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HomeMy WebLinkAboutScanned from a Xerox Multifunction PrinterALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: S J = ; s Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce Ft 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 PROPOSED IMPROVEMENT LOCATION: Address• 1 -C ,, n Legal Description�aiNn-ni � ' — s to LID' 2-V -tes5 � Property Tax ID #:,,•WO r,�] l _ ~[JIJLJ ~ Lot No.V Site Plan Name: HOLAS t_ f f DD Block No. Project Name: R_ r inn Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with ton, k-SEER, JC KW AC unit CONSTRUCTION INFORMATION: Additional work to orme under this permit -check a apply. �HVAC 0 Gas Tank ❑Gas Piping _ Shutters Windows/Doors 11 Electric 0 Plumbing U Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction:�-y S - Ft. of First Floor: Cost of Construction: $ tJ Utilities. U Sewer E] Septic Building Height: i OWNER/LESSEE: CONTRACTOR: - Name irl f0 Name: Dennis Zacek Company, ARS American Residentiat Services Address: City: Lie, State; Address- 2800 US Hwy 1 City: Vero Beach State: FC Zip Cade: Fax: Phone No. r P 32960 Zip Code: Fax: E-Mail: Phone No. ��la-��� •� a�3 Fill in fee simple Title Holder on next page (if different E-Mail: CSQV4\) .�CkyS •Ce m 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. J1 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 recordNyouur Notice of Commencement. Signature of q er/ Lessee/Agent Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF slLucie The f ing instre,nt was acknowledge fore me this day of r7L11 20by Dennis Zack (Name of person acknowledging j Nan( Signature of Notar ub ic- State of Norlda j Personally Known x OR Produced Identification Type of Identification Produced Commission N Revised 07/ 15/20 STATE OF FLORIDA COUNTY OF St Luce The for Ding instru ent was acknowledged efare me this day of 20 by Dennis Zacek (Name of person acknowledgi g 1 ture o_6 f Notary Public State of Flvri j Personally Known _ X _ OR Produced Identification Type of Identification Produced C0OM10 SUlL.IVAN Commission NoAOIJ71535 MY COMMISSION # GG071535` (Seal) " MY COMMISSION # GG071535 EXPIRES February 09, 2021 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW MANGROVE REVIEW SEATURTLE REVIEW DATE COMPLETE INITIALS 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 Ratinas AHRI Certified Reference Number: 201779994 Date: 08-19-2019 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) : 24APB636A'030' Indoor Unit Model Number (Evaporator and/or Air Handler) : FV4CN(B,F)003L 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, ND, 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 ANSIIAHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heal Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 33600 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 Stopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratinos_I at are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (i.e. WAS1 retina. DISCLAIMER AHRI does not endorse the products) 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 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, X-M personal and Confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory. org, click on 'Verify Certificate' link ae 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-Conditioning, Heating, and Refrigeration Institute ! CERTIFICATE NO.: 132107129914245027 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: Parcel ID: Account #: Map ID: Use Type: Zoning: City/County: Ownership Houston Barron 4211 Ave Q Fort Pierce, FL 34947 Legal Description SUNLAND GARDENS -SECTION 4- BLK 46 LOT 20-LESS N 10 FT- (0 20 AC) (OR 616-1978) Current Values Just/Market Value: $80,800 Assessed Value: S31,661 Exemptions: $31,661 Taxable Value: $0 Property taxes are subject to change upon change of ownership. • Past taxes are not a 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 Collector's Office Download TRIM for this parcel; Download PDF 4211 Avenue Q 2406.506.0026.000-3 19686 24:06N 0100 RS-4 Count Saint Lucie County Total Areas Finished/Under Air (SF): 11520 Gross Sketched Area (SF): 2.074 Land Size (acres): 0.2 Land Size (SF): 8.712 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. a^. Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved.