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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLEI FOr*MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: z?, (p lJ Permit Number: ti ia 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 PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: Legal Description: NARMNO Property Tax ID #- I j Site Plan Name: Project Name: Setbacks Front Back: Right Side I DETAILED DESCRIPTION OF WORK: Left Side: Replace AC, exact change out witKD� ton, _L�___SEER, ',,6 KW AC unit Lot No. Block N Haaitionai worx to oe Perrormea unaer tms permit — cnecK an apply: AC Gas Tank Gas Piping _ Shutters Q Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: 5q. Ft. of First Floor: Cost of Construction: $ � Utilities: Sewer OSeptic Building Height: OW/LESSEE: — Nam Addres ! r City: State: Zip Co eQx: Phone No. E-Mail: Fill in fee simple Title Holder on next page (If different from the Owner listed above) CONTRACTOR: Name: Dennis Zacek Company: AIRS American Residential Services Address: 2800 US Hwy 1 City: Vero Beach state: FL Zip Code: 32960 Fax: Phone No 17(31�— _7a E-MaiIL3` I1Vi Lf) 9 CLJCG 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: 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. s _Signature of O er/ Lessee/Agent Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF SlLude STATE OF FLORIDA COUNTY OF St Luce The foing instr was acknowled e� fore me The rgoing instr t was acknowledge efore me thisday of ` by this day of jZJby Dennis Zacek Dennis Zacek of person ackn i { p rson acknIm 11) )OA . re of Nat P 0 State of FloAda } otary orida Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced 120 0(Seal) Commission No. (Seal)Commission No StJLLIVAN :::a'•'�: •; GOLIrEN SULLIVAN P:INI4S5'.ON n GG071535 PAY COfJIAIII fly CO Revised 07/15,12014 = CXPIR�S Feb( 09 202" explR�S February 09 2021 y „ . REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Installation Work Order Est, Start Date- ZL A w (772)567-3100 Est. Completion Date •rr M• 2800 US Highway 1, Veto Beach, FL 32960 Corporate Customer Making it work ekrn9'1 right Ammican Residential Services of Florida, Inc Lieeris(e 0 CMC1249753, Relations . EC13008558 (866) 803.0879 CUSTOMER ADDRESS CALL SUP •.J— � o r � I 3 / GITYSIATGZIP O ` ��' HpME PHONE 4 C -LL PHONE 6WJRX PNpf,E u�- v SIZE*2�_o,y TYPE�r SIZE `TYPE SIZE TYPE EFFICIENCY IgScar EFFICIENCY .. EFFICIENCY $ $ $ $ $ $ SUBTOTAL $,0 SUBTOTAL $ _. SUBTOTAL $ MONTHLY EST." $ - MONTHLY EST.' $ _ ... MONTHLY EST.` $ _ CUSTOMER INITIALS CUSTOMER INITIALS - _- _ CUSTOMER INITIALS Warranly:­112iimLParts ne C Labor Warranty:". ---Paris— _—Labor Warranty:"__ - —Parts —_ Labor (� Compressor r �Y• Heat Exchanger __ Compressor Heat Exchanger Compressor —Heat Exchanger 'Subject to credit approval Financing Provided by Greonsky Fixed interest rate of 6.99% for 60 months. Payment example assumes ono -time $7,500 purchase on approval date (APR 719;0 with 1 payment of $82.69 5 payments of $43.69 and 54 amertRed payments of $162.28. Payments assume Account Activation charge of $39 applies and is due with liret roquuod payment -Fired interest rate of 9.994s for 84 months. Payment example essumm one -lime $7,500 purchase on approval dale (APR 10.15%) with r payment of $101.44 5 payments of $62.44 and 78 amortised payments of $131.1 1 Payments assume Account Activalion charge of $39 applies and is due with first required payment. Fixed interest rate of 9.99% for 12D months. Payment example nssumes one -lime $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.Feed interest rate of 9.991% for 144 months. Payment example assumes one time $7,500 purchase on approval date (APR 10.09%) with 1 payment of $101 44. 5 payments of $52 44, and r 38 amortized payments of $91.62 Payments asivimc Account Activation charge of $39 apphes and is due wilh lirst required payment "Unless othcrmse noted, all warranties are from Iho manufaclurer. • • • SELECTED OPTION: 1 02 03 Woalherproof "Mcconnccl Drain Line ❑ Dehumidifier r) ❑Ce S .,.rKit ❑C� t� U,tn SUBTOTAL $_ _ 'J Lifetime Equ pmenl Slab (Pan & Float) ❑ Flue Venting $ and Isolation Pads ❑ Main Drain Safety Switch ❑ Ductwork Connections' Liquid Tile Conduit f3'S`eal Now Connections ❑ Connect to existing plenum $ ❑ Start Kit 0 Support All r Equipment ❑ Duct Modifications 0 Refrigerant L.L. Dryer,... ❑ Supply Plenum (sou Notes for scope of work) TOTAL $ ffikefrigerant Pipe ❑ New ❑ Reconnect ❑ New Duct System ❑ New Plieconnect ❑ Return Plenum ❑ No Duct Work ❑ Refrigerant Pipe Cover ❑ Now ❑ Reconnect ❑ Fuel Piping MW ❑ Expansion Valve ❑ Electronic Air Leaner ❑ Electrical Wiring ❑ CASH ❑ CHECK# ,R<Stat—Type ❑ Media Filter _ _ ❑ Home Service Plan — onnect to Existing ❑ PCO .-_f Term (364 days) ❑ CREDIT CARD (LAST 4#s) .. Electrical O UV Light AMC. _Upew Plywood Deck ❑ Humid•fler MMME.J IEXP APPROVAL OUR GUARANTEES Comfort Guarantee ff ome Protection Guarantee ❑FINANCING' 4-Hour Service Guarantee ❑ �/ �r n V_ NOTES Sa IQ 1TIZ� vra'� Cd fc_ 4- I-ld-r l �Sb VrSi9 �4� r 'ARS is not responsible for preexisting ductwork. See Terms and Conditions on the back of this document for details, • Written customer authorization will be obtained before beginning any unforeseen additional cr 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 mall. 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 auk.gwledge that my right to cane: has been explained to me orally and -n writing, a,,d without waiving my right to canes'. I aAhonze the performance of the work, subl0ct to all terms and conditions set forth on the reverse side hereof, plus any laxf!s 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 foreclose n B you do not pay, Be sure you understand all provisions of the contract before you sign. 5T EH SIGN, DATE OMPANY RLPRE5ENTATN�-- �_ —2 —,, _fie 27 Ol18Tp"ER SIGNATURE DATE LATE — V20t9,mnre:auRnwdcniml5ehr,r4 LLC ARS1070 rt 11Y6tf4 t 1anr9d n,.r Certificate of Product Retinas AHRI Certified Reference Number: 202717623 Date: 02-M2020 Model Status : Active AHRI Type: SP-A Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package). 50ZPD024""•3•"• Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, 1D, 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 regions) for which they meet the regional efficiency requirement. The manufacturer of this CARRIER product is responsible for the rating of this system combinafion. Rated as follows in accordance with the latest edition of AHRI 2101E40 with Addendum 1, Performance Rating of Unitary Mr -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 : 22400 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 sate,• 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 selllnq or oNering for sale. Ratings that are acoamaanled by WAS indicate an involuntary re•rete. The new Published rating Is shywn along with the Drevlous (i.e. WAS) ratlna. 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 producl(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.uhridirectory.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-CONDITIDNING, HEATING, CERTIFICATE VERIFICATION 6 REFRIGERATION iN5TtTIlTE The Information for the model cited on this certificate can be verified at www.ahrldireetory.org, click On 'Verity Certificate' link ar 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 dghL — - ------ 02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132254074778128718 Michelle Franklin, CFA — Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: Parcel 1D: Account #: Map ID: Use Type: Zoning: City/County: Ownership Robert Show Denzil Joy Brown -Shaw 119 SE Camino ST Port St Lucie, FL 34952-2285 Legal Description RIVER PARK -UNIT 3- BLK 29 LOT 9 (MAP 34r12S) Current Values Just/Market Value: S141,400 Assessed Value: $98,I88 Exemptions: $50,000 Taxable Value: $48,188 Property taxes are subject to change upon change of ownership. • Past taxes are not a reliable projection or future taxes. • The sale of a property will prompt the removal or all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collecroes Office 0 Download TRIM for this parcel: Download PDF C 119 SE CAMINO ST 3419-515-0245-000.5 42311 34/22S 0100 RS4 Count Saint Lucie County Total Areas Finished/Under Air (SF): 972 Gross Sketched Area (SF): 1,975 Land Size (acres): 0.25 Land Size (SF): 11,000 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.