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HomeMy WebLinkAbout6503 Coquina Ave. Permit App.ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address-LC_z5_ =ca- Nte_. Es_-�3vozj �a..'Z3495L Legal De;cription: L property Tax ID It: Lot No.J_q t 18 Site Plan Name: Block No. Project Name: DIM R- L Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with on, SEER, \m KW AC unit CONSTRUCTION INFORMATION: Additional work to be Der-tormed under t is Dermit — �HVAC U Gas Tank Gas Piping Electric F-1 plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ —I apply: Shutters Windows/Doors Generator Roof Roof pitch 5 Ft. _ of First Floor: Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: Dennis Zacek Address DQXS Cc nm pt E- Company: AIRS American Residential Services _ City: l State:, • Address: 2800 US Hwy 1 Zip Code: Jqq5k Fax: � City: Vero Beach State: FL Phone No.I?A. 1 Zip Code: 32960 Fax: E-Mail, Phone No ��a'��� •� am3 Fill in fee simple Title Holder on next page ( if different E-Mail: CSC.yW t Qa \ 011z_S • C C"\ from the Owner listed above] State or County License: CMC1249753 iT value oT cvns[rurnon is ;PG7uu or more, a KttUKULU Notice 8r LOmmencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work 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 ermit holder to build the subject structure which is in conflict with any applicable Home 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 herby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Code 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 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 commenciniz work or recordins vour Notice of Commencement. _ Signature of 0 er/ Lessee/Agent Signature of Contra r/Licensee Hold STATE OF FLORIDA COUNTY OF stL-1, The f r oing instr ment w s acknowledge of re me this day of 20 b STATE OF FLORIDA COUNTY OF sti;�e The forgoing instrument was acknow'edged before me this _Cg�_ day of,\ Qnp 020 a by Dennis Zacek Oernnis Zacek ( ame of perso acknowledging) [Name of persoJac owl dging ) IVIV, ignature dM to c- State of Florida) Signature -of to P ic- a e o Florida ) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission NeC��« (seal) Commission No. [Seal] COLEEN SULLIVAN t""•"' COLS MY COMMISSION # GG071535M MY COMMISSION # GG071$35 Revised 07/ 15/2014 -' EXPIRES February 09, 2021 ", , EXPIRES February 09, 2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS work. hhakin Making it Installation Work Order Est. Start Date (772)567-3100 Est. Completion Date fy 2800 US Highway 1, Vero Beach, FL 32960 Corporate Customer American Residential Services of RonU In = I !tense 0 CM-_' 24M53, Relations EC13008558 (866) 803.0879 CUSTOMER EMAIL CALL SLIP ADDRESS cn'YWAIVZ +,,, -' — HOMEPHONECW CE .ONE' WO KPHONE SIZE,. TYPE 1 -,kTYPE r SIZE TYPE EFFICIENCY EF IENC - EFFICIENCY 1. Air * Zt4 �Ii(-! GA6yn $ [2- Q$ SUBTOTAL $ Lir" x. — SUBTOTAL $ SUBTOTAL $ MONTHLY EST.' $ M0NTHLY,EST.' $ MONTHLY EST' $ CUSTOMER INITIALS ' ) CUST9MER INITIALS CUSTOMER INITIALS Warranty: '—j-6— Parts Labor . War nty:" Parts LQLawr Warranty:" Parts Labor Compressor Heat Exchanger Compressor Heat Exchanger Compressor Heat Exchanger *Subject to credit approval. Financing Provided by Gueensky. Fixed interest rate of 6,99% for 60 months. Payment example assumes ona•lime $7,500 purchase on approval date (APR 7.19%) with 1 payment of $82.89, 5 payments of $43.69, and 54 amortized payments of $162 28. Paymerla assume Account Activation charge of $39 applies and is due with first required interest rate of 9.99% for 84 months. Payment example assumes onetime $7,500 purchase en approval date (APR 10.15%) with Tgnient.Fixed 1 payment of $501,44, 5 payments of $62.44, and 78 amortized payments of $131.1 I Payments assume Accourl Activation charge of $39 applies and is due with first required payment. Fixed interest Tale of 9.99% for 120 months. Payment example assumes one-time $7,500 purchase an approval date (APR 10.1 1%) with 1 payment of $t01.44, 5 payments of $62.44, and 114 amortized payments of $102 13. Payments assume Account Activation charge of $39 applies and is due with first required paymenl.Fixed interest rate of 9.99% for 144 months. Payment example assumes one-time $7.500 purchase on approval dais (APR 1 o.o9%) with t payment of $101,44, 5 payments of $62.44, and 138 amortized payments of $91,62. Paymerts assume Account A_tivation charge of $39 applies and is due with first required payment. **Unless otherwise noted, all warranties are from the manufacturer SPEC�Fl CS OF • • NSELECTED OPTION: ❑ 1 ❑ 2 ❑ 3 ❑ Weatherproof Aweconnect Drain Line ❑ Dehumidifier SUBTOTAL $ -44 � ci Disconnect ❑ Ceiling Saver Kit ❑ Outdoor Unit Pad Lifetime Equipment Slab (Pan & Float) ❑ Flue Venting —: $ 13— mound Isolation Pads ❑ Main Drain Safety Swilch 0wuctwork Connections' ❑ Liquid Tits Conduit ❑ Seal New Connections ❑ Connect to existing plenum $ ❑ Start Kit ❑ Support Attic Equipment ❑ Duct Modifications 1, ❑ Refrigerant L.L. Dryer_ �upp{y Plenum (see Notes for scope of work) TOTAL $ - ❑ Refrigerant Pipe ❑ New PReconnect ❑ New Duct System ❑ New ❑ Reconnect Wetum Plenum (glNo Duct Work ❑ Refrigerant Pipe Cover ❑ New .B&connect ❑ Fuel Piping ❑ Expansion Valve ❑ Electronic Air Cleaner ❑ Electrcal Wiring ❑ CASH ❑ CHECK# A3 T-slat -Type Crr ❑ Media Filler _ T ❑ Home Service Plan - ❑ Connect to Existing ❑ PCO 1 Term (364 days) ❑ CREDIT CARD (LAST 4#8) Electrical ❑ UV Light ,&New Plywood Deck ❑ Hum'difier EXP APPROVAL loomfort Guarantee dome Protection Guarantee iNANCING' _ 4-Hour Service Guarantee U4O[Ytb Unconditional Money -Back Guarantee - SCt1�w r }e-LX- -L)\j i G�C ARS is not responsibl, for preelialing ductwork. See Terms and Conditions on the back of this document for details. Written customer authorizatlnn will be obtained before beginning any unforeseen additional or extended 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 agree• T1ent 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 )r services and must be delivered or postmarked before midnight of the third business day after you sign this agreement If you cancel his agreament, 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 writing and without warving 'ny right to wnc• ! I authorize the performance of he work, subject to all terms and conditions set forth on the reverse side hereof, plus any taxes upon c.omplet on. Votice To Owner - Do not sign this home improvement contract in blank You are entitled to a copy of the contract at the time you sign. Seep it to protect your legal rights. This home improvement contract may contain a , rigage or otherwise create a lien on your property :hat could ti oreclosed on If you do not pay. Be sure you can rstand all pro s! f t contract before you sign, :USTOMER SIGNATl1RE pA1 ANY R SE S :USTOMER SIGNATURE OMP, 4 2D19 American Raii derusl Services LLC. All riphls reserved. ARSr07e-FL_190124 L190124 OAT[ a.sR Certificate of Product Ratings AHRI Certified Reference Number: 9474297 Date 06-06-2019 Model Status: Active AHRI Type: RCU-A-CB Series : COMFORT 14 AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 24ACC430A'030' indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNF030L Region: Southeast and North (AL, AR, DC, DE, FL. GA, HI, KY, LA, MD, MS, NC, OK, SC, TN. TX, VA, AK CO, CT, ID, IL, IA, IN, KS, MA, ME, MI MN. MO. MT, ND. NE, NH, NJ, NY, OH, OR. PA RI SD. UT, 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. The manufacturer of this CARRIER;product is responsible1or the rating of this system coritbinal on Rated as follows in accordance with the latest edition of ANSIIAHRI 21 ar'240 with Addenda 1 and 2, Performance Rating of Unitary Air-Candilioning & Air -Source Heat;Pump Equipment and, subject to rating accuracy by AHRI-sponsored, independent third patty testing. Cooling Capacity (A2) -Single or High Stage (95F), btuh . 28200 SEER: 14.00 EER (A2) - Single or High Stage (95F) . 12.00 t"Active" Model Status are those that an AHRI Certificat on Program Participant is currently producing AND selling or offering for sale, OR new models t,.al are being marketed but are not yet being produced 'Production Stopped- Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or altering for sale Ratings that are_accompanied by WAS indicate an involuntary re -rate The new pub/ shed ratino !s shown along with the previous (i.e. WAS) ratino, DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and mattes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all I.abillty for damages of any kind arising out of the use or performance of the productis), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and coyi:gurat ons listed In the directory at wvvw.ahriditectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI, Th,s Certificate shall only be used for Individual, personal and confidential reference purposes. The contents of this Certificate may not. Li whole or In part, be reproduced: copied; disseminated; entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's Individual, AM personal and confidential reference. AIR•CONDITIGNING, HEATING, CERTIFICATE VERIFICATION A REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verfled at www,ahrldlractory-o rg, click on -Verify Certlficat &' link me mako life bctrcr- 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. i32°4zss°4ss7z52a2 ©2419Air-Conditioning, Heating, and Refrigeration Institute: ' CERTIFICATE NO.: Property Card Page 1 of 1 Michelle Franklin- CFA — Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 6503 COQUINA AVE Sec/Town/Range: 011345139E Map ID: 13/01N Zoning: RS4 ownership Dea R Hill (LF EST) 6503 Coquina AVE Fort Pierce, FL 34951 Legal Description LAKEWOOD PARK -UNIT 9- BLK 115 LOTS 17 AND 18 (MAP 1101N) (OR 1352-1176, 1177; 4130-1824) Current Values Just/Market Value: S135,500 Assessed Value: S69,702 Exemptions- $69,702 Taxable Value; so Property taxes are subject to change upon change of ownership. Past lazes are nut a reliable projection of future taxes. • The sale of a property will prompt the removal of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collcctor's Office Download I -RIM for this parcel- Download PDF Parcel ID: 1301-611-0314-r}irn-7 Account #: 2688 Use Type: 0100 Jurisdiction- Saint Lucie County Total Areas FinishedfUnder Air (SF): 1,765 Gross Sketched Area (SF): 2,503 Land Size (acres): 0.49 Land Size (SF): 20,700 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. C- Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved. https://www.paslc.org/RF-Card/ 6/6/2019