
ucc=�3a. ► .troUarc.., 3 :IrnRling paal.,, rerlee.,, -x113, .ignz;, ,erten ..-v.rm3 and acce33a. , u3ez to ..notner non-res;aential use
WARNING TO OWNER: Your failure to Record a Notice or Contrnencenle.A .iiuy ra3alt in raver poyins twice for
improvements LO yuur property. m NOLICE Of COmmrncement I7lu5L be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financins, cun3ult with lender Or an attorney before
commencing warR or recorainl? vour Matice Of Commencement.
_ bilm ta. c or i3 er/ Cea3ca/Agent Signature of Contra r/Cicense Holder
aiAiE Or rCORIDA
COUNTY OF aim..
the forgoing instrument was acknowledged before me
this aa day ofP�� 20 br
Dennis Zack
{ ; a of Anawledging�ig�a ergQlic- state or Florida j
P.r3anally Knv Yn x OR ProaaCe(l IaentiTlcaLivn
I ype or ldentiitcadon Produces
Cen,rnis3iQn 19a �+C�r k 7 (peal)
MY CON11411351019 X GGO11035
Revised 07/1 N&N." ExPIRE5 FoUruary 09, zod,
a 1 A r c Or FEivRIDA
COUNTY OF 31eude
I Me rorgoing instrument was acRnowleage'a aerore me
tRi. a., of CL1C3 20 L By
conna LuceR
(N me f perso ac Kledging j
Ignatur of ota Public- State of Florida }
Personally nnown 7, OR Produces Identirication
Type of Identification Produced
Commission Ivo. t�5 (Seal)
MT CFJIWNIIZ31019 X 13G077535
EAPIKE5 roam_—, 119, zOzz
REVIEWS
FRONT
COON ItR
ZONING
REvIEvv
SUPERVISOR
RtvlEvv
PLANS
Rtvitw
MANGROVE
REvlEvv
VEGETATION
REvlEvv
SEATURTLE
REvlEvv
DATE
COMPLETE
Ilvl I IA�f
AREscuE
RS peQrER
_- %E
-be,. r.J —• A&G� — � y test. start Devic 017,15i.i.-Afa»iation i 1/ork Order►
(772) u r-3 00 Esc. Co ... pintion Date�L
2800 05 R"t her 1, Vera Beach, FL 329617 Uorporate Clot■-er
Ameiwr ReaideMW 3mvices of S.rid_ 1. Re'alions
t Wass WMV12,975a, c�vCo-W& CFC1428283 (866) 803,0879
�erQ19cR EMAIL cAu.sur
crtY P J
HOMEPH ONE aMi'molle
WORK PHONE
YOUR
OPTION 1 OPTION
OPTION
7
SIzE 1 TYPE
oIZE I T PE
E �TYPE
EFFlIi�:IEA�r RCIENCY
17
YFI IERCY
$�k�O�T
$
$
$
$
$ $
$
5UBTQTAC $ SUB/—,A 4i
5001UTAL $
mDlgTHCr E51." $ N.` $
iNCrRrMC 5
�M
CU5rultllER IRITIALS/ �in+ �-005ITIALS
CUSry ER INITImM
Warranty: Parts i2a 9 ®or
vv .ty:t f a Part: ift", rW
wry? Parts E=r
LL—Comprausur � a— Hent Exchanger
�wmpressor L_PI_at Exeho ger
t rmpres. or Hca: Ex ,mange,
Unless otherwise noted, ml warranti■= — barn ane nri--uWare,-.
■ ■ '
SELEURM UUPTION: , 11 02 03
❑ Weatnerproof 0 Na- P7ywee8 Deck 0 OV Light/_
-7
6
Disconnect
Rocovct Drain Una [3 RLrnid:fer
[3M
SUBTOTAL �
feti a Egeipmen; Slab Ceiling Sa-■r Kit ❑ Deha,�,idifer
D
/ �
$ 66>
Sound Isolation Pahs {Pen & Fl. -ti ❑ Outdoor unit Pad
U Liquid I rte llondeit ❑ Main DI _in Sam Switch ❑ Flue Venting
❑ Start nit 0 5til Ne- t:onnoetieRr ❑ Docrwork Connections"
TOTAL $
CI ltefrigerarlt LC Qryw_ ❑ Sappor A«ic Equipment U W sect to existing plenum
t7 Duct Modifications
❑ Refrigerant Pipe �3uppply Plenum
• '
(see Notw Ie' ■■■Ae of *wO
C3 Mew o Reconnect ta'T�e- Ci Resomn€ ut
• New Duct System
❑
O Refrigerant Pipe Cc -,.r pM am Ptonom ❑ No Duct Wolk
❑CASH ❑CHECK#
❑ Expansion Valve ZNew ❑ Reconnect ❑ Fool Piping
j /12
CREDIT WD (LAST 4#=)
t-�tot-Iype�, ut�ara�,w_ ❑��tr;t-YYlring
Connect ro Existing ❑Med'.. Fltor _ -. G Rome service Plan -
EXP APrRvrliC
Electrical U PC0 1 term {364 Eoyo1
OUR `''
❑FINARCING"
a...fort Goaran:ee Ap.mv Protraction Guarantee
24•Hour Service Guarantee 100% unconditional Mancy-Back uca.m,t �
•PayrrteM eptlelle a atebk with apprw®d oed l
qr v
NOTESku
d
**mrs5 is nal responeiDIO for preexisting Euctwork 5m icnn= m,S iondiGonc e., the 6aU of this accamart for daraip.
• Written customer autMorizati■R -ill be ablainis8 before beginning my unforvaaen additional or extorded work
• ANY i ,LAIMS FOR CONSTRUC11UN DEFEui5 ARE 5UBJECT TV THE NCMCE AND CURE PROVISIONS OF CHAPTER 556,
FLORIDA STAT u r r5..
• BUYER'S RIGHTTO CANCEL: Thts Is a home solicitation sale, and If ; v do nut -ant t"a good= or—rri—, you nr..y a■ncGe
this agreement By providing written notice to the seller In person, by telegram, or d9 mail. Thi_ nutiae ...s_t Ind"tc, th-1; you
No not want the goo6s or services arta must Pe llelivere6 or p651tlliarRee tserere midnlalft or tn. tnira 6ueirimm a.., olter,ou
sign this agreement If you cancel tnM agreement, Me seller may net Reep ..11 or port of any cash down payment See the
reverse side hereof for an explanation of this right
• I acknowledge that my right to cancel has Men e;:'h:Red t_ Rte erelly —din:. r my right ro tercel, I norhvraa rhe
performance of the woM subject to all terns anti conditi_R= a■t forth an the teveree a3ae h�u p ea...y ra n completion.
Notice To Owner Do not sign this home improves■ t ■■ntrect i.. 31—k. Yee ant' Ifd to , espy of the eo :tre. :the oma you sign.
INp it to protect your legs rights. i nis Meme impre�rnont contract R,..y cont an a ortaaga or PtF�mice create a n on your propemy
tnuteeel8 be d on 9,-o ao n -t pay. Be ae �,�c enderm.nd all provisions you
ve.—MER..lo COMPANY REP NTATIVE
CUSTOMER SIGNATURE DATE e„
. 7m -4-qxwumw1--I-I I r -Wm1ma ,i,n,T ansa
il An CERTIFIED
.g
Certificate of Product Ratings
AHRI CeRirlell Rererence lVantQar : rzitaua0s 13-t.: oz-z5:z01g Modal Status : Active
AHRI Typw : SP -A
aeries : Ry i On AC SPP
U51avar 0-4 Spann Kanto: CARRIER
Outdoor Unit Model Number (Condenser or Single PacRage) : 50TFCV35-35**
Revlon : All (AR, AC, AR, Ac, CA, CO, L i, DC, DE, F[, CA, RI, ID, IC, IA, IN, K5, KT, IX, RIA, RID, RIE, Mi, MN, MO. 1915,
MT, RC, NO, ISE, AH, NJ, NM, NV, NY, OH, OK, OR, Pm, RI, 3C, oQ, IR, IA, V t, vA, v I, vv FC, vvv, vvl, vv T, 0.5.
i erritories)
Region Mote: Central air con'aitioners manurastupe0 print• to JaFiea.-, 1, 2015 _r. eliyi6la to Be inatallad In all r.yio...
until June 30, 2016. Beginning July i, zu U central air con'u tioners can only ue installetl in region(s) for
wrlicll Ivey meet llle regional amviena, Yeyairarnaril.
111e manuTaclurer OT tnic CARRIER proaact is raapanai6la tar the .tiny or thin ay.tam w.—.5ination.
Ratetf as follows In accordance witrl me latest eaitlon 4r ANSIfAHRI Zi DIZ40 ;•itf4 Adaando 1 o.,a 2, Pacionnonca Rating of Unita y
Air -Conditioning & Air -source Heat Pump E4uipment and subject to rating accuracy Ey PiARi-sponsored, InEepentlem, tnIM party testing;
Cooling Capacity (mz) - 5inyle or Rigll stage 0tuR : 35000
SEER: 1200
EER (A1) - 5ingic, or Fgh Stay. (95P) : 11.50
,"Active* Model Status are those that an AHRI Certification Program Participant is currently p7-_dc_i:,rq AND caii:rrg up offering for =ole; OR now models that ..ra being
nrarkcicu Dai ..re not yei Doing pro.uced 'Production Stopped- Model Status are those that an AHRI Certification Program Participant is no longer trodmai..g BUT la clill
selling yr afforinter Dole.
R@tlno thal ?rkl% mrawiod by WAS indicate an involunta-y re -rate. ..5e new poblizRod ralir i is shown along with the previous Re. WAS) n9inq.
DISCLAIMER
. HRI does not endorse the producttsl listed on this Certificate and makes no representations, wappantivs .c gaap.artaac _z 1., and a.-awre-_ ,;s ra=ponsibllity for.
.he pmdacs>> lis;ed an CRIB zcrili.. ate. nRRi aApressly dis..Iaims all Ilability for damages of any kind arising out of the use or performance of the prodaat5s),. ■p thv
on..atherl_cd alta -tion of d..ta 113tcd on :1113 Ce .Iflcata, Ccrtlflcd miings are valto only T., mood. no unrigaradons listed in the
directory at www.ahpidl..vtup;.u. g.
TERMS .,NO C.l1:47;.R3
This Ceptifl_tc Mnd its ecru ma;a aro prap.ie:ary prodocrs of AHRI. This acriiTicote s.ell only W aaaa rut inaiamual, personal and
eorrfldanti-I r_fvpwrrva'appv-o. The contents of thin Cartlfle..tc may Ret, In whole er Impart, be reproduced; cvpled; dlsnanrinaicu,.� ld
JOU
entered Into a computer database; or otherwise utlllzod. In any fo;M =p i -___w7 ar b,- on; pnaona, a..capt for the ax.-'! indlada..l,
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The Information for the model cited on this sartifi—ta aea be sedflad at --.oh.idipcatvp,-.apg, click en -Vorlfy Cartlflc..ta' link we m..Te lire hetier-
and enter the AHRI Certified Reference Number and the date on which the certificate was Issu.d,
which is II„ev aDv=c, ono Me ea, dreata Ru., vrhluh is listed at bottom rlghL --
02019AIr-Conditionins, Headnig, and Refrigeration Institute VER I IFK ATE Nu.: 1 31 9566321 24 393891
Tangible Personal Propeny Card
Properly Idendficadun
Parval 10: 004631 Identification #:
716020070862
Account status: Open [ocation: 9 nERMARDv ON
City: paint Eucie County Business Rami : 6araosa,
i omasa Guzman
Business Type: 7160 - Sp Lks DQFt: Barbosa, Tomasa
#1 Guzman
Contact: State Code: 814190 - Mobile
Home Attachments
tear WOOL
Owner5h;p
Curuent Values
llaruosa, i omasa
MarRet v -1a.:
Guzman
4)1.01Z.00
9 Bernardo Ln
t=xemption value:
Port St Lucie, FL
$1,072.00
.JZFyaZ
Taxable Value:
$0.00
rteturn Received:
,Not tet Received
Penaky. done
E)ownload
TRAGI r -Dr
ExemptlUn5
Grant Exemption Exemption E;;.mpt1wn
rwar Code Description Value
0008 1 PPX Tangible Personal $1,072.00
r-roperty Exemption
Asset Group and Value
Asset value
MH Carport $163.00
MH CentralAC $240.00
3.v i
sss;n nn
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2/27/2019