HomeMy WebLinkAboutBUILDING PERMITALL APPLICABLED INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: "fPLI-+/ ! (�! Permit Number:
COU NTY
F L O R 1 D 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 line I
I PROPOSED IMPROVEMENT LOCATION: I
Address: U nU7 t::! L—r 1 U `1' 11 1C%:> �'_A - ?_ - rt--l" .
Legal Description: +iO1 CU.1_JI V 1
t
Property Tax ID #: - - ��� 1Lr
I31a CM `"T� Lot No.
Site Plan Name: Yllrl Block No.
Project Name: s JU I'lr i' 1 LJC-[.� 1 11 1
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK:
Replace AC, exact change out with on, SEER, 10 KW AC unit
CONSTRUCTION INFORMATION:
Aciclitional work to orme under this permit -check a apply:
&KHVAC f] Gas Tank ❑Gas Piping In _ Shutters ❑ Windows/Doors
CElectric El Plumbing Sprinklers U Generator 11 Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ _ __ Utilities. Sewer Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Nam
Name: Dennis Zacek
np c
Address: fl POMY'
AIRS American Residential Services
City: State:
Address: 2800 US Hwy 1
Zip Coder Fax
City: Vero Beach State: FI.
Phone No.—
Zip Code: 32960 Fax:
E-Mail:
Phone No.'s
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 conscrucnon is 4Pz5uu or more, a REcoRoea Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applica
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY
Name:
Address:
Citv:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
X Not Applicable
State:
x Not Applicable
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 slw-i-
The fgqoing inst rp nt as acknowledge efore me
this day of 20 � by
Dennis Zacek
{ e of person acknowledging j
(Signature of Notary Pdei—c-'STate of Florida j
Personally Known x OR Pr I
Type of Identifica ' F i ucecl GeLEEN SUL•
QMMISSION # G UI1 V
Commission No. atRES isef*ry o9, 2021
Revised 07/15/2014
s
Signature of Contra r/License Holder
STATE OF FLORIDA
COUNTY OF St Lucia
The for Ding instr ent as acknowledge fore me
this,Tday of- 20 Eby
Dennis Zacek
( e of person acknowledging j
( t.onon r".
{Signature of Notary PuW?th'IToF FINE j
Personally Known x �Itil'�'YAN
Type of Identification Ptp 000715
MN
rab�ary 09.2021
PIRE
Commission No. ea
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
� ,I
r
Makin' Makiri�.
Installation Work Order
(772)567-3100
2800 US Highway 1, Wro Beach, FL 32960
American Residential Services 01 f forida, Inc. License 0 CA1C 124-i 7;.3
ECISDO8556
Est Start Date r ~ r0 i
Est. Comp'elinn Date
Corporate Customar
Relations
(866) 803-0879
CUSTOMER tt ►'1d i'11n 1 - EIAML L;ALL SLIP
- -- J
ADDRESS C �+ — iTY.5TATP.ZiP - --_.
HOME PHONE ' 0,,,+ � {:ELL #HONFtfG.
��4f�Y--
eo+ _ (,;e 9 ,e,� WORK PHCNE
OPTION 1 OPTION OPTION 3
SIZE _ . ._ TYIPE SIZE-gTby _ TYPE _ r f SIZE TYPE
EFFiCIENGY ��LS��_ EFFIGIENCY_� EFFICIENCY
&N —(ail— $ $
SUBTOTAL $_ SUBTOTAL $�G SUBTOTAL $ _ I
MONTHLY EST' $ _-.. - MONTHLY EST.' $ i MONTHLY EST' $_
CUSTOMER INITIALS CUSTOMER INITIALS CUSTOMER INITIALS
r-
Warranty:"-L ` Parts �k+.ilr Labor Warranty:"- 7<_ Parity hi,�L Labor Warranty:"______ Parts Labor
c Compressor r Heat Exchanger 1�. Compressor Ak_Heat Exchanger, Compressor __Heat Exchanger
s
'Subject to credit approval. Financing Provided by Greensky. Fred inIewsi rain of 6-99%for 60 months. Payment example assumes one-time $7,500 pi-rchasa on
approval dale (APR 7.19%) wil i
1 payment of $82.69 5 payments of 543.69, and 54 ame=hzed pnynnnls of $162.28 Payments assume Account AchvaUon charge of $39 applies and is due with
fast required paymenl.Fixed merest rate of 9.99% for 84 months Payment example assumes one-time $7,500 purchase 0n approval data IAPR 10-157�-j with
1 payment of $101.44, 5 payments of $62,44 and 70 amodizod payments of $131.1 1. Payments assume Account Activahon charge of $30 applies and is duo with
first required payment, Fired interest rate of 9.995i, for 120 months. Payment example assumes one Irmo $7,500 purchase on approval data (APR 10.1 1 %) with
1 payment :-f $101,44, 5 payments of $62.44 and 1 14 amortized payments of $102 13 Payments assume Account Activation charge of $30 applies and is due
with first required payment.Fixed interest rate of 9 991a for 144 months. Payment example assumes one-time $7,500 purchase on approval date (APR t 0.09%) with
1 payment of $10t.44, 5 payments of $6244 and 138 amortized payments of $91.62. Payments assume A..xount Activation char0c of $39 applies and is duct
with first required payment
"Unless otherwise noted, all warranties am from the manufaclurcr.
SPECIFICS OF •UR INSTALLATION SELECTED OPTION: ❑ 1 P2 03
❑ Weather roofReconnect Drain Line 0 Dehumidifier
Disconnect ❑ Ceiling Saver Kit ❑ Outdoor Unit Pad SUBTOTAL $ _J_0-1 IL
ifelime Equipment Slab (Pan & Float) ❑ Flue Venting
❑ Sound Isolation Pads ❑ atn Drain Safety Switch ❑ Ductwork Connections' $ -+
❑ Liquid Tito Condu I. ffl eal New Connections ❑ Connect to existing plenum
❑ Start Kit ❑ S.;pport Attic Equipment ❑ Duct Modifications
❑ Refrigerant LL Dryer— Rf Supply Plenum Iseu Ncics for s-cpe. of work] TOTAL $1,
❑ Refrigerant Pipe PfNew ❑ Reconnect ❑ New Duct System
❑ New fit Reconnect 11 Return Plenum ❑ No Duct Work
❑ Refrig0Thnl Pipe Cover (71 Now ❑ Reconnect ❑ Fuel Piping
❑ Expansion Valve ❑ Eiecironic Air Cleaner _. ❑ Electrical Wiring ❑ CASH [� CHECK#
ZT-slat -Type 4i IkQ ❑ Med a Filter _ ❑ Home Service Plan -
?Connect to Existing ❑ PCO ... -.... - . 1 Term (364 days) ❑ CREDIT CARD {LAST 4#s)
Electrical ❑ UV Light
few Plywood Deck ❑ Humidifier EXP -__ APPROVAL
OUR GUARANTEES
Comfort Guarantee FINANCING"❑
Home Protection Guarantee 11♦CC
24-Hour Service Guarantee 1 O Unconditionat Money Back Guarantee
•
7
IV f I -
'ARS 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 cash down payment. See the reverse side hereof for an explanation of this right.
• I acknowledge that iy right to cancel has been explained to me orally and n writing, and without waiving my right to cancel, I authorize the performance of
the work, subject to x terms and conditions set forth on the reverse side hereof, p us any taxes 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 properly
that could be foreclosed on if you do not pay. Be sure you understand all provI I s of the contract before you sign,
191k.
OMER SIGNA RE DATE • C L' P ESENTAT�
CUSTOMER SIGNATURE DATE GATE
C 2019 Arnoru:an R,!Mdenual Samos L L.0 Afl r.Uhrs re—vrd ARS H7; a K-190124 L.100124 0256
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 Ratings
AHRI Certified Reference Number: 201776160 Date: 09-17-2019 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) : 24APB648A'030'
Indoor Unit Model Number (Evaporator and/or Air Handler) : FV4CN(B,F)005L
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 ik 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 : 46000
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.'Pmduction 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 accomaaniod by WAS indicate an involuntary re -rate. The new Dublished ratlno Is shown alone with the erevlous (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.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; copled; disseminated;
entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's Individual, &"-ffm
personal and confidential reference. AIR-CONDmONING. HEATING,
CERTIFICATE VERIFICATION A REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified at www.ahFidirectory.org, click an "Verify Certificate" link we make I:, :� i i r -
and enter the AHRI Certified Reference Number and the date an which the certificate was issued,
which is listed above, and the Certificate No., which Is listed at bottom rlghL
02019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO,: 132132227608159572
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Sitc Address:
Parcel ID:
Account #.
Map ID:
Use Type:
Zoning:
City/County.
Ownership
loAnn Steinmeyer (LF EST)
5305 E Echo Pines CIR
Fan Pierce, FL 34951
Legal Description
HOLIDAY PINES SID-PRASE I- LOT 135 (MAP 13112S) (OR 2877-1550;
3706-1341;4245-1795)
Current Values
Just/Market Value:
Assessed Value:
Exemptions:
Taxable Value:
$185,800
S 142,908
$50,000
$92,908
Property taxes are subject to change upon
change of ownership.
• Post taxes are not a reliable projection or future taxes.
• The sale or property will prompt (Ise removal or all
exemptions, assessment caps, and special classifications.
Taxes for this parcel: SLC Tax Collector's Office
Download TRIM for this parcel: Download PDF
5305 E EC140 PINES C1R
1312-500-0136.000A
4284
1342S
0100
RS4 Count
Saint Lucie County
Total Areas
Finished/Under Air (SF): 1,780
Gross Sketched Area (SF): 2,976
Land Size (acres): 0.43
ri Land Size (SF): 18,700
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.