Loading...
HomeMy WebLinkAboutbuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: P 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 I PROPOSED IMPROVEMENT LOCATION: I �L' li•��fi'tllsl�:a�� s�� lI016,MWI 7 Legali . �� ; Property Tax ID It: � �' coo I _aok_Co — ow o Lot No.�`i Site Plan Name: Block No. Project Name: ` Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with ton, SEER, IQ) KW AC unit Haamonai worx to tie errormea unaer tnts permit —cnecx all apply: 0HVAC Gas Tank ❑Gas Piping In _ Shutters ❑ Windows/Doors 11 Electric ❑ Plumbing Sprinklers Elenerator ❑ Roof Roof pitch Total Sq. Ft of Construction: So. Ft. of First Floor: 1 Cost of Construction: $ . Utilities: Sewer OSeptic Building Height: OWNEERRAESSEE: CONTRACTOR: Name��S Name: Dennis Zacek Address: Company: AIRS American Residential Services City: L Stater Address: 2800 US Hwy 1 Zip Code: Fax: City: Vero Beach State: FL Phone No. - Zip Code: 32960 Fax: E-Mail: Phone No. -Ia(2)3 Fill in fee simple Title Holder on next page ( if different E-Mail: 0-3oy,Qa &S -czy,(N from the Owner listed above) State or County License: CMC1249753 If value of construction is $2500 or more, a RECORDED Notice of Commencement 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 permit 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 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 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 commencing work or recordingyour Notice of Commencement. —Signature of 0 er/ Lessee/Agent �. Signature of Contra r/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St Lucie COUNTY OF SILucie The forgoing instrument was acknowledge before me Mby The forgoing instr ment was acknowledge� efore me F M this day of 20 thisaa day of 20 by Dennis Zacek Oemn Zacek ame of person no I ging I ) erson ac &��E A ignature of ary P lic- ate of Florida j of N to PFlorida I Personally Known x OR Produced Identification Personally Known x OR Produced identification Type of Identification Produced Type of Identification Produced Commission No Commission No. (Seal) COLEEN SULLIVAN Gn-rizio.;;; . Revised 07/15/201 IV EXPIRES February D9, 2021 :' ;`ii MY COMMISSION # GG071535 ;�'"' :? EXPIRES February 08, 2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION MANGROVE SEA TURTLE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS WOFF %A so if work. Makin Making Installation Work Order (772)567-3100 2800 US Highway 1, Vero Beach, FL 32960 American Lies-dr-ntial Services of Florida Inc. License N CMC 1249752 EC13008!M Est. Start Date LD -9 Est. Completion Date Corporate Customer Relations (866) 803-0879 CUSTOMER OM EMAIL CALL SLIP ADDRESS 75T E1ZiP w� A-s'��S rt~� e� HOME PHONE,kq CELL PHONE wORK PHONE • • •' • ••bit• SIZE ��_ TYPE SIZE TYPE SIZE TYPE EFF! IENCY EFFICIENCY EFFICIENCY I $ /' W( $ $ ry 4c "00 0o $ SUBTOTAL $ SUBTOTAL $ __ SUBTOTAL $ MONTHLY EST.' $ -MONTHLY EST.' $ MONTHLY EST.' $ CUSTOMER INITIALS CUSTOMER INITIALS CUSTOMER INITIALS Warranty:" Paris Labor Warranty:" Parts Labor Warranty:" Paris Labor Compressor Heat &changer Compressor Haat Exchanger Compressor Heat Exchanger *Subject to credit approval. Financing Provided by Gieensky. Fixed interest rate of B.90%for 60 months. Payment example assumes onetime $7,500 purchase on approval date (APR 7.19%) with I payment of $112.69, 5 payments of $43.69. and 54 amortized payments of $162.28. Payments assume Account Activation charge of $39 applies and is due with first required payrnent.Pixed interest refe of 9.99% for 64 months. Payment example assumes onetime $7,500 purchase on approval date IAPR t 0.15%) with 1 payment of $101.44, S payments of $62.44, and 78 amortized payments of $131.11. Payments assume Account Activation charge of $39 applies and is due with first required payment. Fixed interest rate at 9.99%tot 120 months. Payment example assumes onetime $7,500 purchase on approval date (APR 10.11%) with 1 payment of $101.44, 5 payments of $62.44, and 114 amortized payments of $102A 3. Payments assume Account Activation charge of $39 applies and is due with first required paymetd.Fixed interest rate of 9.999b for 144 months. Payment example assumes one-time $7,500 purchase on approval date (APR 10.09%) with 1 payment of $101.44, 5 payments of $62.44, and 138 amortized payments of $91.62. Payments assume Account Activation charge of $39 applies and is due with first required payment. —Unless otherwise noted, all warranties are from the manufacturer, SPECIFICS OF • • SELECTED OPTION: ❑2n❑{'3 Weatherproof �. 140connect Drain Line ❑ Dehum difier SUBTOTAL $ —t 3 Pi8connect ❑ Ceiling Saver Kit Outdoor Unit Pad i Lifetime Equ pment Slab (Pan & Float) ❑ Flue Venting $ ❑ Sound Iso'at�n Pads 7P1ain Drain Safety Switch ucl rk Connections' ❑ Liquid Tite Conduit ❑ Seal New Connections Connect to existing plenum $ rKit / ❑ Support Allic Equipment ❑ Duct Modifications I rReffilge'ritLL Dryer'_ pply Plen (see Notes for scope of work) TOTAL $ rigeranI Pi 0 w Reconnect ❑ New uct System New ❑ econnect Return Plen o Duct Work Refrigerant Pipe Cover ❑New Reconnect Fuel Piping ❑ Expansion Vale ❑ Electronic Air Cleaner _ ❑ Electrical Wiring ❑ CASH ❑ CHECK# P f tat—Typ 1 ❑ Media Filter -J& f4oe Service Plan OeNnect to Existing ❑ PCO 1 Term (364 days) ❑ CREDIT CARD (LAST 4#s) Ell trical ❑ UV Light ew Plywood Deck ❑ Humidifier EXP APPROVAL • zf�etzfjs3{.)� omfort Guarantee Home Protection Guarantee tflzNANCING' A•Hour Service Guarantee 04b Unconditional Money -Back Guarantee 'ARS is not responsible for preextstmg ductwork See Terms and Conditions on the back of this document for dela s. • Writlen customer authorization 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- ment by providing written notice to the seller in person, by telegram, or by mall. 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 agreemenL If you cancel this agreement, the seller may not keep all or part of any cash down payment. See t arse side hereof for an explanation of this dghL • I acknowledge that my right to cancel has been explained to me orally and ut writing, a out w wing my right to cancel, I authonze the performance of the work, subject to all terms and conditions sal forth on the reverse side haredf any taxes up n com letion. Notice To Owner - Do not sign this home improvement contract in bl Yo are anti to a opy of the contract at the time you sign. Keep It to protect your legal rights. This home improvement contract may co�tain a ortgage r otheolse create alien on your properly that could be foreclosed on If you do not pay. Be sure you understand all pro Islo of the co ract Ifore you sign. 1oc� Me�ATURE DUE c—o CUSTOMER SIGNATURE DATE DAi 0 2019 American Rasdentui Services L.L.C. Ali rights mserved. ARS107a FL- 1 sat 24 L190124 UM This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Certificate of Product_ Ratings AHRI Certified Reference Number: 201772198 Date; 06-27-2019 Model Status : Active AHRI Type: RCU-A-CB Series: PERFORMANCE 16 AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 24APB642A'030' Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNP048L 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, 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. The manufacturer of this CARRIER product is responsible for the rating of this system combination. Rated as follows In accordance with the latest edition of ANSIIAHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing; Cooling Capacity (A2) - Single or High Stage (95F), btuh : 39600 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 -"Active' Model Status are those that an AHRI Certification Program Participant Is currently producing AND selling or offering for sale; OR new models that 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 offering for sale Retinas that are accom andM by WAS indicate an fnvolunte re -rat . The new ubllshed ratio Is shown alongwith the rovious i e. WAS rating, 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 arlsing out of the use or performance of the product(s), oribe unauthorized alteration of data listed an this Certificate. Cartilled ratings are valid only for models and configurations listed In the directory at www ahrldirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not. In 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, personal and confidential reference. AIR CONDITIONING, HEATING, CERTIFICATE VERIFICATION E REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ohridirectory.org, click on `Verify Certificate' link H , usl c lif' 6ena^ 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 ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13208137B4271a6811 Property Card Page 1 of 1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 2459 SWEETWATER DR Parcel ID: 2433-601-0016.000.6 Sec/Town/Range: 33/35S/40E Account #: 33120 Map ID: 24133N Use Type: 0100 Zoning: RS-2 Jurisdiction: Saint Lucie County Ownership Thomas M Finch Michelle L Patterson -Finch 2459 Sweetwater DR Fort Pierce, FL 34981-5112 Legal Description SWEETWATER S/D LOT 14 (0 53 AQ (OR 3915-2599) Current Values Just/Market Value: $151,500 Assessed Value: $151,500 Exemptions: $50,000 Taxable Value: $101,500 Property taxes are subject to change upon change of ownership. • Past taxes are not a reliable projection of future taxes. • The sate or n property will prompt the removal of all exemptions, assessment raps, and special classifications. Taxes for this parcel: SLC Tax Collector's Office Download'PRIM for this parcel: Download PDF Total Areas FinishedFUnder Air (SF): 1,740 Gross Sketched Area (SF): 3.155 Land Size (acres): 0.53 Land Size (SF): 23.086.8 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. © Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved. hops://www.paslc.org/RE-Card/ 6/27'2019