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HomeMy WebLinkAboutScanned from a Xerox Multifunction PrinterALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: aa1 tq Permit Number: • 91 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 PROPOSED I M PROVE M ENTLOCATION: Address: Legal Description: Property Tax ID ►i:J Site Plan Name: c Project Name: R Setbacks Front Back: e U_k 5A_ =N=r•1•1;;;i Right Side: Left Side: Replace AC, exact change out with on, SEER, KW AC unit Lot No. f2 V Block No. Noamonai worK to oe errormeo under finis permit — cnecK an tnat apply: �HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors 11 Electric 0 Plumbing []Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ Utilities Sewer 11 Septic Building Height: OWN ERAESSEE: CONTRACTOR: Name Name: Dennis Zacek Address: ' Company: ARS American Residential Services City 01:Stater Address: 2800 US Hwy 1 Zip Code: Fax: City: Vero Beach State: FL Phone No. Zip Code: 32960 Fax: E-mail: Phone No. — Fill in fee simple Title Holder on next page (if different E-Mail: from the Owner listed above) State or County License: CMC1249753 IT value or construction is ycsuu or more, a RECURRED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: UtSIUNtK/tN(alNttK: x Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: x Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: x Not Applicable Name: Address: City: 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. i _ Signature of O er/ Lessee/Agent STATE OF FLORIDA COUNTY OF s Lucie The for Ding inst ment was acknowledge efore me thisX day of 20 by Dennis Zacek ( me of person acknowledging } aam (:�� (Signature of Notary Public- State of Florida ) Personally Known x OR Produced Identification Type of Identification Produced Commission No. hml Revised 07/15/201 (Seal) COLEEN SULLIVAN MY COMMISSION # GG071535 EXPIRES February CM. 2021 n96=�:A s Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF St Lucie The forgoing instrument was acknowledged before me this{&I-day of 20 by Dennis Zacek (Name of person acknowledging } cy seaA (Signature of Notary Public- St f Florida I Personally Known x OR Produced Identification Type of identification Produced Commission COLEEN SULLIVAN EXPIRES February 09, 2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW 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: 201763981 Date: 08-22-2019 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) : 24APB624A'030' Indoor Unit Model Number (Evaporator and/or Air Handier): FV4CNF002L 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 t 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 : 23400 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 sal; rig 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 'onger producing BUT Is still selling or offering for sale, ail that are accom anied by WAS Indicate an Involuntary re -rate. The new Dublished rating Is shown alono with the orevious i.e. WAS) lI . 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..ihrldirectory.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; dlsseminaled; entered into a computer database; or otherwise utilized, In any farm or manner or by any means, except for the user's individual, AM 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.ahridirectory.org, click on `Verily Certificate' link wt 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. ©2019A1r-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1321697589D984D3t18 Property Card Page I of I Michelle Franklin, CFA — Saint Lucie County Property Appraiser-- All rights reserved. Property Identification Site Address: 873' Tompson Point RD Sec/Town/Range- 34'36S.-39E= Map ID: 33/34N Zoning: Ownership Peter C Nash Phyllis F Nash 8737 Tompson Point RD Saint Lucie West, FL 34986 Legal Description TOMPSON POINT P11D AT PGA VILLAGE (PB 43-W 1_0738 Current Values Just/Market Value- $420,600 Assessed Value; S420,600 Exemptions: so Taxable Value: S420,600 Property taxes are subject to change upon change of ownership. • Past taxes are not a reliable projection or future taxes. • The sale of a property will prompt the removal oral) exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tar Collector's Office Download TRIM for this parcel: Download PDF Parcel ID: 332 7-704-0039-000-6 Account 4: 154159 Use T .pe: 0100 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air (SF): 2,761 Gross Sketched Area (SF): 5,022 Land Size (acres): 4123 Land Size (SF): t01,019 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. f Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved. https://www.paslc.org/RECard/ 8.121 /2019