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HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: COCINT�+Y Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-I553 Fax: (772) 462-1578 Commercial Residential _ PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I I PROPOSED IMPROVEMENT LOCATION: I Address: fl+� Site Plan Name., Block No. (3) Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with ton, SEER, KW AC unit I CONSTRUCTION INFORMATION: I jaitionaiworKlOneriertormea under tnis permit - ci 0HVAC Gas Tank Gas Piping Electric 0 Plumbing Sprinklers Shutters Windows/Doors Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Cost of Construction: $ Crz C1`-1 Utilities: 0Sewer [ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name(�V�2�w.- +ezz Name: Dennis Zacek Address: Ig k\ �15 2�� Company: AIRS American Residential Services City: �} State. EL Address: 2800 US Hwy 1 Zip Code: Fax: -- City: Vero Beach State: FL Phone No.-nn oz-au-mn Zip Code: 32960 Fax: E-Mail: Phone No. ��c�'��L� •� a Fill in fee simple Title Holder on next page ( if different E-Mail: 5 •' \) S • Cow" 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 recording your Notice of Commencement. _ Signature of O , er/ Lessee/Agent Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF 51Luae The for oing Instr m nt was acknowledge before me this day of 20by ennis Zacek of person afto*i*ing j re of Florida j STATE OF FLORIDA COUNTY OF St Lurie The forgoing instrument 4A4 acknowledge efore me this day of 20 M by Personally Known x OR Produced Identification Personally Known x OR Produced identification Type of Identification Produced I Type of Identification Produced Commission No Seal Commission No.C—L-0 J�J (Seal) COLLEEN SULLIVAN •e MY COLEEN Revised 071151201I EXPIRES February 09, za2� =+�' ' SULLIVAN My COMMISSION # GG071535 REVIEWS FRONT ZONING SUPERVISOR PLANS ,.., VE GROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 7_ Q�� .%4 rAmw Mak ng -t vver. NI stallation Work Order Est Sri Date T 772)567-3f 00 Est. Completion Date 2800 US Highway 1, Vera Beach, FL 32960 Corporate Customs American Residential Services of Florida. Inc. License M CIVIC 1249753, Relations ECI3DO8558 (866) 803-0879 CUSTOMER EMAIL CALL SLIP ADDRESS-,1Yr7ATE. ZI C[. HOME PHONE CELL PHDNE 40 • WORK PHONE OPTION I OPTION 2 OPTION SIZE TYPE SIZE!fTQ0 TYPE IZE TYPE EFFICIENCY EFFICIENCY EFFICIENCY Of $ _AcLcSir- $ $ $ $ nee $ SUBTL jr Li $ SUBTOTAL $ SUBTOTAL $ MONTH ST• $ MONTHLY EST.' $-13a3._ , _ MONTHLY EST.' $ _ CUSTO ER INITIALS CUSTOMER INITIALS _. CUSTOMER INITIALS _ Warrall __ Paris Labor Warranty:' Parts ANIL (Labor Warranty;"__ _ Parts ... Labe Compressor Heat Exchanger kQWcCompressorulL411eat Exchanger Compressor Heat Exchange 'Subject to credit approval. Financing Provided by Greensky, Fred mtere:t rate of 6.99% for 60 months. Payment example assumes one -lime $$50o purchase on approval dale IAPR 7.19%) with 1 payment of $82.69, 5 payments of $43.69, and 54 amorlized payments of $162.28 Payments assume Account Activation charge or $39 applies and is due with first required payment.Fred interest rate of 9.99% for 64 months. Payment example assumes one -lima $7,50o purchase on approval date Will f 015sb: with 1 payment of $101.44, 5 payments of $62.44, and 78 amorri¢ed payments of $131 11. Payments assume Account Activation charge of $39 applies and is due wa first required payment. Fixed interest rate of 0.99% for 120 months. Payment axampte assumes one-time $7,500 purchase on approval date (APR 10.114b; 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 paymonil interest rate of 9.99% for 144 months. Payment example assumes one lima $7500 purchase on approval dale (APR 10.09%) will 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 wilh fu>I mgiruod payment. "Unless otherwise noted, air warranties are from the manufacturer. ' • • SELECTED OPTION: ❑ 1 2 ❑3 Weatherproof b OReconnect Drain Line ❑ Dehumidifier Disconnect SUBTOTAL $ "I Ifetime Equi en�Gel ling Savor Kit [IOutdoor Unit Pad I Slab (Pan & Float) ❑ Flue Venting $ KLiquidound Isolation Pads ain Drain Safetywitch ❑ Ductwork Connections' Tile Conduit Seal New Connections VConnect to existing plenum ❑ Start Kit Support Attic Equipment ❑ Duct Modifications _ _ $ efngerant L.L. Dryer . _. Supply Plenum two Notes for scope of work) TOTAL $ OZ Refrigerant Pipe ❑ New 0 Reconnect ❑ New Duct System ❑ New *t ,Reconnect KRetum Plenum o Duct Work Refrigerant Pipe Cover ❑ New ElI❑ Fuel Piping ❑ Expansion Valve ❑ Electra c Air CI r _ ❑ Electrical Wring WT.stat—TypellAA � ❑ Media I r ❑ Home ServlCe Plan — ❑CASH ❑CHECK# V.Sonnect to &i ng ❑ PCO 1 Term (364 days) -Electrical ❑ CREDIT CARD (LAST 4#s) D ❑ UV Light P— ❑ ew Humidif r EXP APPROVAL OUR •. FINANCING` �+ ❑ Comfort Guarantee ❑Home Protection Guarantee � ❑ 24-Hour Service Guarantee ❑ 100% Unconditional Money -Back Guarantee SL,r �-C-lm : 1 17Aurrvn�rs 14�— 35�-� �i-Ilcn1 3(13`fi L�eA-ram 'ARS is not responsible for preexisting ductwork. See Terms and Conditions an the back of this document for delai it. • Written customer authorization will be obtained before beginning any unforeseen additional or extended work • ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECTTO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558 FLORIDA STATUTE • 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 agrE meet by providing written notice to the seller In person, by telegram, or by mail. This notice must indicate that you do not want the goo or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement If you cans 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 il • 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 the work, subject to all terms and conditions set forth on the reverse side hereof p us any tares 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 it to protect your legal rights. This home improvement contract may contain a mortgage or otherwise create a lien on your properl that could be foreclosed on if you do not pay. Be sure you understand all pro sions of the contract before you sign. "''} �{lf r r f USTOMER SIG ATURE b TE COMPANY RE ESENTA'i4'E A CUSTOMER SIGNATURE DATE .bA-ATF e 2019 American RaPdentisl Services LLC AM rights mearved. Al FL 19DI24 L1001 sit Certificate of Product Ratings AHRI Certified Reference Number: 9511931 Date: 07-22-2019 Model Status: Active AHRI Type., RCU-A-CB Series: 14 SEER AC Outdoor Unit Brand Name: PAYNE HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) - PA14NC048"0""A" Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNF048L 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 PAYNE HEATING AND COOLING 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 , 43500 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 t'Active- Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; DR 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 Raunus that are accompanied by WAS indicate an involuntary re -rate. The new published ratino Is shown alone with 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 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.ahrldirectDry.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certiflcate shall only be used for indlvldual, personal end 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 M- personal and confidential reference. AIR-CONDITIONING, HEATING. CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this cortifleate can be verified at www.ahrldirectory.org, click on `verify Certificate' link we make 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. ©2019Air-Condttloning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 1320826M27030342 Certificate of Product Ratings AHRI Certified Reference Number: 9511931 Date: 07-22-2019 Model Status: Active AHRI Type: RCU-A-CB Series: 14 SEER AC Outdoor Unit Brand Name: PAYNE HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : PA14NC048'0"A' Indoor Unit Model Number (Evaporator and/or Air Handier): FB4CNF048L 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 PAYNE HEATING AND COOLING 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 : 43500 SEER. 14.00 EER (A2) - Single or High Stage (95F) : 11.50 t'Active' Model Status are those that an AHRI Certification Program Pan cipant Ls 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. Ratings that are accomoanied by WAS Indicate an Involuntary_rearate. The new published rating is shown alone with the Drevious (i.e. WAS} ratino. 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 on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.ahridirttctory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and '01 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, As personal and confidential reference. AIR-CONDITIONING, HEAnNG, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www,abri directory.o rg, click on 'Vorl ry certificate' link wv make life 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. ©2019AIr-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132082682527030342 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: Parcel ID: Account #E: Map ID: Use Type: Zoning: City/County: Ownership A 6eue lean -Louis Pierre Auxilaire Jean-Louis 1911 Wyoming Ave Fort Pierce, FL 34982 Legal Description ORANGE BLOSSOM ESTATES FIRST ADDN BLK 2 LOT 6 (0.24 AC) (OR 1422-432) Current Values Just/Market Value: $130,500 Assessed Value: S68,461 Exemptions: $43,461 Taxable Value: $25,000 Property taxes are subject to change upon change of ownership. • Past taxes arc not a reliable projection or ruturc taxes. • The sale or a property will prompt the removal of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF l 1911 Wyoming AVE 2421-602-0025-000-8 29034 24/21 N 0100 RS-4 Saint Lucie County Total Areas Finished/Under Air (SF): 2,002 Gross Sketched Area (SF): 2,908 Land Size (acres): 0.24 Land Size (SF): 10,454.4 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.