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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED CO a "Yj 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: 1 02-1 Address: 1 � `1 • �`` � [� l Legal Description: Property Tax ID #: Lot No.h3 a&l� Site Plan Name: Block No. _ Project Name: &_IPomci- _W\na Setbacks Front — Back- Right Side: Leh Side Replace AC, exact change out with ton, SEER, KW AC unit CONSTRUCTION INFORMATION: rtiona wor to e e orme under this permit — check a apply: �HVAC 11 Gas Tank ❑Gas Piping Shutters Q Windows/Doors Electric 0 i—.�I Plumbing Sprinklers _ Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $�ffi Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: Dennis Zacek Address: 'h^ Company: ARS American Residential Services City: Stater Address: 2800 US Hwy 1 Zip Code: Fax: City: Vero Beach State: FL Phone No-: �- �3� „•• Zip Code: 32960 Fax: E-Mail: Phone No. allb3 Fill in fee simple Title Holder on next page (if different E-Mail: s &t it S • Co'M from the Owner listed above) State or County License: CMC1249753 IT vawe or construction is ycsuu or more, a KtcvRot:o 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 recordine vour Notice of Commencement. 1 { �� 4_r*"+w+s 5 _ Signature of 0 , er/ Lessee/Agent Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF S1LUOR The forgoing instrument was acknowledged/efore me this day of 20 ]`by ame of person Dennis Zacek State of Florida } STATE OF FLORIDA COUNTY OF StLuem The f r Ding instrument was acknowledgec Refore me thistdayof ()— 20 by Dennis Zecek (N me of person ac owl ging } igna e o of Pu is ttate of Florida } Personally Known x OR Produced Identification Personally Known X OR Produced Identification Type of Identification Produced Type of Identification Produced �` Commission No Seal r Commission No. 4f�1 7�(Seal) COLEEN SULLIVAN 17�s MY COMMISSION # GG071535 Revised 07/1512014 '•'. ,q.� ,.•� EXPIRES Fetrruery OS. 2021 y • EXPIRES February 09. 2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS W�-- . I � w t work. Makin Making , Installation Work Order Est. Start Date 5 (772)567-3100 Est. Completion Date 2800 US Highway 1, Vero Beach, FL 32960 Corporate Customer American Residential Services of Rorida, Inc License # I Mt_ 1 }4iiv, ,3 Relations EC13008558 (866) 803-0879 CUSTOMER �t r'1 • EMAIL CALLSUP ADDRESS CITY151AiL �fIF Jr' L e x� HOME PHONE CELLPHC•1E WORK PHONE SIZEqM9_TYPE of l'.77 SIZE TYPE _ SIZE TYPE EFFICIENCY EFFICIENCY EFFICIENCY $ $ $ $ d,scou,.�5 $ °17 $ $ SUBTOTAL $ SUBTOTAL $ SUBTOTAL $ MONTHLY EST' $ MONTHLY EST* $ MONTHLY EST' $ CUSTOMER INITIALS CUSTOMER INITIALS ... CUSTOMER INITIALS Warranty:" Parts _ nW Labor Warranty:" Parts Lobar Warranty:' Parts Labor Compressor MtHeat Exchanger Compressor Heat Exchanger Compressor Heat Exchanger 'Subject to credil approval. Financing Providod by Greawky Food interest rate or 6,99%for 60 months. Payment example assumes one-time $7,500 purchase on approval data fAPf7 7.19%) with 1 paymunt of $02.69, 5 payments of $43 69, and 54 amortized payments of $162.28. Payments assume Account Ar.livafan charge of $39 applies and is due with first required paymenl.Fixed interest rate of 0,99%for 84 months. Payment example assumes one-time $7,500 purchase on approval data (APR 10.15%) with 1 payment of $101.44, 5 payments of $62.44, and 78 amortized payments of $131,11. Payments assume Account Act vatinn charge of $39 applies and is due with first required payment. Fixed interest rate of 9.99% for 120 months. Payment example assumes one-time $7,500 purchase on approval dale (APR 10.11%) with 1 payment of $101.44, 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 paymentRied interest rate of 9 99% for 144 months. Payment example assumes one -lime $7500 purchase on approval date (APR 10,009b) with 1 payment of $101.44, 5 payments of $62 44, and 138 amortized payments of $91,132. Payments assume Account Activaton charge of $39 applies and is dun with first required payment. "Unless otherwise noted, all warranties are from the manufacturer. + + + SELECTED OPTION: 1 ❑ 2 ❑3 ❑ Weatherproof econnect Drain Line ❑ Dehumidifier SUBTOTAL $- IQ•a ra Dinconr.-ct ❑ Ccili:lg Saver Mt 0Oc:d :or Un,t Pad ifetime Equipment Slab (Pan & Float) ❑ Flue Venting $ �°173 ❑ Sound Isolation Pads ❑ M in Drain Safely Switch ❑ Ductwork Connections' ❑ Liquid Tile Condu t al New Connections ❑ Connect to existing plenum $ ❑ Start K-t ❑ Support Attic Equipment ❑ Duct Modifications ❑ Refrgerant LL Dryer_ ❑ Supply Plenum (see Notes for scope of work) TOTAL $ � �_5 i ❑ Refrigerant Pipe ❑ New ❑ Reconnect w Duct System ❑ Nr1w econnect ❑ Return Plenum Duct Work Zi ❑ Refrigerant Pipe Cover ❑New ❑Reconnect Piping ❑ xpansion Valve I ❑ Electronic Air Cleaner _ ❑ Electrical Wiring 1- ❑ CASH ❑ CHECK# T stat -Type JV� ❑ Media Filter ❑ Home Service Plan - Connect to Ex sting ❑ PCO 1 Term (364 days) ❑ CREDIT CARD (LAST 4#s) Electrical ❑ UV Light New Plywood Deck ❑ Humidifier EXP APPROVAL OUR GUARANTEES Comfort Guarantee Home Protection Guarantee FINANCING'IlEr A3 2//4-Hour Service Guarantee _21" 100% Unconditional Money -Back Guarantee NOTES 1l�SP G�UGF IA�ar� t C.+/5ioh^�-�- IF) Oki 0Qt-J bl,o.rti <a,rLi J,; Zt° df.��-s �'if.� a r 1;fps r� t.ot1r.,VI- fre.'nn V,e.CJ - 'ARS is not responsible for preexisting ductwork. See Terms and Conditions on the back of this document for details. ` • Written 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 H 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 mail. 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 agreement. If you cancel this agreement, 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 waiving my right to cancel, I authorize the performance of the work, subject to all terms and conditions set forth on the reverse side hereof, plus any taxes upon completion. Notice 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. 4thatco protect your le a1 rf his. This home improvement contract may contain a mortgage or otherwise create a lien on your property b Io on if y u o nal pay. Be sure you unde land all provisio T the contract befo you sign. 1SIGNATURE DA E PANY REPRE5ENTA o— CUSTOMER SIGNATURE DATE &—T a 2019 American Residnnlml Services LL C. All rights reserved. AR5107e_FL_ 194124 L IWI24 a Jgp Certificate of Product Ratings AHRI Certified Reference Number; 9171219 Date: 06-26-2019 Model Status: Active AHRI Type. RCU-A-CB Series: COMFORT 16 AC Outdoor Unit Brand Name' CARRIER Outdoor Unit Model Number (Condenser or Single Package) ; 24ABC648A"031 Indoor Unit Model Number (Evaporator and/or A-r Handier) . FV4CN(B.F)005L 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 .n region(s) for which they meet the regional elficiancy requirement The manufacturer of this CARRIER product is respons.ble for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210l240 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 : 45500 SEER; 16.00 EER (A2) - Single or High Stage (95F) :13.00 t"Active' Made: Status are those that an AHRI Certification Program Participant is currently producing AND se' ng 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 sla selling or oHenng for sate ReUngs Ihal_are+kccompanied by WAS indicate an rnvoluntary_ro-rate. The new published rating is shown.along.wilh the previous (i.e. WAS} retina. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsiblllty for, the products) listed an this Certificate. AHRI expressly disclaims all liability for damages of any kind arlstng out of the use or performance of the 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.ahridirectorr.or:, TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and AM confidential reference purposes. The contents of this Certificate may not, in whole or In part,,* reproduced: copled; disseminated; entered into a computer database; or otherwise utilised. In any form or manner or by any means, except for the user's Individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on th,s certificate can be verified et www.ahridirectvr }.o rg, click on "vn ri fy Certificate' link uv make life Letter' and enter the AHRI Certified Reference Number and the data on which the certificate was Issued, which Is listed above, and the Certificate No., which Is listed at bottom rlghL - — — ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1320602949✓ 0920053 Property Card Page 1 of 1 Michelle Franklin, CFA — Safnt Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address- 1$21 N 45th ST Secrrown/Range- 06/35S; 40E Map ID- 24:06N Zoning: RS4 Ownership George H Rahming Jr Wallace E Rahming Sr 1821 N 45th ST Tort Pierce, FL 34947 Legal Description HARMONY HEIGHTS BLK Q LOTS I L 12AND 13-LESS W 12 FT Of LO'r 13- (0 37 AC) Current Values Just/Market Value: Assessed Value: Exemptions: Taxable Value: $111.800 $89.975 $0 $89,975 Property taxes are subject to change upon change of ownership. • Past taxes are not a reliable projection of future lazes. • The sale of a properly will prompt the removal of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collectoes Office Download TRIM for this parcel: Download PDF Parcel 1D: 2406-502-0270 -c 170-6 Account #: 19611 Use Type: 0100 Jurisdiction: Saint Lucie County Total Areas Finished?Under Air (SF): 2,112 Gross Sketched Area (SF); 3.958 Land Size (acres): 0.37 Land Size (SF): I6,117 2 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. https://www.paslc.org/RECard/ 6/26/2019