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HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of fine
PROPOSED IMPROVEMENT LOCATION:
Address: i4j__Aj :1Jn
Legal Description:
k
Lot No.
Site Plan Name: Block No.
Project Name:o2Iy��'(`��G-uA��. „
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace AC, exact change out with Eton, SEER, 15KW AC unit
CONSTRUCTION INFORMATION:
Additional worK to be erformed under this permit —check a apply:
�HVAC Gas Tank Gas Piping _ Shutters Windows/Doors
Electric 0 Plumbing Sprinklers E Generator Roof Roof pitch
Total Sq. Ft of Construction: 5 Ft. of First Floor:
�-- ��y�- �r _
Cost of Construction: $ _ Utilities: Sewer 0 Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name 4 rwyw "�.O�t12 •1_
Name: Dennis Zacek
Address.
Company: AIRS American Residential Services
Citycz sc�lli Qiij Stater
Address: 2800 US Hwy 1
Zip Code: Fax:
City: Vero Beach State: FL
Phone No.
Zip Code: 32960 Fax:
E-Mail:
Phone No. ��c�-��� •� a
Fill in fee simple Title Holder on next page (if different
E-Mail: S •'v S • cam
from the Owner listed above)
State or County License: CMC1249753
it vajue or construction is >zsuu 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
_ Signature of O er/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF s«tioe
The for oing instr ment was acknowledge efore me
this day of 20 O_by
Denr Is Zacek
(Name of person a wled 'n j
Ignature of No ry JbIi of Florida }
Personally Known x OR Produced identification
Type of Identification Produced
Commission No(�a'j635 (Seal)
Revised 07115/2 ., MY COMMISSION 4 GG071535
EXPIRES Pebrue 09, 2021
Signature of Contra r/License Holder
STATE OF FLORIDA
COUNTY OF s«ucm
The forgoing instr ment was acknowledge Refore me
this day of 20 Ja by
Dennis Zacek
me
7f person ack wle i }
-(s- of to Fru i to orida J
Personally Known x OR Produced Identification
Type of Identification Produced
Commission Na. ��S (Seal)
COLEEN SULLIVAN
MY COMMISSION # GG071535
REVIEWS
FRONT T
COUNTER
PLANS
REVIEW
VEGETATION—
REVIEW
-MANGROVE
REVIEW
ZONING
REVIEW
SUPERVISOR
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Installation Work Order
• (772)567-3100
2800 US Highway 1, Vero Beach, FL 32960
A taking II right: American Residential Service; of t-lorkla Inc License 0 (1124975
Making it work. i6
C-.300855
CELL
SIZE I TYPE SIZE I TYPE Lit
EFFICI CY r EFFICIENCY 1. C� _
$ $.r�
— $
SU13TOTA $_ SUBTOTAL `
MONT Y EST' $ - MONTHLY EST, • �$,_ L
Est. Start Date
Est- Completion Data
Corporate Custome
3, Relations
(866) 603.0879
CALL SUP
SIZE TYPE
EFFICIENCY
SUBTOTAL $
MONTHLY EST - $
CU OMER INITIALS CUSTOMER IN ALS i CUSTOMER INITIALS
Vrarranty," Pelts Labor ; Warranty:" Parts Labor Warranty:" Parts Labc
Compressor Heat Exchanger Compressor Heat Exchanger Compressor Heat Exchange
'Subject to credit approval. Financing Provided by Greesky. Fixed interest rate of 6.99% for 60 months. Payment example assumes one-time $7.500 purchase on
approval date (APR 7.19%) with
1 payment of $82.69, 5 payments of $43,69, and 54 amnaized payments of $162 28 Payments assume Account Activation charge of $39 applies and is due with
first required paymenl.Fixed interest rate of 9.99%for 84 months. Payment example aceumes one-time $7.500 purchase on approval dale (APR 10.16%) with
1 payment of $101.44, 5 payments of $62.44, and 76 amortized payments of $131 11 Payments assume Account Activation charge al $39 applies and is due wid
first required payment. Fixed interest rate of 9.99% for 120 months. Payment examp a assumes onetime $7,500 purchase on approval date IAPR 10.11%) with
1 payment of $101 A4, 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 paymani.Fixed interest rate of 9.99% fur 144 months. Payment example assumes onetime $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 feat required payment.
"Unless otherwise noted, all warranties am Irom the manaiacturer.
0 Weatherproof
Disconnect
❑ Lifetime Equ:pment Slab
❑ Sound Isolation Pads
❑ L quid Tile Conduit
❑ Start K:t
❑ Refrigerant L-L. Dryer_
❑ Refrigerant Pipe
❑ New ❑ Reconnect
❑ Refrigerant Piprli Cover
❑ Expansion Valve
❑ Tstat —Type
❑ Connect to Existing
Electrical
❑ New Plywood Deck
❑ Reconnect Drain Line
❑ Dehumidifier
❑ Ceiling Saver Kit
❑ Outdoor Unit Pad
(Pan & Float)
❑ Flue Venting
❑ Main Drain Safety Switch
❑ Ductwork Connections'
❑ Seal New Connections
❑ Connect to existing plenum
❑ Support Attic Equipment
❑ Duct Modifications
❑ Supply Plenum
lase Now for stops rd work)
❑ New ❑ Reconnect
❑ New Duct System
❑ Refum Plenum
❑ No Duct Work
❑ New ❑ Reconnect
❑ Fuel Piping
❑ Electronic Air Cleaner _
❑ Electrical Wring
❑ Media Filter
❑ Home Service Plan —
CI PCO
1 Term (364 days)
❑ UV Light -
❑ Humidifier
(�omfort Guarantee ,E[T-4ome Prolect:on Guarantee
24-Hour Serv'ce Guarantee Z-1 00% Uncond;tional Money -Back Guarantee
Ire- - ,� rrno ur
Re i n-ro
SELECTEDOPTION: 01 02 03
SUBTOTAL $
TOTAL $
❑ CASH ❑ CHECK# —
)CREDIT CARD (LAST 4#s)
EXP _ —APPROVAL
❑ FINANCING'
)r haniiefxe
4o r ANY` &.-, n d �p /-1 Re,�nfor e
'ARS is not responsible for preexisting ductwork. See Terms and Conditions on the back of this document for detail.
• 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 CH�FS R 5 6� Ln
i] IDA 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 agrc
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 goo
or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement If you cant
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 rig,
• I acknowledge that my rght to cancel has been explained to me orally and in writing, and without waiving my right to cancel, ) authorize the performance
the work. subject to all tears and conditions set forth on the reverse side hereof, plus any taxes upon completion,
Notice To Owner - Do not sign this h me improvement contract in blank. You are entitled to a copy of the contract at the time you sign.
Keep It to protect your legal ri�iig is home Improvemen contra may contain a mortgage or otherwise create a Ilan on your properl
that could I - i<pay. Be sure yo in rid all provisions of the contract before you sign.
f if
STOM R SIMNATURAL MPANY REPRESENTATIVE
CU5IOMER SIGNATURE DATE DATE
0 2010 Amencan Residential Serves L.L.C. AN eghta reserved ARS1078 FL'190124 I. 16 J 174
I"
Certificate of Product Ratings
AHRI Certified Reference Number * 9481111 Date: 07-2g-2019 Modal Status: Production Stopped
AHRI TVPa - RQU-A-CR
S4fi0i 1d §tWfi A0
t oldoaf Unit Nrpnd Nome: "AYN9 HgATINU AHD rPOLINe
Outdoor Unit Modal Number (Con4enaar of 61nglo Package) PA14NG0241(I"A'
Indogr gnit Model Number (Evgpgrutor and/or AIr Handler) , FFMANP0P4
Raglon goutheast grit! North (AL, AR, DC, DE, FL, QA, HI, Ky. LA, MD, Mid, NC, PK, SC, TN, TX, VA, AK, CO. CT, 10, IL,
IA. IN, KS, MA. ME, MI, MN. MQ, MT, ND, NP, NH, NJ, MY, OH. OR. PA, RI, SO, UT, VT, WA, WV WI, Wy, U S.
TorrltpdQy)
Region Nola ; Central air conttllionere manufactured prior to Jenuary 1, 2p16 are eligible to be Inblallsd In all rpglona
until Jung 30. 2015. Bgginning July 1, 2018 cgntrgl air oonditionaro can only be installed In rar,Ilon(s) for
which they meal the regional oHictency requirement.
The manufacturer of this PAYNE HEATING AND COOLING product Is responsible for the rgUnq of this system combination.
Rated as follows In accordance with the latest edition of ANSVAHRI 2101240 with Addenda i �tid 2, Performance Rating of Unitary
Air-Condltloning & Alf-Sourca Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, Indopeodent,.third party testing,
Cooling Capard
SEER. 14,00
EER (A2� - Slly
cl%I:dt �: ':rla7kri;wc'�rJ�:s4k i��:.,.� • ;1'�$'.A Y - 's
A.li 31 .'t, _J.2:.1 .: i�+%,�{'aj A;L':d .r}.'.r•,t?L;rx:
, .4 ... E�:. "I h.. stir! dnF 4� ,�t..a •�{
fur ,
-IAclive Modal Status era thgrp that an AHRI Codification Program Panlaipant is currently producing AND selling cr offering for sale; OR now models that are tieing
marketed but are not yet being produced -Production Stopped' Model Status are those that an AHRI Carlificatlon Program Par4iclp2nt Is no longer producing BUT Is still
Bolling or offering for Baia
i t h r riled W WAS IndigoesninvolunlarvT nrating Is shown aloaqrating.
DISCLAIMER
AHRI does not endorse the product(s) Isted on this Certificate and makes no representations. warranties or guarantees as to, and assumes no responsibility for,
the products) listed on this Certificate. AHRI expressly disclalms all kablitty for damages of any kind arising out of the use or performance of the product(s), or the
unauthorized alterollon of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the
directory at www.ahrldirectory_org,
TERMS AND CONDITIONS
This Certificate and ItB contents era proprietary products of AHRI, This Certificate shell only be used for Indlvldual, 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 utlllzed, in any form or manner or by any means, except for the user's Individual,
personal and confidential reference. AIR-CONDITIONING. HEATING,
CERTIFICATE VERIFICATION a REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified at www.oaHdiieclory.orU click on -Verify Corti 11cate' link ut m4s Iris- Uruc: `
and enter the AHRI Cortllled Reference Number and the date on which the cert"Icate was Issued.
which Is listed above, and the Certificate No., which Is listed at bottom right
®2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132082764957649150
Property Card
,PagelofI
Michelle Franklin, CFA -- Saint Lucie County property Appraiser -- All rights reserved.
Property Identification
Site Address: 13515 S INDIAN RIVER DR 705
See/Town/Range: 09/37Sf41 E
Map ID: 45/09S
Zoning:
Ownership
William Douglas Church Giannctti
Eilcen Margaret Church Giannetti
5753 Highway 85N
Crestview, FL 32536
Legal Description
INDIAN RIVER LANDING (OR 360-2852) BLDG 7 UNIT 705 AND
UNDIV SHARE IN COMMON ELLMENT5 (OR 4248-1356)
Current Values
Just/Market Value: $102,300
Assessed Value: $102.300
Exemptions: $0
Taxable Value: $102,300
Property taxes are subject to change upon
change of ownership.
• Test taxes are not a reliable projection or future taxes.
• The 'sale or a, property will prompt the removal or all
exemptions, assessment caps, and special
classifications.
'faxes for this parcel: SLC Tax Collector's Office
Download TRIM for this parcel: Download PDE:
Parcel ID; 4509.804-0045-000-9
Account #: 160228
Use Type:0400
Jurisdiction: Saint Lucie County
Total Areas
Finishcd.fUnder Air (SF): 1.196
Gross Sketched Area (SF): 1,366
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.
© Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved.
https://www.pasic.org/RECard/ 7/22112019