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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: • Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34992 Phone: 1772j 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: Property Tax ID#:: i6Dx—tn5! CM5-,_Q00`,_5 Site Plan Name: 1"1 Project Name: t Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with ton, SEER, KW AC unit N Lot No0'„ Block No.1.5 CONSTRUCTION INFORMATION: Additio a worke to e orme under tispermit—checka apply'.�HVAC Gas Tank Gas Piping _ Shutters Windows/Doors OElectric Plumbing Sprinklers E Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: TaCost of Construction: $ Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: Dennis Zacek Address: Company: AIRS American Residential Services City: p' State: Address: 2800 US Hwy 1 Zip Code: �7I Fax: City: Vero Beach State: FL Phone No.-I`l - �I a Zip Code: 32960 _ Fax: E-Mail: Phone No." Fill in fee simple Title Holder on next page ( if different E-Mail:C6()Il (Val_n CD r from the Owner listed above) State or County License: CMC1249753 IT value oT construction Is 5z5U0 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I EER: X Not App 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. _ Signature of O er/ Lessee/Ai;em STATE OF FLORIDA COUNTY OF stc-Js The f oing instrument was acknowledge efore me this day of 20 by Dennis Zacek (Name of person ackno ledging ) Signature of Notary ub ic- State of Florida ) 5 Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF StLooa The f Ding inst ent was acknowledgeq fore me this day of - 20by Dennis Zee& (Name of person acknowle ging ) (1000-M 0 0=4- (St ure o Notary c- State of Florida ) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No - •;: : S LEtEN SULLIV m fission No. ' �%: 081 EN SULLIVAN MY COMMISSION # GG 1535 y MY COMMISSION # GG0715 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Ratinas AHRI Certified Reference Number - 9474297 Date. 04-16-2018 Model Status: Active AHRI Type' RCU-A-CB Series: COMFORT 14 AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 24ACC430A'030' Indoor Unit Model Number (Evaporator and/or Air Handier): FB4CNF030L Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT. ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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 -n regioo(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 Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, Independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 28200 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12,00 t'Aetive' Model Status are those that an AHRI Certification Program Partic:pant 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 s still selling or offering for sale. Rallnas that are accompanied by WAS!nd sate an Involuntary re -rate. The new published rat.na Is shown alona with the Drevious (Le WAS! ralino. 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. Cert,fied ratings are valid only for models and configurations listed in the directory at www,ahridlrectarq 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, 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,ahridlrectory. aFg, click on 'Verity Certificate' link iw make I! Ir ivi and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, .k-; which Is listed above, and the Certificate No., which Is listed at bottom right. - — -- - - . 131683835123309276 ©2018Air-Canffitloning, Heating, and Refrigeration Institute CERTIFICATE NO.: 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 Matthew Hoey 8401 Bayard RD Fort Pierce, FL 34951 Legal Description LAKEWOOD PARK -UNIT 5- BLK 55 LOT 23 (MAP 13/02S) (OR 2868- 1797) Current Values Just/Market Value: S67,200 Assessed Value: S28,137 Exemptions-. $25,000 Taxable Value-. $3,137 Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Download PDF 12 B401 BAYARD RD 1301-605-0375-000-3 I392 13/02S 0100 RS-4 Saint Lucie County Total Areas Finished/Under Air (SF): 977 Gross Area (SF): 1,422 Land Size (acres): 0.27 Land Size (SF): 11,790 This information is believed to be correct at this time but it is subject to change and is not warranted, ® Copyright 2018 Saint Lucie County Property Appraiser. All rights reserved.