HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
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: 141Rn 11S6 f
Legal Description: 500615 j) lx
Property Tax ID #t: Lot No.
Site Plan Name: `l, Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace AC, exact change out with ton, SEER, KW AC unit
CONSTRUCTION INFORMATION:
AXdd"ono wor tobeperformed under this permit —check all apply:
HVAC Gas Tank 0Gas Piping in _ Shutters Q Windows/Doors
Electric 0 Plumbing 05prinklers El Generator F] Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ �, # utilities:11 Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name yy 11� A,�n Name: Dennis Zacek
Address: ��f� �S� `�S7_y_ _�, Company: ARS American Residential Services
City.- If %be, State.11.j Address: 2800 US Hwy 1
Zip Code: nI Fax: City: Vero Beach State: FL
Phone No,12' 4 i0" SOM 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 f
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: " Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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
commenciniz work or recording your Notice of Commencement.
��� �ar^*•�s s
_ Signature of O er/ Lessee/Agi rnt Signature of Contra r/License Holder
STATE OF FLORIDA
COUNTY OF sILude
The Jqrgoing instr t was acknowledge fore me
this day of 20 l
Dennis Zack
(Name of person acknowl dging }
.. . (2, (� �' r
j (Signature of Nota ic- State of Florida }
Personally Known x OR Produced Identification
Type of Identification Produced
Commission
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF 51Lucie
The forgoing instrument was acknowledge efore me
this day of _ [_,L�1 ,. 201Y by
Dennis 2acek
a ie of person acknowledging j
( ignature of Notary P to Fla da }
Personally Known x OR Produced Identification
Type of Identification Produced
# GG071535
EXPIRES February 09, 2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Certificate of Product Retinas
AHRI Certified Reference Number: 8215494 Date: 10-16-2019 Model Status : Active
AHRI Type. SP-A
Series: R410A AC SPP
Outdoor Unit Brand Name: PAYNE HEATING AND COOLING
Outdoor Unit Model Number (Condenser or Single Package) : PA4ZNA048000--1•
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 PAYNE HEATING AND COOLING product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSIlAHRI 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 (9517), btuh 47000
SEER: 14.00
EER (A2) - Single or High Stage (95F) :11.50
t"Active' Model Status are those that an AHRI Certification Program Participant Is currently produclng 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 oNad for sale.
Retinas that ere accom einled by WAS Indicate an involunlary re -rate. The new published reline is shown alone with the DreVlous (i.e. WAS$ ratlno.
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) Ilsted 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; copied; dlsseminated;
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 INsWLrtE
The Information for the model cited on this certificate can be vertfied at www.ahridirectory.org, click an *Verity Certipcate" link Nm rnake life better -
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 right.
02019Air-Conditioning, Heating, and Refrigeration Institute . CERTIFICATE NO.: 1321572766W23Mn
Property Identification
Parcel ID: 014088
Account Status: Open
City: Saint Lucie County
Identification #: 719520289884
Location: 14185 ISLA FLORES
AVE
Business Name: Lacicero,
Victoria
Business Type: 7195 - Sp Lks DBA: Lacicero, Carmen
Fairways Contact: Victoria Lacicero
State Code: 814190 - Mobile
Home Attachments
Ownership
Current Values
Lacicero, Victoria
Market Value:
14185 Isla Flores
$1,298.00
Fort Pierce, FL
Exemption Value:
34951
$0.00
Taxable Value:
$1,298.00
Return Received:
Not Yet Received
Penalty: None
Download TRIM
PDFL
Exemptions
Grant Exemption Exemption Description Exemption
Year Code Widows Exemption Value
4000 $0.00
Asset Group and Value
Asset
Value
MH Carport
$238.00
Asset
Value
MH CentralAC
$320.00
4.OT
Asset
Value
MH Main Area
$0.00
Asset
Value
MH Patio Cover
$79.00
Asset
Value
MH Screen Rm
$581.00
Vinyl Windows
Asset
Value
MH Util Rm 3
$80.00
Sides
Asset
Value
TotalAppraisedValue
$1,298.00