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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.