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HomeMy WebLinkAboutBuilding permitALL APPLI E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: M 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 IM ?JROVEMEN LOCATION: Address: Legal Description: T4i'� IM im4 et-nv) Property Tax ID Lot No. Site Plan Name: 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: Adft'onal wor to e ertormed under this permit -check all apply: HVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors 11 Electric El Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor; Cost of Construction: $ Utilities: Sewer OSeptic Building Height: OWN ERAESSEE: CONTRACTOR: T� Name Name: Dennis Zacek Address R Company: AIRS American Residential Services City: State-ELAddress: 2800 US Hwy 1 Zip Code Fax: City: Vera Beach State: FL ttss[[rr .t f Phone Na [�l i al (} Zip Cade: 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 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 O er/ Lessee/Agent Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF SILvis STATE OF FLORIDA COUNTY OF sl Luce The f oing ins t was ackriowledgedftefore me The f going ins was acknowledgei1by fore me this day of 2pby this day of 20 D nnls Zacek Dean s Zacek ( a e of person ackn wl gi. } (Na son acknowledg' g ) ( ignature of Notary blic- State of iorida) (Signature o Notary Publ. - tote of Florida Personally Known X OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No.mm (Seal) Commission No. (Seal) Revised 0711512 i MY COMMISSION # GG071535 _ s ANY COMMISSION # GG071g35 EXPIRES February 09, 2021 };o,� •' EXPIRES February O9, 2021 REVIEWS FRONT COUNTER PLANS REVIEW VEGETATION REVIEW SEATURTLE REVIEW MANGROVE REVIEW ZONING REVIEW SUPERVISOR REVIEW DATE COMPLETE INITIALS Lai ROOTF� Installation Work Order Eat. start Date 11-12-11 1 �72)5137.31 OD Est. Completion Data R-, j9:1 800 US Highway 1, Vero [leach, FL 32060 Corporate Customer Antnrtltut ftasldenlhtl SnMCM of Flargfa, Inc Limnse 0 CMC 19411711KI Relations CC 13000fi9N (806) 803.0870 EaAAiL D CALL 11lrP us�E Aooncrzs tabn CRYlS1ATCIZIP , c L !{ 2 HOMEfMipNE CELL IT IpNE ` wo"RPHONE OPTION I OPTION 2 OPTION SIZE /!TYPE _ _ a l SIZE TYPE SIZE TYPE EFFICIENCY _IL S fie EFFICIENCY EFFICIENCY $ $ $ ALL- ttuDL&$ $ $ $ $ $ $ SUBTOTAL $�S.rZ SUBTOTAL $ SUBTOTAL $ MONTHLY EST.• $ MONTHLY EST.` $ MONTHLY EST.' $ CUSTOMER INITIALS CUSTOMER INITIALS CUSTOMER INITIALS Warranty:" `Parts _o,necL—Labor Warranty:" Parts Labor Warranty:" Parts Labor fCompressor A I Hoat Exchanger Compressor —Hnal Exchanger Compressor Heat Exchanger 'Surbjrrce to aredd approval. RwCktg Prrnded by Grecm4y. Food Wdemal min of 6.99% Inv 50 months. Payment example assumes one•fium $7,500 ptrehsse on approvat dais (APR 7.19%) with 1 payment of $02.69. 5 paymanis of $43,69, and 64 ananbM peymenls of S 162 21L Payments assume Account Acfirelion duvgo of $30 •pones and is due with rash required peymenlF:ed interest rain of 9.99% for 64 months. Payment elampb assumes ana-low $7.500 pmchaae on oppuovol Me (APR to. 15%) wdh I payment of $101.44, 5 rcy icnls of $62.44. and 7e amodbad la of $131.11. PaymrnW assume Account Acrips 4ratim dof $30 appin and is due with h Food iNamsl No 9.99% for 120 $7,500 dale (APR 10.11%) it raqurrod payment. of months. ostmpto assumes owlime purchase an approval with f payment of $101.44, 5 psymmts of $52.44, and I I A amorlued payments of $102.13 Payments "some Account Achlratbn charge of $39 apples and is due wrah first required paymentFixed ndo of 9.09% for 144 menthe. Payment example nw vie$ onalme $7.500 pweiuso on approval data (APR 10.09%) with I payment of $ I a 1.44. 5 payments of $0144, and 130 mWalmd payments of $01.62. Payments nsune Account Activation tltorga of $39 app6m and is duo with first required paymonl. "Ihdaaa tNhsrwi$a rorad a1 warrardiea are hem She mmutdacfurm. SPECIFICS OF •UR INSTALLATION NMECTED OPTION: ❑ 1 In 3 Weatherproof 0econneci Drain Line ❑ Dehumidifier SUBTOTAL $ Disconnect ❑ Ceiling Saver IGI ❑ Ouldoor Unit Pad �Lifetirne Equipment Slab (Pan 6 Float) ❑ Flue Venting $ ❑ Sound Isolation Pods 0 Main Drain Safety Switch ❑ Ductwork ConnectiorW OLiquid Trte Conduit 0 Seal New Connections ❑ Convert to existing pk;nun $ ❑ Start Kit ❑ Support Attic Equipment 0 Duct Modtiications 13 Refrigerant LL. Dryer lace— O Supply Plenum lace Nate$ for Dope of word TOTAL $ jnefrigeranl Pipe ❑ New ❑ Reconnect ❑ Now Duct System ❑ New P01econnect ❑ Return Plenum ❑ No Duct Work ❑ Refrigerant Pipe Cover ❑ New ❑ Reconnect ❑ Fuel Rrping p Expansion Valve ❑ Elecircttic Ak Cleaner_ ❑ Electrical Wring ECKtY p CASH CI CZAWSTAft) A'T•atal —Type �it s+i' ❑ Media Filter ❑ Service Home Plan — fdConnect to &sling ❑ PCO 1 Term (364 days) CREDIT CARD Electrical ❑ UV Light 0 New Plywood Dock ❑ HumidCor EXP APPROVAL OUR GUARANTEES ❑FINANCING' Comfort Guarantee Momo Protection Guarantee 024•Hour Service Guarantee ❑ Can�rfS/t%/ LG a TARS is not responsible for proexisting ductwork See Tema and Conditions an the back of this docurnenl for delailL • Written customer authorization A be oblainod before beginning any unforeseen addlional of extended work. • ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TOTHE NOTICEAND CURE PROVISIONS OFCHAPTER 558, FLORIDA STATUTES. • BUYER'S RIGHT TO CANCEL: This Is a home solicitation solo, and If you do not want the goods or services, you may cancel this agree- ment by providing mitten notice to The sailer In person, by tologram, or by malt This notice must indicate that you do not want the goods or services mad must be delivered or postmarked before midnight of the third business day after you sign this agreamenL If you cancel this agreement the seller may not keep all or part of any cash down payment Son the reverse side hereof for an explanation of this righL 'I SCIM ledge that my right to cancel has been explained to me txally and in vmling, and without waiving my right to cancoL I authorize the performance of the work subteet to Of terms era canditions sot forth on the reverse side hemol, phis any taxes upon completion, Notice To Owoor • Do not sign this home Improvement contract In blank. You are entitled to a copy of the contract at the time you sign. Keep it to protect your legal rlghts.Thls home Improvement contract may contain a mortgage or otherwise create a lien on your property that could be foredo6 d on it y u d not pay. Be sure you understanda"ES of the contra fo n. AA I Cu9n]M �91otrATURE DATE ...{..,. o.:favq,m o~ MI6 99114..01041, Jr a Certificate of Product Ratings AHRI Certified Reference Number: 202717626 Date; 12-12-2019 Model Status : Active AHRI Type: SP-A Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 50ZPD036-3— Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, 1A, 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 regions) 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 ANSIVAHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heal Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), bluh : 35000 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 producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced `Productlon Stopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT Is still selling or offering for sale. ail that are accompanied bv WAS indicate an Involun re to The new published rating Is shown alona with the previous (i.e. WAS raft . 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 configurations listed In the directory at www,ahrldlreclory.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, AM 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.ahridifectory.org, click an 'Verify Certificate` link µe 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. 02019Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132206469276603844 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Site Address: Parcel ID: Account #: Map ID: Use Type: Zoning: City/County: Ownership Tropical Isles Co-op Inc 281 Tropical Isles Cir Fort Picnic, FL 34982 Legal Description TROPICAL ISLES (OR 2786-2163) UNIT G-05 Current Values Just/Market Value: Assessed Value. Exemptions: Taxable Value: S20,000 S 17,569 SO $17,569 Property Identification 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 Collector's Office:: Download TRIM for this parcel: Download PDF L, 481 HEMING WAY TER G-05 3410-508-0158-000-9 172680 34/1 ON 0005 Planned Un Saint Lucie County Total Areas Finished/Under Air (SF): 0 Gross Sketched Area (SF): 0 Land Size (acres): 0.13 Land Size (SF): 5,662.8 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. ® Copyright 20I9 Saint Lucie County Property Appraiser. All rights reserved.