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HomeMy WebLinkAboutScanned from a Xerox Multifunction PrinterALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1P Permit Number: 61 Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierre 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 IMPROVE ENT L CATION: Address: //yy Legal Description: �l: - C am A,2)(3fd Property Tax ID ti: - D - Lot No. Site Plan Nam Block No. Project Name: Setbacks Front Back: Right Side: Left Side: 'DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with 13 ton, SEER, KW AC unit CONSTRUCTION INFORMATION: Additio.nal work to be ertormed under this permit - c ec HVAC Gas Tank ❑Gas Piping a apply: Shutters ❑ _ Windows/Doors Electric Plumbing Sprinklers [ Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ b Utilities:Sewer El5eptic Building Height: OWN RAESSEI<: CONTRACTOR: Name Name: Dennis Zacek Addres Company: ARS American Residential Services Address: 2800 US Hwy 1 City: v( State: Zip Code: Fax: City: Vero Beach State: FL Phone No. 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 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 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 glans, 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. )Z� � s Signature of O er/ Lessee/A.grnt Signature of Contra 66 r/Licens`e Holder STATE OF FLORIDA COUNTY OF s+Lucie STATE OF FLORIDA COUNTY OF StLude The fo going instru e t was acknowledg efore me The forgoing instru ent was acknowledged before me this day of 20�by lthis�dayof NM 20 by Dennis Zacek Dennis Zacek V of person ac owledgi ) ame of person ack owledgi g ) qmo� ignature of Notary u ic- State of Florida) Signature of Nota tc- State o Florida ) Personally Known x OR Produced Identification, I Personally Known x OR Produced Identification T Type of Identification Produced Type of Identification Produced Commission No. ti (Seal) Commission No. (Seal) Revised 07/ 15/2014 ' .. MY COMMISSION # GG071131 ';4 my COMMISSION # GiG071535 EXPIRES February 09, 2021 E�CpIRES February 09. 202. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Retinas AHRI Certified Reference Number: 9543716 Date: 11-12-2019 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) : 24ACC436A'030' Indoor Unit Model Number (Evaporator andtor Air Handler) : FB4CNF036L 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 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 ANSI/AHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning Sr 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 : 33000 SEER: 14.00 EER (A2) - Single Gr High Stage (95F) :12.00 t'Active' Model Status are those that an AHRI Certification Program Particlpant Is currently producing AND selling or offering for sale; OR new models that are bung 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 sWi selling or offering for sale. Ratings that are accompanied by WAS indicate an Involuntary re -vale. The now published ralinn Is -shown atonq with the previous (i.e. WAS) ratno 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 products) 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 unauthorised alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.ahrldlrectory.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 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.uhridliectury.org, click on `Verify Certificate' link t.e make life better" 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.: 132180514682045177 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 Robert Dawson Virginia Dawson 41 Potter Dr Belleville, MI 48111 Legal Description NETTLES ISLAND INC, A CONDO -SECTION 1 PARCEL 143 AND PRO- RATA SHARE IN COMMON ELEMENTS (OR 3I61-2804) Current Values Just/Markel Value: $270,800 Assessed Value: $270,800 Exemptions: s0 Taxable Value: $270,800 Property taxes are subject to change upon change of ownership. • Past taxes are not a reliable projection of future taxes. • The sale of a property will prompt the removal of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collectors Office Download TRIM for this parcel: Download PDF C. 2143 NETTLES BLVD 4502-501-0146-000-6 119745 45102B 0100 Hutch Isla Saint Lucie County Total Areas Finished/Under Air (SF): 1,513 Gross Sketched Area (SF): 2,242 Land Size (acres): 0.05 Land Size (SF): 2,054 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.