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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ti I J A 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 rJ \ I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: �- C e_ I Legal Description: I L['� QI� b.na ;_k,NaQQ� 0q- meoQ10(t a.'�L�_.2 �,� Property Tax ID #., Lot No_ Site Plan Name:1-'a -p�iI�QQQ {� �Q�'Block No. Project NameGAZU ,�(���{'� _ Setbacks Front Back: Right Side: _ Left Side: DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with ton, SEER, KW AC unit Haaiuonai worK zo oe errormea unaer inis permit - cneCK an apply: 1:JHVAC Gas Tank Gas Piping Shutters Windows/Doors 11 Electric 0 Plumbing Sprinklers t-�.I_ Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ �V3 , Utilities: USewer Septic Building Height: OWNERAESSEE: CONTRACTOR: Name L Name: Dennis Zacek Address: —' a Company: ARS American Residential Services City:r3ry 7V State: Address: 2800 US Hwy 1 Zip Code: i k Fax: City: Vero Beach State: FL Phone No, Zip Code: 32960 Fax: E-Mail: Phone No. ��e7'��t-} •� a Fill in fee simple Title Holder on next page { if different E-Mail: S " a+\J S • cor(1 from the Owner listed above] State or County License: CMC1249753 IT value or constructcon 15 5z50o or more, a RECURDED 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 recording your Notice of Commencement. _ Signature of 0 ,er/ Lessee/Agent STATE OF FLORIDA COUNTY OF StLude The for oing instripment was acknowledgec].pefore me this day of � 20 ``-��� by qp.,". s SigDna ure of Contra r/license Holder STATE OF FLORIDA COUNTY OF stLucn The forgoing instrument was acknowledged before me this _ day of , 20 _by Dennis Zacek Dennis [N me f person ac owl ng) (N a person ac o le - g I , I ig e D u ic- ate of Florida I tg e o ry u c- State of Florida) Personally Known x OR Produced Identification Type of identification Produced Commission No (Seal) Personally Known x OR Produced Identification Type of Identification ProducedC Commission No� `].SS (Seal) Revised 07/15/201 ;'e MY COMMISSION # 0G071535 - COLEEN SULLIVAN �y+ - EXPIRES February 09.2021 MY COMMISSION # GG071535 REVIEWS FRO COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW . �... V REVIEW ROVE REVIEW REVIEW DATE COMPLETE INITIALS 0-xI ,l = �•' akin Making it work. M Installation Work Order (772)567-3100 2800 US Highway 1, Vero Beach, FL 32960 American Residential Services of F orida, Inc License 0 CIVIC 1249752 EC13008558 Est. Start Date Est. Completion Date Corporate Customer Relations (866) 803.0079 cusm EMAIL A n . Ir�IA+s~]l CALL SUP ADORES r 'f1 5 CrtYISTAT ZIP r L 3 HOM HONE Z3 Z CE4L P Q / ! b WORK PHO E OPTION 1 •' ■ OPTION SIZE TYPEQl, ETYPE , PE ICIENCY1 r[ EFFI NCY S s v c cJ $ js.l� .. ) k x$ RIENC hmx $ �" $ rt✓ $ 0 1 — SUBTOTAL $ SUBTOTAL $ SUBTOTAL/ $ MONTHLYEST.' $ �� MONTH EST.` $ MONTHLYEST.' $ CUSTOMER INITIALS _. CU5 MER INITIALS CUSTOMER INITIALS Warranty." Parts 4­)!=R— Labor arranty;" I f) Parts ;7-^SL_ l abop Warranty:" (C- Parts c:)� Labor Compressor Heat Exchange _LCompressor Heat Exchanger -LO-Compressor Heat Exchanger *Subject to credit approval. Financing Provided by Gmensky. Fixed interest rate of 6.99% for 60 months. Payment example assumes one-time $7,600 purchase on approval date (APR 7.1991) w Ih 1 payment of $82 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 payment,Fxed interest rate of 9.99% for 84 months. Payment example assumes one-time $7,500 purchase on approval dale (APR 10,15%) with 1 payment of $101 44. 5 payments of $62.44, and 78 amortized payments of $131.11. Payments assume Account Acfivalion charge of $39 applies and is due wtlh first required payment. Fixed interest rase of 9.99% for 120 months Payment example assumes one -lime $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 $102.13. Payments assume Account Activation charge of $39 applies and is due with first required payment Fixed interest We of 9.99% for 144 months. Payment example assumes one -lime $7500 purchase on approval date 1APR 10.09%) with 1 payment of $101.44. 5 payments of $62.44. and 138 amortized payments of $91.62. Payments assume Accounl 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: ❑ t ❑ 2 ❑ 3 ❑ Weatherproof Reconnect Drain Line ❑ Dehum-difier SUBTOTAL $ SOo Disconnect ❑ Ceiling Saver Kit ❑ Outdoor Unit Pad ifetime Equipment Slab (Pan & Float) ❑ Flue Venting ir­{$ 3 �00 and Isolation Pads ❑ Main Drain Safety Switch �uctwork Connections' - j ❑ Liquid Tte Conduit ❑ Seal New Connections ❑ Cannecl to existing plenum $ 00 ❑ Start Kit ❑ Support Altic Equipment ❑ Duct Modifications §ItfrigerantLLDryer_,) RupplyPlenum (seelVosrofor scope ofwaW e TOTAL $— �(�•� FF'Refrigerant Pipe ❑ NewtiReconnect ❑ New Duct System ❑ New IERoconnecl )EWelurrl Plenum o Duct Work ❑ Refrigerant Pipe Cover ❑ New �Meconnect Fuel Piping ❑ Expansion Valvah ❑ Electronic Air Cleaner ❑ Electrical Wiring Xx atat-Type SST ❑ Media Filter ❑ Home Service Plan - ❑ CASH ❑ CHECK# . fimonnect to Existing ❑ PCO 1 Term (354 days) ❑ CREDIT CARD (LAST 44s) Eiectr cal ❑ UV Light X [AINew Plywood Deck ❑ Humidifier _ EXP _ APPROVALOUR GUARANTEES FINANCING" Comfort Guarantee Home Protection Guarantee 24•Hour Service Guarantee 00% UncondTonal Money -Back Guarantee NOTES CARS is not responsiVe for preex'st;ng ductwork. See Terms and Conditions on the back of this document for details, • Written customer authorization w;: 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 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 righL • 1 acknowledge that my right to cancel has been explained to me orally and in writing, and withoul waiving my fight 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. Keep ft to protect your legal rights. This home improvement contract may contain a mortgage or otherwise create a lien on your property that uld be foreclosed od�not pay. Be sure you understand all provision c tract before you sign. CUSTOMER SIGNATURE BATE PANY REPR TAfti CUSTOMER SIGNATURE DATE DAT C 2019 Amerimn Residential Smices LLC. All rights reserved. ARS1078 FL 19n124 L100124 8256 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: 201778778 Date: 07-12-2019 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) : 24APB660A'030' Indoor Unit Model Number (Evaporator and/or Air Handler) : FV4CNBO06L 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, NO, 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 ANSI/AHRI 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 : 57000 SEER: 16.00 EER (A2) - Single or High Stage (95F) :13.00 t'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 Slopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that accompaniedarby WAS indicate an involuntary re -rate The new oublished ratino is shown alono with the previous 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 arising out of the use or performance of the product(s), or the unauthorized alteration of data listed an this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.ahridtrectory.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, A= personal and confidential reference. AIR•CONamONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information far the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we wake lire better" 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. 02019Air-Conditioning, Heating, and Refrigeration Institute 132074077724712111 g, g g CERTIFICATE NO.: Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Site Address: Parcel ID: Account #: Map ID: Use Type: Zoning: City/County: Ownership Gary L Ralston Pauline Ralston 3450 Twin Lakes TER Apt 204 Fort Pierce, FL 34951 Property Identification 3450 TWIN LAKES TER 204 1327-704-0034-000-5 130221 13 : 27S 0400 Legal Description LAKESHORE VILLAGE OF MEADOWOOD PHASE I BLDG 3003 UNIT 204 (OR 3830-2842) Current Values Just/Market Value: $121,000 Assessed Value: $105,060 Exemptions: $50,000 Taxable Value: $55,060 Property taxes are subject to change upon change of ownership. • Past taxes are not n 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 Collectoe's Office Download TRIM for this parcel: Download PDF Saint Lucie County Total Areas Finished/Under Air (SF): 2,238 Gross Sketched Area (SF): 2,741 Land Size (acres): 0.02 Land Size (SF): 1.000 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. v ! Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved.