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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPL CrAB E I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: L 2JU Permit Number: S' J ' _' • Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 r Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential \ PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I PROPOSED IMPROVEMENT LOCATION: _ Address: Legal Description: Property Tax ID #: Site Plan Name:., �.0, ik . Project Namel;_a I AJ IJ\ I Y J Setbacks Front Back: Right Side: Left Side: Lot No. Block No. DETAILED DESCRIPTION OF WORK: I Replace AC, exact change out with on, I ISEER, KW AC unit CONSTRUCTION INFORMATION: Additional work to bfe]rtormed under this permit — check a apply'. XHVAC Gas Tank 0Gas Piping _ Shutters Q Windows/Doors Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch Total Sq, Ft of Construction: 5 Ft. of First Floor: Cost of Construction: $ _ _ _ Utilities:RSewer 0Septic Building height: OWNER/LESSEE: CONTRACTOR: NameJA Name: Dennis Zacek Address: Company: ARS American Residenlial Services City: State:, Address: 2800 US Hwy 1 Zip Code: I Fax: City: Vero Beach State: FL Phone No. — 70— 0 Zip Code: 32960 Fax; E-Mail: Phone No.-7 70-1— a [)% Fill in fee simple Title Holder on next page ( if different E-Maiu�%sui i ii/o aris 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 commencine work or recordine vour Notice of Commencement. _Signature of 0 er/ Lessee/Agent Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF $1Lucs The f wring inst was acknowledgeaby fore me this day of 20 STATE OF FLORIDA COUNTY OF Slt=e The fo Ding inst t was acknowledged before me The day of 20 a by Dennis Zack Denn.s Zack of person ackn i ( p rson acknml�) ( )OP eofNot Pu is -State of Fo da } otary Personally Known X OR Produced Identification Type of Identification Produced Commission N S (Seal) Personally Known X OR Produced Identification Type of Identification Produced Commission No. (Seal) .'�CQI.EFNSULLIVAN ; ; COLEEN SULLIVAN fAY CO°:1I141S�tON n GG071535 •: "� FAY COMMIS5 09, 2421 Revised 07/15/2014 3,A CKPkR1=S Fsurualy 69, 2 21 '�o,;L EXPIRES February REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ().70 0 - 1 1 work. Making it tight. Mak'ng S,9rm E 1>41 rz Installation Work Order Est. Start Date _ Af (772)567-3100 Est. Completion Dale IZ a j.,-y— 2800 US Highway 1, Vero Beach, FL 32960 Corporate Customer Ametiran Residential Services of Florida, 1st License * C W. 1 ?M17571, Relations EC13008558 1.1n * 1 190 crtiCX (866) 803-0679 C:ISTOMER EMAIL CALL SUP ADDRESS ({r _ '•j CITY F121 HQMEPHONE LL H Q 2� D WO RN PHONE OPTION I OPTION 2 OPTION E _9 W TYPE &knIC SIZE 3MIJ TYPEr -,,,- SIZE TYPE _ EFFIC CY EFFICIENCY r a&�LA &Q $ $ G[,- $�r 1w�,,,, — —04. XALS\11 JJ 1 _ - L_ $ SUBTOTALSUBTOTAL $� SUBTOTAL $ MONTHLY ESMONTHLY EST' $ MONTHLY EST' $ CUSTOMER I CUSTOMER INITIALS _ CUSTOMER INITIALS Warranty:" Parts . _ Labe Warranty;­-WAlic- Parts &Y, IK Labor Warranty:"_. _ Paris � Labor _Compressor Heat Exchanger !�W_—Compressor 0�Heat Exchanger _Compressor —_._Heat Exchanger 'Subieot to credit approval, Financing Provided by Groonsky. Fred interest rule of 6.99% for 60 months. Paymonl example assumes one-time $7,500 purchase an approval date (APR 719%) with 1 payment of $82.69, 5 payments of $43.69, and 54 amortized payments of $162.28 Paymonts assume Account Activation charge of $39 applies and is due with brat required payment.Fixed interest rate of 9.99% for 84 months Payment example assumes onetime $7,500 purchase on approval date (APR 10.15%) with 1 payment of $101.44, 5 payments of $62.44. and 78 amortized payments of $131 11. Payments assume Account Activation charge of $39 applies and is duo with first required payment Fixed interest rate of 9.99% for 120 months. Payment example assumes onetime $7,500 purchase on approval date {APR 10.11%) with 1 payment of $101.44, 5 payments of $62.44, and 114 amortized payments of $102.13, Payments assume Account Activation charge of $39 applies and Is due with first required payment.Fixed internal rate of 9.99% for 144 months. Payment example assumes one -lime $7500 purchase on approval date (APR 10.09%) with I payment of $101.44 5 payments of $62.44. and 138 amortized payments of $91.62. Payments assume Account Activation charge of $39 applies and is due with fast required payment. "Unless otherwise noted, all warranties are from the manufacturer • • SELECTED OPTION: ❑ 1 142 ❑ 3 Weatherproof ❑ Reconnect Drain Line ❑ Dehumidifier SUBTOTAL $ 5,000 Disconnect ❑ Ceil'ng Saver Kit ❑ Outdoor Unit Pad IkLifellme Equipment Slab (pan & Float) ❑ Flue Venting $ Sound Isolation Pads ❑ Main Drain Safety Switch ❑ Ductwork Connections' iquid Tile Conduit ❑ Seal New Connections ❑ Connect to existing plenum $ ❑ Start Kit ❑ Support Attic Equipment ❑ Duct Modifications ❑ Refrigerant L.L. Dryor Supply Plenum (lice Notes few scope of work ❑Refrigerant Pipe TOTAL. $ _-7non Reconnect ❑ New Duct System New�Jep ❑ New ❑ Reconnect vioIurnu❑ No Duct Work m ❑ Refrigerant Pipe Cover ❑ New KBeconnect ❑ Fuel Piping Expansion Valve ❑ Electronic Air Cleaner _ ❑ Electrical Wiring T slat -Typo !1�� ❑Media Filter ❑Home Service Plan - ❑CASH ❑ GH ECK#��` _ � ❑ Connect to Ex Ing ❑ PCO 1 Term (364 days) ❑ CREDIT CARD (LAST 4#s)r Electrical ❑ UV Light ❑ New Plywood Deck ❑ Humidifier EXP APPROVAL OUR,-. INANCING',s,F ❑ Comfort Guarantee ❑Home Protection Guarantee ❑ 24-Maur Service Guarantee ❑ 100% Unconditional Money -Back Guarantee �� Z yrzs 'ARS is not responsible for preexist'ng ductwork. See Terms and Conditions on the back of this document for Beta Is. • Written customer authorizat'on will be obtained before beginning any unforeseen additional or extended work. • ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUB1ECi"TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES. • BUYER'S RIGHT TO CANCEL: This is a home solicitation safe, and If you do not want the goods or services, you may cancel this agree- ment by providing written notice to the seller in person, by telegram, or by mail. This notice must indicate that you do not want the goods or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement. If you cancel this agreement, the seller may not keep all or part of any cash down payment See the reverse side hereof for an explanation of this right. • I acknowledge that my right to cancel has been explained to me orally and in writing, and wilheul waiving my right to cancel I authorize the performance of the work, subject to all terms and conditions set forth on the reverse s de hereof, plus any taxes upon completion. Notice To Owner - 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 rights. This home improvement contract may contain a mortgage or otherwise create a lien on your property that could be forecl_o f don if you do not pay. Be sure you understand a!I provisions of the contract before you sign. CU'Tl7MER51GNATURE DATE C PA REPRtSENTATIYE Z CUSTOMER SIGNATURE DATE DATE 02019 Amerienn Rnsidnnlisl Svrvii=LLC. Ali rights —Ned. ARS1078_FL�190174 L700124 Certificate of Product Ratinas AHRI Certified Reference Number: 7490503 Date: 12-31-2019 Model Status : Active AHRI Type: SIP -A Series : R41 OA AC SPP Outdoor Unit Brand Name : CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 50ZPC036--30" 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 effic,ency 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 210/240 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), bluh : 35000 SEER 14.00 EER (A2) - Single or High Stage (95F) - 1150 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 elling or offering for sale, tn titi 1 aruormmr ini2gWAS Ind le n Involunl re -rate. The new v Libl h-ad tinq is rhaven ia Iunq wishe reviou I e V�Ay tin . 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 Gut of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certiffcate, Certified ratings are valid only for models and configurations Ilsted in the directory at www.shridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal end 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, A=, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTtTI1TE The Information for the model cited an this certificate can be verified at www.ahridirectory.org_ click an 'Verify Certificate' link we make lire ieerter" 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 — - 132222676974940624 ©2019Air-Condition ing, Heating, and Refrigeration Institute i CERTIFICATE NO.: Property Identification Parcel ID: 003385 Identification #: 700520052266 Account Status: Open Location: 98 CALLE DE LAGOS City: Saint Lucie County Business Name: Howard, Charles Business Type: 7005 - Sp Lks DBA: Howard, Charles CC Contact: State Code: 814190 - Mobile Home Attachments Ownership Current Values Charles Howard Market Value: 98 Calle De Lagos $1,193.00 Fort Pierce, FL Exemption Value: 34951 $1,193.00 Taxable Value: $0.00 Return Received: Not Yet Received Penalty: None Download TRIM PDF Exemptions Grant Exemption Exemption Description Exemption Year Code Tangible Personal Value 2008 TPPX Property Exemption $1,193.00 Asset Group and Value Asset Value MH Awnings $72.00 Asset Value MH Carport $158.00 Asset Value MH CentralAC $240.00 3.OT Asset Value MH Florida $560.00 RoomR Asset Value MH Main Area $0.00 Asset Value MH Util Rm $163.00 Asset Value TotalAppraisedValue $1,193.00