HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFtOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I� c)IIi`l Permit Number:
� M1 -
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 K
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: of
Legal Description: 90r+C> f1{' Sh'e — 2h2. �Q — t
Property Tax ID #: 1,3Q —5 Da — _0 DO -Ca
Site Plan Name: LKDti
Project Name: LOi
Setbacks Front Back: Right Side: Left Side:
Replace AC, exact change out with ,�3 ton, SEER, 10 KW AC unit
Lot No.�
Block No.
Aaaitionai worK to oe errormea unaer finis permit — cnecK an apply:
OHVAC 11 Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
Electric 0 Plumbing Sprinklers El Generator Roof Roof pitch
Total Sq. Ft of Construction: 11 II S Ft. of First Floor:
Cost of Construction: $ '::63 54k Utilities:n Sewer O Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name I l
Name: Dennis Zacek
Address:
Company: AIRS American Residential Services
City, Pt ��'�� State: fil,
Address: 2800 U5 Hwy 1
Zip Code:34q 5 f Fax: —
City: Vero Beach State: FL
Phone No. -
Zip Code: 32950 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:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Name:
Address:
Address -
City:
City:
Zip: Phone:
Zip: Phone:
l 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 ermit holder to build the subject structure
which is in conflict with any applicable home Owners Association rules, bylaws or andpcovenants 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/Agent Signature of Contra r/License Holder
STATE OF FLORIDA
COUNTY OF si Lude
The forgoing instrument was acknowledged before me
this , day of 20 _by
Dennis Zacek
( ^e of person ack wiedging }
45 naEure of Notary-Public-3ta-e of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. Dl 15 (Seal)
STATE OF FLORIDA
COUNTY OF St Lurie
The forgoing Instrument was acknowledged before me
this day of 20 by
Dennis Zacek
oolers owledging ) n i404---
ignature of No u ic- tote of lorida )
PersonaEly Known x OR Produced Identification
Type of Identification Produced
Commission No. I� 1,53G (Seal)
MY COMMI5510N # GG071535 `- MY COMMISSION # GG071535
Revised 07/ 15/2014 + a.R EXPIRES February 09, 2021 '_,;; EXPIRES February 09. 2021
REVIEWS
FRONT
COUNTER
PLANS
VEGETATION
REVIEW
MANGROVE
REVIEW
ZONING
REVIEW
SUPERVISOR
REVIEW
REVIEW
SEA TURTLE
REVIEW
DATE
COMPLETE
INITIALS
Installation Work Order t•, N
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d SELEETEDOPttON
❑VVeelhorp,oO[ IneelDminLinn ciUnhwnidifiru. SUBTOTAL >! c1J
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over Kit tl MIduw Unit Pad
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, Solely Swrrrli L7 Due:leRH[ C+(.,14e1:i X1l1
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t 7 tool [j �1p��{ nnn[t �I�Nnv DuGI SyILUHtt
ew ecann, ct etten Pten ❑ Nn Duct.Wa,L
K
n1 Pipe Cover 0 New qnGennecl ❑ Fuul Plpi,tp
n Valve GT Elaclmnie M C7lwger O EIIM.tt (Rt Wlnng C] CASH ❑ CHEe KNpvA y ^ p Nedra Elba ❑ Hon.+Scim Plan -
o Expiring QPCO _ I Tonn IauA doyfl ❑ CREUIT:CARD tLAST Aasl
E6clrical OUVUght _
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ANY. NOTICE AND CURBPR&AWNSOFCHAPTER MB.F1.Oglp(�STAIUTEB.
• t��IYEWS RIGHT TO CANCEL ,This Is a home sa.li+dtitlon sate, and If You do riot W nt the goads or services, You may ranee! this agme-
men! toy prooyjding written notice to Hroseller In person, t teQram, or by mail. Tit sl *k4 mustind&s that you do notwant Ow goods
or.semki.; and must ha delircled or paatmadied Valero mhfnigM of the thQ business day afteryau sign thb agreement. "you canal
Ilth agreement, the seller may not keep all or part of any call down paymeni. 'Srw the ravono side hejeol lot an explanation of NAa tight•
I a4i�ra+ kluge tlrll my ngl ! Io rarlrN' a� I7m n nxrflRmnd.la ma a1y at4d in NWli* and without waning my nght to cwA I euOr m the pMWamame cl
lice wo*. sutijaet to al leans enr! r.rsdiiror4s tall lbnh on the fevcrse aide harof,plug mY leies upon rnmpicl on..
NoHee:To Owner • Do not sign <ftEs home impmvement eonlrad Ili 61an1i .You aro entitled to a CM.ot the conlred at the lime you 91Qn.
ITeep II to protect yw► legal rights{Thb home lmp►aermant cankratt maY contain o awrtgage or otherwise create a Ilan on your property
that could be foreclosed on II you o net pay. 8e sure you waders.end aif prolii'aions et Igo.
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r SOrb Arrrv,ry llMY)••Il.r rNwy Ll AI'IpMd mn'r,nl. AFi'11tga;rL.l,Hl171. L.IHe1Li 67la
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: 201779994 Date : 11-25-2019 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) : 24APB636A'030'
Indoor Unit Model Number (Evaporator and/or Air Handier): FV4CN(B,F)003L
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 ANSVAHRI 210/240 w" Addenda 1 and 2, Performance Rating of Unitary
Air-Conditloning & 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 : 33600
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.00
f*Active" Model Status are those Ihal an AHRI Certification Program Partle pant is currently producing AND sel: ng 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 stilt
selling or offering for sale.
Retinas that are aceomoanied by WAS indicate an Involuntary re -rate. The new published retina Is shown alone with the orevious (i.e. WAS) rallno.
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 conflguratlons listed In the
directory at www_ahrldirectury.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
S REFRIGERATION INSTffUTE
The Information for the model cited on this certificate can be verified at www.ahrldlrectory_org, click on "Verify Certificate' link
we ,,,eke life better"
and enter the AHRI Certified Reference Number and the date on which the cart8lcate was Issued,
which is listed above, and the Certificate No., which Is Ilsted at bottom right
- 1 -
02019Air-Conditioning, Heating, and Refrigeration Institute
(CERTIFICATE NO.:
t3219174G6118858802
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
Wayne S Winston
Susan G Winston
6262 Arlington WAY
Fort Pierce, FL 34951
Legal Description
PORTOFINO SHORES -PHASE TWO- (P9 43-33) LOT 77 (OR 4107-2179)
Current Values
Just/Market Value:
$153,300
Assessed Value:
$153,300
Exemptions:
$0
Taxable Value:
$153,300
Property taxes are subject to change upon
change of ownership.
• Past taxes are not a reliable projection or future taxes.
• The sale or a property will prompt the removal of all
exemptions, assessment caps, and special classifications.
Taxes for this parcel: SLC Tax Collector's Office ❑
Download TRIM for this parcel: Download PDF t
6262 Arlington WAY
1312-502-0068-000-6
154523
13/12N
0100
Planned Un
Saint Lucie County
Total Areas
Finished/Under Air (SF): 1,513
Gross Sketched Area (SF): 2,304
Land Size (acres): 0.14
Land Size (SF): 6,011
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.