HomeMy WebLinkAboutbuilding permitALL APPLI AB E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
S. ) w
•
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 I_
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: cc IOU',
L al Description: V TV flo (A %-(m ftnr) I I
131�1.750m-'Plm oun'(1-haa- In. ooffi�ffl eBm
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name:
TMbQM
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: I
Replace AC, exact change out with ton, SEER, �S KW AC unit
CONSTRUCTION INFORMATION:
it na wor to e e orme un er t Is permit— check all apply:
In
AC Gas Tank Gas Piping _ Shutters Windows/Doors
Electric 0 Plumbing Sprinklers El Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $
S Ft. of First Floor: _
Utilities: Sewer E]Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name
Name: Dennis Zacek
Address.
Company: ARS American Residential Services
Gityr L ;ia a:
Address: 2800 US Hwy 1
imp
City: Vero Beach State: FL
f
Phone No.
32960
Zip Code: _ Fax:
E-Mail:
Phone No..-1 70k 0-7
Fill in fee simple Title Holder on next page (if different
E-MaiQ-5Uf hVCLn aJrS
from the Owner listed above)
State or County License: CMC1249753
It value of construction is $Z500 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 S1Lude
The tarjoing instrrur t as acknowledge efore me
this day of . 2 by
Dennis Zacek
of person
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No S (Seal)
STATE OF FLORIDA
COUNTY OF Sitwtle
The f Ding instru ent was acknowledge efore me
this a day of 2 by
Dennis Zacek
(1fr
son ackno le ing )
Vbuk�otary orida
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
SULLIVAN ��'• COLEEN SULLIVAN
' 71535
EXPI
hdy CotnAISSION
Revised Q7/151241�# - : ��Y c°r'`rnis and a' GG4 ��T
"' EXPIRES l ei�tuaiy 49, 2021 !Fur'RrS F ES Februety 09, 2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
! .� `
Making it work.. Makin
g it nghl�
Installation Work Order
(772)567-3100
2800 US Highway 1, Vero Beach, FL 32960
American Residential Services of Florida, me License * CMC 1249753
EC 13(08558
Est- Start Dale
Est. Complet-en Dale
Corporate Customer
Relations
(866) 803-0879
Cl I: ICER
EMAIL
[ALL $LIP
ADP S t f C
CITYl5TATE7$IP
J
H:)ME PHONE
CELL ONL O
WORKPHONE
OPTION 1
OPTION 2
OPTION
SIZE xd�LTYPE gd.L, �.QA
SIZE_-_.. TYPE
SIZE— TYPE
EFFICIENCY _P K—& • _ klu' ' —
EFFICIENCY
EFFICIENCY
$ C-�te��—
$
$
SUBTOTAL $
SUBTOTAL $
SUBTOTAL $
MONTHLY EST' $ __.._
MONTHLY EST.' $
MONTHLY EST.' $ .
CUSTOMER INITIALS .� S
CUSTOMER INITIALS
CUSTOMER INITIALS _
Warr Parts (�`1��Labor
Warranty:" Parts Labor
Warranty:'_ Parts _ Labor
Compressor Heal Exchanger
Compressor - Heal Exchanger
Compressor Heat Exchanger
Subject to credit approval. Financing Provided by Grecnsky Fixed inleresl tale of 5 99Iti for 6o months. Payment example nssumes one time $7500 purclltiso on
approval dale (APR 7.19%) wilh
1 payment of $82.60, 5 payments of $43.69, and 54 amomred payments of $162 28. Payments assume Account Activation charge of $39 applies and is duo with
lust required payment Fixed interest rate of 9 99% for 84 months. Payment oxampto assumes one-time $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 $131.1 1 Payments assume Account Activation chargo of $30 applies and is due with
hTst required payment. Fixed iniatesi into of 9.99% for 120 months. Payment example assumes one-time $7,500 purchase on approval dale (APR 10.11%) wilh
I payment of $101.44. 5 payments of $62.44, and 114 amortized payments of $102.13. Payments assume Account AGrvalion charge of $39 applies and is due
with firel required payment, Fixed interest rate of 9.99%for 144 months. Payment example assumes one-time $7,500 purchase on approval date (APR I0.09rW.) with
1 payment of $101.44, 5 pnymenis of $62.44, and 139 amortiznd payments of $91.62. Payments assume Account
Act vation charge of $39 applies and is due
with first requited payment.
..Unless otherwise noted, all warranties are from the manufacturer
SPECIFICS OF +UR INSTALLATION
3
D OPTION; 01 ❑ 2..
❑ Weatherproof )9 Reconnect Drain Line ❑ Dehumidifier
ii❑
SUBTOTAL $ -
Disconnect p Ceiling Saver Kit ❑ Outdoor Unit Pad
ifelime Equipment Slab (Pan & Plant) ❑ Flue Venting
$ t Zc4
ound Isolation Pads ❑ Ma:n Drain Safety Switch Wuctwork Connections'
❑ L'quid Tile Conduit eal New ConnetA:onli ❑ Conned to existing plenum
$
❑ Start Kit ❑ Supporl Attic Equ;pment ❑ Duct Modifications
.193RolrZerant L.L. Dryer _,:E&upply Plenum (soo Notes for scope of work)
TOTAL $ , do
refrigerant Pipe ❑ New Reconnect 0 New Duct System
❑ New �Weconnecl P-Relurn Plenum 4;�No Duct Work
❑ Refrigerant Pipe Cover ❑ New Ameconnect ❑ Fuel Piping
❑ Expans'on Valve ❑ Electronic Air Cleaner ❑ Electrical Wiring
❑CASH ❑ CHECK#
W-utat -Type 4� � ❑ Media Filter ❑ Home Service Plan -
"�o-coto Existing ❑ PCO 1 Term (364 days)
CREDIT CARD {LAST 4#s1ZZa
Electrical ❑ UV Lig
❑ New Plywood Deck ❑ Hu • ifier _
EXP _ APPROVAL
OUR GUARANTEES
❑ FINANCING'
❑ Comfort Guarantee ❑ Home Protection Guarantee
❑ 24-Hour Serv:ce Guarantee ❑ 100% Unconditional Money -Back Guarantee
•
ISG_-� 44 ZO—
I V S I 3
t_uj
'ARS is ncI respons'ble for preexisting ductwork. See Terms and Conditions on the back of this document for details.
• Written Customer authorization will be cobtatried before begirinmg any unforeseen additional or extended work
• ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 550, FLORIDA STATUTES,
• BUYER'S RIGHT TO CANCEL: This Is a home solicitation sale, 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 paymenL See the reverse side hereof for an explanation of this right
• I acknowedge that my right to cancel has been explained to me orally and in w -ung, and wilhoul waiving my right to cancel, I authorize the performance of
the work, subject to all terms and conditions set forth on the reverse side 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 conta a or otherwise create a Ilan on your property
that c Ild be foreclosed agAiiee do not pay. Be sure you uTee
nd r is s If the o re you sign.
r - -
CUSTOMER SIGNATURE OAT C ANY RE IVc
CUSTOMER SIGNATURE
0 20$9 Amrrican Residemlial Servers LLC. All tfehta rnserwd.
DATE
ARS10713-1'LJOW24 L.19D124
DA E
B256
Certificate of Product Ratings
AHRI Certified Reference Number: 202717768 Date: 01-10-2020 Model Status: Active
AHRI Type: SP-A
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Package) ; 50VL`D30"'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 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 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 (95F), btuh : 28600
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'Production Stopped' Model Status are those that an AHRI Certification Program ParUcipent is no longer producing BUT Is still
selling or offering far sale.
Rati�nyr_that ere accompanied by WAS Indicate m Involuntary re -rate. The new published Wing is shown alorw with Iha previous fl.e. WAS! rating.
DISCLAIMER
AHRI does not endorse the product(s) listed an 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.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; 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.
CERTIFICATE VERIFICATION
The information for the model cited an this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate' link
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.
02020Air-Conditlonfng, Heating, and Refrigeration Institute
CERTIFICATE NO.:
A=
AIR-CONDMONING, HEATING,
6 REFRIGERATION INSTITUTE
we- make life better'"
132231745492908301
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
Christine Ford
Marvin Ford
Karla Stonham
26-24 GRIFFITHS DR
PARIS, ON N31. 4C5
CANADA
Legal Description
NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 1375 AND
PRO-RATA SHARE IN COMMON ELEMENTS (OR 230-92: 919-2019
AND 2021: 3856-2432)
Current Values
Just/Market Value: $134,600
Assessed Value: S134,600
Exemptions: so
Taxable Value: $134,600
Property taxes are subject to change upon
change of ownership.
Past taxes are not a reliable projection of 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 :.I
Download TRIM for this parcel: Download PDF ❑
1375 NETTLES BLVD
4502-501-1562-000-5
121147
45/021
0200
Hutch Isla
Saint Lucie County
Total Areas
Finished/Under Air (SF): 812
Gross Sketched Area (SF): 925
Land Size (acres): 0.04
Land Size (SF): 1,761
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
® Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved.