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HomeMy WebLinkAboutScanned from a Xerox Multifunction PrinterALL APPLI BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:po— 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 IMPROVEMENT LOCATION;. -
Address:
Legal Description:
Property Tax ID #: y Lot No.0
Site Plan Name: Block No.
Project Name:
Setbacks Front Back. Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace AC, exact change out with c�l ton, SEER, KW AC unit
ion 10 W—40
CONSTRUCTION INFORMATION: I
—c
FVAC U Gas Tank ❑Gas Piping
lectric E] Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction:
Shutters Windows/Doors
Generator El hoof Roof pitch
S Ft. of First Floor: _
Utilities:11Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name: Dennis Zacek
Addr s:
Company: ARS American Residential Services
City: State:,
Address: 2800 US Hwy i
Zip Code: Fax:
City. Vero Beach State: FL
Phone No 'TVZip
Code: Fax: _
E-Mail:
_32960
Phone No.— 70�— -7qL ' (?�
Fill in fee simple Title Holder on next page { if different
E-Maim ,sui I Yvan a ram;
from the Owner listed above)
State or County License: CMC1249753
It 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 your Notice of Commencement.
_ Signature of Weer/ Lessee/Agent Signature of Contra r/License` Holder
STATE OF FLORIDA
COUNTY OF StEud.
The f r oing instr t was acknowledged before me
this L day of 26L by
Dennis Zacek
of person
da ]
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No( L�S— (Seal)
STATE OF FLORIDA
COUNTY OF Sr burin
The forgoing instrument was acknowledged before me
this day of 20 by
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. 1 (Seal)
F SULLIVAN, ;:"�,•' , COLEEN SULLIVAN
'
tAy COMMIS3'ON K GG071535
fiA
•`: FAY COMM ISSIT3N T
Revised 07/15/2014 �: '•' .' awa FfXPIRES February M.262t
EXPIRES I---bruaiy 09. 2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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: 202540650 Date: 02-05-2020 Model Status : Active
AHRI Type: RCU-A-CB
Series: ELITE EL16XC SERIES
Outdoor Unit Brand Name: LENNOX
Outdoor Unit Model Number (Condenser or Single Package): EL16XC1-024-230A••
Indoor Unit Model Number (Evaporator and/or Air Handier): CBA25UHV-024-23V*
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 LENNOX product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1, Performance Radrig 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 : 240DO
SEER: 16.00
EER (A2) - Single or High Stage (95F) :13.00
t"Acdve' Model Status are those that an AHRI Certification Program Participant Is currently producing AND setting or offering for sale; OR new models that are being
marketed but are not yet being produced 'Produdon Stopped' Model Status are those that an AHRI Certification Program Participant Is no longer producing BUT Is still
selling or offering for sale.
Ratings that are accompanied by WAS indicate an Involuntary re -rate. The new oubliShed.mlinq is shown alorm with the previous (l,e. WA51 rating.
DISCLAIMER
AHRI does not endorse the products) listed on this CertMcate 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.ahrldirectory.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 pert, 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-Ci7NDmONING, HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.shridirectory.org, click on 'Verify Certificate' link we 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.
©2020Air-Conditioning, Heating, and Refrigeration Institute , CERTIFICATE NO.: 13225407DO13137049
Certificate of Product Retinas
AHRI Certified Reference Number: 202540571 Date; 02-05-2020 Model Status ; Active
AHRI Type: RCU-A-CB
Series: MERIT 16ACX SERIES
Outdoor Unit Brand Name: LENNOX
Outdoor Unit Model Number (Condenser or Single Package) : 16ACX-048-23OA"
Indoor Unit Model Number (Evaporator and/or Air Handier): C13A25UHV-048-230-•'
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 LENNOX product is responsitile for the rating of this system combination.
Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1, 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 : 47000
SEER, 16.00
EER (A2) - Single or High Stage (95F) : 12.00
1'Active' Model Status are those that an AHRI Certification Program ParWpant 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
selling or offering for sale.
Ratings that are accomnanied by WAS Indicate �an involunlary re -rate. The new published retina Is shown along with the previous (i.e. WASI 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 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
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the
directory at www.ahridlrectory.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-0ONDITIDNING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified at www.ahridirectory.oFg, click on 'Verify Certificate- link we aw ke life getter -
end 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 righL
C2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1322640795495"253
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
Anthony D'Innocenzo (TR)
Paula Elaine D'Innocenzo (TR)
8625 Tompson Point RD
Port Saint Lucie, FL 34986
Legal Description
TOMPSON POINT PUD AT PGA VILLAGE (PB 43-10) LOT 26
Current Values
Just/Market Value:
5406,900
Assessed Value:
$397,015
Exemptions:
$50,000
Taxable Value:
$347,015
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 or all
exemptions, assessment caps, and special elassincaiions.
Taxes for this parcel: SLC Tax Col[ector's Office '
Download TRIM for this parcel: Download PDF u
8625 Tompson Point RD
3327-704-0027-000-9
154147
33/34N
0100
Planned Un
Saint Lucie County
Total Areas
Finished/Under Air (SF): 2,669
Gross Sketched Area (SF): 4,739
Land Size (acres): 0.27
Land Size (SF): 11,761
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.
i