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HomeMy WebLinkAboutBuidling PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
4
O
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:
• �+�11•��111e�V�!�1Zz�\\ WN Kim
Property Tax I D 4: Lot No,
Site Plan Name:
Project Name
Setbacks Front Back: Right 51de: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace AC, exact change out with on, SEER, KW AC unit
30itionai worK to Qe errormea unaer tnis permit — a
0HVAC Gas Tank ❑Gas Piping
11 Electric ❑ PlumbingSprinklers
an inai apply:
1!_ Shutters
Generator
Total Sq. Ft of Construction: 5 Ft. of First Floor:
Cost of Construction: $ O� _ Utilities: LSewer OSeptic
Block No.
Windows/Doors
Roof Roof pitch
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name
Name: Dennis Zacek
Company: ARS American Residential Services
Address. —
City: �:crs, Rpme State: �—t,
Address: 2800 US Hwy 1
Zip Code: Fax: —
City: Vero Beach State: EC
Phone No.
Zip Code: 32960 Fax:
E-Mail: _
Phone No. •—I aQ�
Fill in fee simple Title Holder on next page ( if different
E-Mail: C:5t_1U01'C\ANCS • CZM _
from the Owner listed above]
State or County License: CMC1249753
if value or construcnon Is ;oLsuu or more, a KeLUKOEU 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
WARNI NG 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 O er/ Lessee/Age;3t Signature of Contra/License Holder
STATE OF FLORIDA
COUNTY OF StL-0
The fo oing inst ment was acknowledge before me
this day of J1 20 VLby
Zacek
person
of Florida }
STATE OF FLORIDA
COUNTY OF St Lum
The T
ing instrument was acknowledge efore me
this day of 20 t by
cemms
person acki
Florida }
Personally Known x OR Produced Identification _..._ Personally Known x OR Produced Identification _
Type of Identification Produced I Type of Identification Produced
Commission No ICommssion No.0���7- (Seal) (Seal)
MY COMMISSION # GG071535 MY COMMISSION # GG071535
Revised Q7ir i SIZQ 14
EXPIRES February 09, 2021 : EXPIRES February 09, 2021
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
5UPERV15OR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
MANGROVE
REVIEW
SEA TURTLE
REVIEW
DATE
COMPLETE
INITIALS �:L
� MJ w
11 work Makin
Making
Installation Work Order
(772)567-3100
2800 US H'.ghway 1 Vero Beach, FL 32960
kraiican Rescir.nt„_ m%r.ices of Florida, Inc. License N v MC 1249753
EC IjOO8558
Est. Start Dale 7 Ib (Y
Est. Completion bate 1
Corporate Customer
Relations
(866) 803.0879
CUSTOMER p +ns s-nc
7 r rxr� �C+V%
11
1:MAI4
CALL SUP
ADDRESS
CITYISTATEIZIP /
it
HOME PHONE ��• r ^1 _ r,
—r
CELL PHONE
WORKPHONE
••
OPTION
OPTION
OPTION
SIZETYPE r77SIZE
`DU TYPE
SIZE TYPE
EFFICIE< CY 14 Sl'_ei(
EFFICIENCY .5
EFFICIENCY
-
R2$
$
00
$ -
SUBTOTAL $
SUBTOTAL $
SUBTOTAL $� -
MONTHLY EST.' $
MONTHLY T.• $
MONTHLY EST,* $
CUSTOMER INITIALS
CUSTO R INITIALS
CUSTOMER INITIALS
Warranty-- 1 Parts r Labor
War nlyi ' f Parts Labor
Warranty:-' Parts Labor
U/ Compressor VC14 Heat changer
Compressor % Heat Exchanger
Compressor Heat Exchanger
'Subiecl Iv credit approval. Fnanc ng Provided by Greensky. Fixed interest Tats of 6.09% for 60 months. Payment example assumes one -lime $7,500 purchase on
approval date (APR 7.19%) with
1 payment of $82.59, 5 payments of $43 69, and 54 amortized payments of $102.26. Payments assume Account Activation charge of $39 applies and is due will -
First required payment. Fixed interest tale of 9 99% for 54 months. Payment example assumes one time $7,500 purrhaso on approval dale (APR I0A 5%) with
I payment of $10 4041, 5 payments of $62 44, and 78 amortzed payments of $13 Ll I. Payments assume Account Activation 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 date fAPR 10A f %) with
1 paymonl 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 duo
w th first required payment.F xed interest rate of 9,99%for 144 monihn. Paymrnt example assumes one-time $7,500 purchase on approval date (APR 10.00%) with
I payment of $101,44, 5 payments of $62 44. sad 138 amortized payments of $91.62. Payments assume Account Activation charge of $39 applies and is due
with first required payment
"Unlosa otherwise noted, all warranties arc from the manufacturer.
• • •
SELECTED OPTION- ❑ 1 ❑3
❑ Weatherproof ,Reconnect Drain Line ❑ Dehumidifier
� r❑C2,
SUBTOTAL $ �l I
Disconnect ❑ Coil ng Saver Kit ❑ Outdoor Unit Pad
Lifetime Equipment Slab (Pan & Float) ❑ Flue Venting
11 $
❑ Sound Isolation Pads ❑ Main Drain Safety Switch ❑ Ductwork Connections'
❑ Liquid Tile Conduit � Seal New Connections ❑ Connect to existing plenum
El Start Kit 'Support Allic Equipment ❑ Duct Modifications
_
❑ Refrigerant LL Dryer— ❑ Supply Plenum (sae Notes for scope of work)
TOTAL $ !7_ 52
❑ Refrigerant Pipe ❑ New 7F Reconnect ❑ New Duct System
❑ New �Aeconnecl ❑ Return Plenum ❑ No Duct Work
❑ Refrigerant Pipe Cover ❑ New Poeconnect ❑ Fuel Piping
❑ Expansion Valve ❑ Electronic Air Cleaner _ ❑ Electrical Wiring
❑ CASH ETCH ECK#
❑ T stal —Type Near— ❑ Media Filter ❑ Home Service Plan —
-
PrConnect to Existing ❑ PCO 1 Term (364 days)
❑ CREDIT CARD (LAST 4#0
Electrical ❑ UV Light
❑ New Plywood Deck ❑ Humidifier
EXP APPROVAL
OUR GUARANTEES
❑ FINANCING*
,PrCOmfcrt Guarantee Jff Home Protection Guarantee
24-Hour Service Guarantee ff100% Unconditional Money -Back Guarantee
NOTES
aWt,0, vsk all tin
CARS 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 556, 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 11 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 - 00 not sign this home improvement contract In blank. You are entitled to a copy of the contract at the time you sign.
Keep it to protect your legal rights. This home Improvement contract may contain a mortgage or otherwise create a Ilan on your property
that could be foreclosed on if you do not pay. Be sure you understand all provisi ns of the contra pefore you sign.
CUSTOMER SIGNATURE T MPANY REPRE TATIVE
CUSTOMER SIGNATURE DATE DATE
0 2019 American Residontial Services LL,C. All rights reserved- ARSle78 FL_ t90124 L190124 8250
Certificate of Product Rafinqs
AHRI Certified Reference Number: 9474297 Date: 07-18-2019 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 Handier) : F84CNF030L
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 condllioners 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 : 28200
SEER :1
EER (A2j
1'Active' Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR now models that are being
marketed but are not yet being producod'Production Stopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT Is still
salli ng or offering for sale.
Retinas that are accompanied by WAS indicate an Involuntary re -rate. The now published rating is shorn slang wilh the_pro0oug (I.e_WA5)_rpting,___. ___
DISCLAIMER
AHRI does not endorse the pmduct(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 on this Certificate. Certified ratings are valid only for models and configurations listed In the
directory at www.ahridirectory, org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary pmduc)s 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: dlsseminated;
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"COWTIONING, HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTRUTE
The Information for the model cited an this certificate can be verified at wkvw.ahridlTecto-y.org, click on "Vorlfy Ca rtificate' link %v nioLe lire h I -or'
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.: f32079531334394a69
Property Card
Page t of 1
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser — All rights reserved
Property Identification
Site Address: 5855 DREAM CT I I B
Secrl'own[Range: 10/36SI40E
Map ID: 34/10A
Zoning:
Ownership
Constance I Parigian
5855 Dream Court I 1-H
Fort Pierce, FL 34982
Legal Description
THE GROVE CONDOMINIUM -SECTION ONE- UNIT I Ili (OR 1289-
145)
Current Values
Just/Market Value:
$72,700
Assessed Value:
$29.320
Exemptions:
S29,320
Taxable Value:
$0
Property taxes are subject to change upon
change of ownership.
• Past loxes are not a reliable projection of future taxes.
• The sale of a property will prompt the removal of all
i exemptions, assessment caps, and special
classifications.
Taxes for this parcel: SLC Tax Collector's Office
Download TRIM for this parcel: Download PDF
Parcel ID: 3410-507-0042-000-0
Account ##: 40401
Use Type: 0400
Jurisdiction: Saint Lucie County
Total Areas
Finished/Under Air (SF):
Gross Sketched Area (SF):
Land Size (acres):
Land Size (SF):
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.
litips://www.paslc.org/RECard/
7/18/2019