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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ti 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 i PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line WMIKIIiIIIIIIIIIII Property Tax ID q:,I - ?a6 -=63 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Sider Left Side: DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with ton, _ l , y [ r � U ,, Naamonai worK to ae errormea under tms permit- cnecK an rnaT apply: OHVAC 0 Gas Tank ❑Gas Piping _ Shutters Windows/Doors 11 Electric 1:1 Plumbing Sprinklers El Generator Roof Roof pitch Total Sq. Ft of Construction: Sri Ft. of First Floor: Cost of Construction: $ Utilities: [n Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: Dennis Zacek Address: Company: ARS American Residential Services Cityclkoz Fix d Stater' Address: 2800 US Hwy 1 Zip Code 4bGCn t1' Fax:- City: Vero Beach State: FL City: Phone No�3-a1 ' D�f) ____ Zip Code: 32960 Fax: E-Mail: Phone No. ��a �� •� a 3 Fill in fee simple Title Holder on next page ( if different E-Mail: 5 '��i�Cs • C0'M from the Owner listed above) State or County License: CMC1249753 it value at construction is SZSOO 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 accessary 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 CW r/License Holder STATE OF FLORIDA COUNTY OF sit — The fo oing instr ment w knowledge efare me this day of 20 Uby Dennis Zacek person rida i STATE OF FLORIDA COUNTY OF St Won The fQ,rgoing ins ument was cknowledgeq before me this G-�) day of 20 � by Personally Known X OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No s (Seal) Commission No. J (Seal) COLEEN SULLIVAN MY COMMISSION # GG071535 •= Revised 07/15/2014 _= MY COMMISSION it GG071535 %r • EXPIRES February 09, 2021 ••'• EXPIRES February 09.2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTI_E MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 210—'--Rhl rk. .MakiR Making I w0 Installation Work Order (772) 5 67-3100 2800 US Highway 1, Vero Beach, FL 32960 American Res+denlial Services of Florida, Inc License # CMC1249753 EL: Q008558 Est. Start Date! Est. Comp'elion DateAwl - Corporate Customer Relations (866) 803-0879 CUSTOMER r 1_ jug c r w cS �0rn l�T{ EMAIL CALL SLIP ADDRESS r0.1 CITYl6TATE2IP T' HOME PHONE /rO� A' f• ELL PHONE WO10K1PPHbhp OPTION 1 OPTION 2 OPTION 51Z 10 TYPEC � SIZE TYPE r. SIZE —TYPE EFFICIENCY _ EFFICIENCY EFFICIENLY — - $ $ JDAtyo $ $ $ $ SUBTOTAL $ 1 SUBTOTAL $ SUBTOTAL $ MONTHLY EST,' $ MONTHLY EST.' $ MONTHLYEST.* $ CUSTOMER INITIALS CUSTOMER INITIALS CUSTOMER INITIALS T Warranty: "_-1OParts f-- Labor Warranty:' Parts Labor Warranty:" Parts labor -0—Compressor ,_Heat Exchanger Compressor Heat Exchanger Compressor Heat Exchanger 'Subject to credit approval, Financing Provided by Groer sky, Fixed interest rate of 6.99% for 60 months. Payment example assumes one-time $7,500 purchase on approval date (APR 7.199b) with 1 payment of $82 69. 5 payments of $43.69. and 54 amortized payments of $152.28 Payments assume Account Activation charge of $39 applies and is due with first required payment.Fixed interest rate of 9.99%for 84 months. Payment example assumes one time $7,500 purchase on approval date (APR 10.15%) with 1 payment of $101.44. 5 payments of $52.44, and 7a amortized payments of $131.11. Payments assume Account Activation charge of $39 applies and is due with firsl required payment. Fixed interest rate of 9.99% for 120 months. Payment exampn assumes one-time $7,500 purchase on approval data (APR 10.11%) with 1 payment of $101 44,5 payments of $62A4, and 114 cmortixed payments of $102 13. Payments assume Account Activation charge of $39 applies and is due wilh first required payment.Fixed interest rate of 9.99% for 144 months. Payment example assumes onetime $7,500 purchase on approval date (APR 10,00%) 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 first required payment. "Unless otherwise noted, all warranties are from the mani.facturer. + • + SELECTED OPTION: ❑ 1 ❑2 03 +� ❑ Weatherproof L7Qeconnect Drain Line ❑ Dehumidifier _ SUBTOTAL $ Disconnerl ❑ Ceiling Saver Kit 0 Outdoor I Intl Pad fallme Equipment Slab (Pan & Float) ❑ Flue Venting ❑ Sound Isolation Pads ❑ Main Drain Safety Switch -9.Quctwork Connections' ❑ Liquid Tite Conduit ❑ Seal New Connections '1.Connect to existing plenum ❑ Start Kit ❑ Support Attic Equipment ❑ Duct Modifications ❑ Refrigerant L.L. Dryer_ -Ej_c�ylpply Plenum Isea Notes for scope of work) TOTAL $ efrigerant Pipe ❑ New'1[,ieconnect ❑ New Duct System ❑ New `64Feconnect Return Plenum ❑ No Duct Work ❑ Refrigerant Pipe Cover New -Meconnect ❑ Fuel Piping ❑ Expansion Vz lye ❑ Electronic Air Cleaner — ❑ Electrical Wiring ❑ CASH ❑ CHECK# `5Zstat-Type N&St ❑ Media Filter ❑ Home Service Plan - '11:�onnect to Existing ❑ PCO 1 Term (364 days) ❑ CREDIT CARD (LAST 4#s) Electrical ❑ UV Light ❑ New Plywood Deck ❑ Humidifier EXP. —APPROVAL _ OUR GUARANTEES 4 Comfort Guarantee -adome Protection Guarantee FINANCING h MOYMS ` 07, 24-Hour Service Guarantee �:004'a Unconditional Money -Back Guarantee • Swn►�tw pytks 1ARS 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 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 rash 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 waning 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 entltte a copy of the contract at the time you sign. Keep It to protect your legal rights. This home improvement contract may oont a ga or otherwise create a lien on your property that co�11d be foreclosed on If you do not pay. Be sure you understand all pr si f the nlrad before you sign. CUSTOMER SIGNATURE DATE cOM ESENTIIVE CUSTOMER SIGNATURE DATE DATE 0 2019 American Residenliai Services LL.C. All rights reserved. ARS 1079 I L 1,ee124 L190124 e25r a - � CERTIFIED 4v�iw:ahridlreciory.erg Car ificate VattiTas AMMEWr- AHRI Certifie I Reference Number: 201854980 Data, 08-01-2019 Model Status: Production Stopped Old AHRI Rcl !rcnce Number : Procuct :%^J,ter-to-Airand Brine -to -Air Modr!l Numb( r : 50PCV036L1R"C3ICA'A1JIDIF Man,ifacturcr Name : CARRIER CORPORATION Brar - ';amc : CARRIER Rater as follovis in acc rdanto vfith Ar, `AIAHRIIASHAREIISO Standard 13256-1 Water-toAir and Brine -To -Air Heat Pumps and subject to verification o rating ac iracy by AHR -sponsorod, Independent third party testing: Full Load Part Load1 Part Load2 Part Load3 Air Floa Pax Cooling: 1200 Air FI xj Rath Heating: WI-W {Water Loop Heat Pumps) Cool, g Capa ty (Bluh) 37900137900 Cooli .g EER , aling (Btu- wall) 14.15114.15 Cooh ,l Fluid i low Rate ( pm) 900 Heati..g Capa ily (Btuh) 41800141800 Heal ig Cop ( rattlwati) 4.5014.50 Heat ,g I Iuid low Rate ( rpm) 9.00 GLHP (G out t -Loop Wnt Pumps) Cooling C -tpa ty (Bluh) 39900/39900 Cooling EErl = ating (Btu Vrat') 16.90116.90 Cooling Fluid ; :ow Rate i pm) 9.00 Heating Capa illy (Bluh) 26900126900 Ideabn , COP wattlwalt) 3 5013 50 liOati•'C Fluid Flow Rate : ;;") 900 Indoor Blower Motor Fa Type : PSC Sold lit? : I. SA, Cana.'-t Whcre :a', ng sl• }vs valuclvalm-, the first value is at minimum voltage, the second values at 230v for a dual volt system. t'Activo'- Nlicdc! :'atus are ihcsL tha: an AtiRI Con, ication Program Participant is currently producing AND sell. rig or offering for sale OR new models that are being markc:;.d bu: ar - ct yd boin; produccd'Product-on Stopped' Mode' Status are those that an AHRI Certification Program Participant is no longer producing BUT is st•II selling nrctfcrir: orsa:e _ atinrc :rat arr compnnied by WAS, irdicate ar, avoluntorl m-rate. The now publishod raving is srown elo-g will IFp pmyious;i.o WAS) mi.rm. D[SCLkt41ER AIIRI does not r ndorse the pmduct(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the products) listed on this CertiUxw. AFIRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product($), or the unnuth: ued alte-ation of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at wtv % f ridiroctmy.or . TEfih15 AND COUDITION5 This Ce, t Ir to oa c Its conter; s arc proptietary products cf AHRI. This Certificate shall only be used for Individual, personal and confident it relci nce pufpos S. The contents of this Certircate may not, in whole or In part, be reproduced; copied; disseminated; enterec ntn i co• puler data ase: or otherwise utilized, In any lorm or manner or by any means. except for the user's Individual, AM person it it; c0n d0ntial ref ;nce. AIR-CONDITIONING.HEATINO, CERTIFICATE V RIFICATIu.4' BREFRIGERATION INSTITUTE The iatf r talip, : r the �,.d,.' c.tcd n tl,is certificate can be verfied at www.ahridirectory.org, click on'Vorify Certificate" link we m.d,e life better' and on a thu Ati I Certified Reference r:umber and the date on which the certificate was Issued, which lf,ted aG ve, and th. Ccrtii Cale No., which Is listed at bottom right ©201�)Air-C nditionit: Heating, and Refrigeration Institute CERTIFICATE NO.: 1320913s118fli17139 1ro;1er1N Card Page 1 of 1 Michelln Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification 5 le rXd.:. s- 2M 1 V 111GI-M AY AiA 507 Parcel ID: 1425-705-0033-000-2 5 c I ow:i hang._ 15134SM01 Account #: 9201 NMp ID:: 1125S Use Type: 0400 /onrng; Jurisdiction: Saint Lucie County Ownership 1 t wStc'I ha!:nhury [-rstinc I'hcrrnbair. ;wghlt Itc! Eia• aford, (' I' Orihl.: Legal Desc -iption 13 11:CLA%' BEA( I CLUB-P1;ASC 1- l;,NIT307 (Olt 1317-2463) Current Wi: ues _li_sliMar: ct Val ; Ask cssed � alue: 1- ecntplions: TaNable 'uluc: S 175,800 5175,800 SO $175,800 Property to .es are subject to change upon range of ownership. • 1'.rsl taxi arc not at reliable prujcctiou e.rfuture taxes. • nie sale i-ra propej iy will prumw the removal orall t c" rnplir' !s' amessnq4:11t caps, and special tl,tss11h; uns. Ttr.xrs ftn.;Iris p:.. -1: SLC Tax Colleetoes Of]icc Do%%nion I l'RIM or this pa-.:cl: Domiload PDF Total Areas Finished/Under Air (SF): Gross Sketched Area (SF): Land Size (acres): Land Size (SF): A'. ;rrortnation is believed to be correct at this time. but is subject to change and is provided without any warranty. 0 Copyripht 2019 Saint Lucie County Property Appraiser. All rights reserved. 4 ittl rk4.� .is€c_t .g/RLC_ird' 8/1/2019