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Building Permit Application
ALL APPffLICA�BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: !D'7 j1' Permit Number: ' , 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 IMPROVEMENT LOCATION: Address: Legal Description: �: �J I CA (f, a+efpt�Ib • V �'_ ) i Oft Property Tax ID N 3 I3 + 00-1b Lot No. � Site Plan Name: f LOu5no Block No. Project Name: r� ❑r"�� Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with ton, ASEER, 10 KW AC unit CONSTRUCTION INFORMATION: Add itio workto e e orme under this permit -check a apply: FvlziVAC Gas Tank ❑Gas Piping In Shutters []Windows/Doors _ OElectric Plumbing Sprinklers []Generator Roof Roof pitch Total Sq. Ft of Construction: llam�,, S Ft. of First Floor: Cost of Construction: $ r[! d Utilities:Sewer 1:1Septic Building , Height: OWNER/LESSEE: CONTRACTOR: Name Name: Dennis Zacek Addr Company: ARS American Residential Services City: St I -.,J= Stater Address: 2800 US Hwy 1 Zip Code: Fax: City: Vero Beach State: FL Phone No. 3- 51416 Zip Code: 32960 Fax: E-Mail: Phone No. —1 Fill in fee simple Title Holder on next page ( if different I - Mail: 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. 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 MOLDER: 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 recording vour Notice of Commencement. _ Signature of 0 er/ Lessee/Agent Signature of Contra r/License Holder 'R STATE OF FLORIDA COUNTY OF S+Le The Ding instr e t was acknowledge fore me f this day of 20 Mby STATE OF FLORIDA COUNTY OF SI Luce The fo Ding instr t was acknowledg9by fore me this - day of 20 pearls Zacek Dennis Zacek (Name of person ackn ledging ) (Name of person acknowledging } M - 1 0* m A�$4 — (signature of Nota Ic-State f Florida i (' ure o Notary P - ate of Florida ) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. (Seal) COLEEN Commission No U 11 Seal _;�' ;COLE EN SULLIVAN MY COMMISSION # GC,071535 Revised 07/ 15/ 6 „ r' EXPIRES February my C0mmI55IuNTUGT7T5W ' ''.i; ,.•• EXPIRES February 09, 202t pg gazi REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW COMPLETE INITIALS t-i. 9IwLD01nL0-&44kjq lnst81latl0ln W0J`k made . ctlmpktan nisln ! e . 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YI4f;•11 y+l 'QR�Nr• »FL++IrMn:•n117I,r,"n.Li+•,r l,•+tr Ni.!Ic-�n•, 1��1W.,li. f.-.r•,��NI}W yjQiw. lltrA ' }IIMM•nr,!I1l+LI.rJSIT'1, 1111141/4'It l'•. •f�I'll Ilf. +,Ulr lf'Ifrll. at- Lerr»n r���N T,, fly. �s El YJ.:ati �rFruvl L'TT uai vmm Qtjio f in tJ lll,+nrliRrtr _ SUBTOTAL $ 4 L30 L' �'rnnr-I ❑Grlf'tyJ �AvrttKtl c:JvV' Ur---IM ❑ LI[s'm" �il F.J0 Yr,Mbut pm:nt Slll Nr A r,- ull r}] L +2 :: fl ;nuIr314n4�:krr F'atle Ly7'*'n uldrl sr.%Ij 8411rh EMictxur• Cr.mr_•turd j3LwauitlTf'r•(::ul di L,sess Nrn ca—ellfetana C�lrmr"Irs w*ff1rI0--.. _ 3 1 M SIarw Kit M Surmi,ALlir, F:I:Ip I a" c717au1 tdlxl°rnlor:, { l7 C;]Rfiflgalantl LiyMF C�'Slaraf I-Il,nunl ;:x+ilfr•tlxox3'x+:,l TOTAL 5 If7 [a r l ; +srs Irp•x El Nn v Mew-mmut D Nrwv Uu_t Sr1r.:rrn Nna fsiFannnract C-iRr.IInLPianlfr CtNuCu;•4'+1ore I R=:T ia,unl P pk C,<rLwr 3i�n R E}tryiio�nrr. -I� Fhpiny 0 r> piia4, .-Iv cir:tm71�'AI rrtn,71� [7 F.II';'ut:a4 Wl"Imi 0C&IM 1 L3 C•1-tt't K4 r� 1 YL�-%{per f+ � ❑,tirt[att-�illrl T Gi l lmit. 51rvirn r".III ( +Gtnnrf!la.•yka 0FM) r Toeai:91Wcipe} Q('141- 17CARD11-AH144:I; Ei + rrK::rl. D I LItt rAfr-lw• 'Iyoton Mmid- ;J rfunlrilillgr. 1 r x`FI APPRf?Vi1= t' ;t�ltfulr t» wiantart utlyd Pmlm ;fur (Airttillduµ I�ikrF{41•s�r,�ubG +IntrH.r$ 1�"f�Gk=.lJ�±mylliliu�u�blo'n�`BG.�,C7!autsltau %a Age Po le "rip er /nJu�1 ��G x�/ yw "ARSb W. So rr:T anti lv-rdRi2c'* h 40I"ek :f-lhi9 Vc Irr Kd ut• U datalt' • Sail lfm ctltf rrt tlll_le} r:irn oil Fn'cl;l iron Mrlu f!,eogi7nlrrg:n ur€ou l zr albr,+on�l Ix esrird tt,Pv k •AriYiX,AIfASf7Rt',fl�titilN[lC,�IUEF 3ARf41181CCT1,THENOTidtANDC.IKi P�t[7V1SPNSOFC4AAFSlamFLdRIt)A%',plCiM •11110i IGItTTo.CANCEL!Thls`�IVV homeaoiW1kdanBair.und,I!yaadunotVi3tit'be ice dyorses+Ae „lrpumay+arw 16 s;igne• monitly plmiMi]ng�rilten notice la tl�e eelkr,in per�on�6r tbt e9r±m, or hy,tnetL 'RThL�:nol{at inus!t IiNt leafs thastT'ara da >rat Weni (ht BOa1Sn orts+Qtr6s �erld�munl 6r liliFWeied �porsbaie• Q�ked hofoea midni�tlt.el Ifi'eiShh� buslnvss day aileryou:s�tn ii+ts aprrtmenCt it you'gtlrpR4 *6 aprellmentr tho rtW mey rM Beep all arpflrto{.aeYp^wlcash d*VM"L SoP the rw w* We billitot-for 91161110111101110 n Mfoirsip�lt • .�in�I,ia r ll,_I 'nr rt�Il;lo e:rrx;�l aerbacnrll+rirei tarn lxslt� ra'dlrt rrrcn„ cn� vathcul ti*+h'rl�rnyaif,l r-, osneol. (:IW wIm tFapnrlam,'u+r;: !E' +,kovr�r4euii�ictloalr`.rl'-rnitlelndun:n:r:nlll_nharil+r•KrelaBainharl:ul,I�Ix:�rtylsvQsf" ontx�rr,:ldk+an, FIa1JeoTo planer • ba notsipn Rils.holae imprti+'e+�Rtcontraet li, blirnki�yvu ara anll�ed Ua a copy otthe eoalradl #Lt4tl:t111�,y0y eipll' �icop It.to"`�rrak+�tTslrr level ilphts.Tnls ht2ma irnptot'emept canlract rrslry eoMirlll a ttlnrtSegs s� atht'niao eseete ■ Uemorr,�elpr,pepplr�y that aauld be fomelosed.an It da arm piy.8 siltv,tlou,u emtend all prowWoea all the oontiu 1boloreyou rigs+ oil QIJ't il:` 11� ltiA � 21q 17 Al (d Gr. linlillfeill: n•nr l.LiS 01 '4ih1*+u+rw IN+JIRtI•tti V11121 LIOC12A Certificate of Product Ratinas AHRI Certified Reference Number: 201290216 Date: 10-10-2019 Model Status : Active Old AHRI Reference Number: 7942888 AHRI Type: RCU-A-CB Outdoor Unit Brand Name: RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RA1642AJ1 Indoor Unit Model Number (Evaporator and/or Air Handler) : RHIIT4821 STAN 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 RHEEM product is responsible for the rating of this system combination. Rated as follows In accordance with the latest edition of ANSI/AHRI 2101240 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 : 41500 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. Rallnqs that are accompanied by WAS indicile an involuntary re -rate. The new oublished ralino is shown atono with the DrWOUS (i.e. WAS) ratina. 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 dlsclRlms 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.chrldirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and AM confidential reference purposes. The contents of this Certlficate 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 INSMUTE The Information for the model cited on this certificate can be verified et www.anddtrectory.org, click on'Verlly Certificate' link uv make lire berler" 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.: t32151 634349o7t3275 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: Parcel ID: Account #: Map 1D: Use Type: Zoning: City/County: Ownership Florence D Wilson 8242 Maidencanc PI Pori St Lucie, FL 34952 Legal Description LAKE LUCIE ESTATES PLAT NO, ONE LOT 125 (OR 1207-107) Current Values Just/Market Value: $190,000 Assessed Value: $104,066 Exemptions: $76,000 Taxable Value: S28,066 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 of all exemptions, assessment caps, and special classincations. Taxes for this parcel: SLC Tax Collector's Office _, Download TRIM for this parcel: Download PDF 8242 MAIDENCANE PL 3426-703-0139-000-8 135745 34126S 0100 Planned Un Saint Lucie County Total Areas Finished/Under Air (SF): 1,838 Gross Sketched Area (SF): 2,384 Land Size (acres): 0.11 Land Size (SF): 4,849 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.