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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLI ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Cade 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 I I PROPOSED IMPROVEMENT LOCATION: _ I Address Legal Description: Lot No._ Block No. I DETAILED DESCRIPTION OF WORK: I Replace AC, exact change out with on, SEER, KW AC unit CONSTRUCTION INFORMATION: Additional work to be nerformed under this permit — check a apply: #VAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors 11 Electric Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: �-y- S Ft. of First Floor: Cost of Construction: $ I�00 Utilities: Sewer OSeptic Building Height: OWN ER/LESSEE: CONTRACTOR: Name Name: Dennis Zacek Address• Company: ARS American Residential Services City: State: Address: 2800 US Hwy 1 Zip Code: Fax: City: Vero Beach State: FL Phone No. Zip Code: 32960 Fax: E-Mail: Phone No.! Ya_ q - --Po-7 Fill in fee simple Title Holder on next page ( if different E-Mad�t SO I Ivan curs from the Owner listed above) State or County License: CMC1249753 iT value or conssruaion is >cauu or more, a 11MUMutu Notice of commencement is required. f SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: X Not Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: X Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: x Not Applicable Name: Address: City: 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 s _ Signature of der/ Lessee/Agent Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF s,c-de The frging instru as acknowledge ore me this I l/day of 20 y Dennis 2acek of person of NotAWPulgic- State of F Personally Known x OR Produced Identification Type of Identification Produced Commission No (Seal) STATE OF FLORIDA COUNTY OF si Lude The ing instr t as acknowledged Uefore me this day of 20 y 1 � . II .� ■%1I/� Personally Known X OR Produced Identification Type of Identification Produced 53 Commission No. i (Seal) F SUL! (VAN ,,:^ " COLEEN SULLIVAN `:= ray CQl:1M1S,3!0N it GG071535 •: P,4y colMAI Revised 07/15/2014 =. £XpyRFS E•��rua, as, 2021 ' EXPIRES Februa-y 09, 202i ur �i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Ir Makin Making it work. Installation Work Order Eat. Start Date Z-A-z (772)567-3100 Est. Completion Dalela� 2800 US Highway 1, Verb Beach, FL 32960 Corporate Cuslon Anwitran Residential Sorvicus of Florida, Inc. License A CMC 124 97f a Relations EC13008558 (866) 803.087£ CUSTDMELinn I EMA Q �, t CALL SUP AbbRESS riC....o G1 I _ _ 1 , r ICITj/S•�TCIYI? 7 HOME PHONE :'ELL P"oric K P1 WORrONE SIZE -TYPE t SIZE _ TYPE SIZE TYPE EFFICIENCY EFFICIENCY 2 S EFFICIENCY $ -. $ -=-U-33—co $ $ $ i 133 • ac $ $ $ 5GT $ SUBTOTAL $ SUBTOTAL $-2Scao •cam] _ SUBTOTAL $ � MONTHLY EST." $ — _ MONTHLY EST.' $ MONTHLY EST. • $ CUSTOMER INITIALS 1 IG CUSTOMER INITIALS .. CUSTOMER INITIALS Warranty:" I Parts 10—Labor Compressor - - Heal Exchanger Warranty," Parts Labor _ Compressor Heat Exchanger Warranty:' Parts La Compressor Heal Exchan• 'Suhiact to credit approval. Financing Provided by Gmensky Find interest rate of 6.99% for So months. Payment example assumes one -lime $7,500.p ao irdua approval date (APR 7.19%. mth 1 payment of $82.69, 5 payments of $43.99 and 54 smorlund payments of $1 a2 29. Payments assume Account Activation charge of $39 applins and is due vvi lust required poymant.Fixod interest rate of 9.99� fa 04 months. Payment example assumes one-time $7,58b purchase on opproval data IAPR 10.15%) wilh 1 payment of $101.44, 5 payments of $52 44, and 7a amonaed payments of $1 at 1 1 Payments assume Account Activation charge of $39 applies and is duo r list required paymenl. Flied mlerest rate of 9.99w for 12D montha. Payment example assumes ono lime $7,500 purchase on approval dale (APR 10.1 1 %) with 1 payment 0 $f 01,44, 5 payments of $62.44. and 114 amoditod payments of $102 13 Payments assume Account Activation chrup of $39 applie�ffsdm d with first required payment.Fiied mleresl tale of 9.91rc for 144 months. Payment example assumes one-time $7,500 purchase on approval date fAP 1 payment A $1 D1,44 5 payments of $62.44. and 138 amortized payments of $91.62. Payments assume Account Acliralion charge of S39 applies with foal required payment. "Unless otherwise noled, 95 wo ahtios are from thaamrwfaclurer ❑ Weatherproof onn t f o Equipment Slab ound Isolation Pads ❑ Liquid Tito Conduit ❑ S it n1 LL Dryer._ . (DRafrigurn. 5pel— Opd'w- Weconrmict H�Aefrgerant Pipe Cover ❑ Es!an Valveypet5ct to Existing r•.tngyl ew Plywood Dock SELECTED OPTION: ((t 02 Drain Line ❑ Dehumidifier SUBTOTAL er Kit ❑ 1 Outdoor Unit Pad I & Float) ❑Flue Venting Dmin Safety Switch ❑ Duclw ork Connactiona' ❑ Seal w Connect ns ❑ port Attic E ppmmnt up Pie ew Re nnect Blum Men ❑ New Reconnect ❑ Electronic Air Cleaner ❑ Media Filler ❑ PCO ❑ UV Light ❑ Hurriditior _ ❑ Connect to existing plenum ❑ Duct Modifications Isom Nolas for armpo at world ❑ Now Duct System ❑ No D Work yEtrical ing Wiring Service Plan - I Term 1364 days) Tifort Guarantee Myome Protection Guarantee Hour Service Guarantee El 1 OD% Unconditional Money -Back Guarantoo Q-OA $ f M. oa $ :.Z66 $ --567 • vL TOTAL $ ❑:0 ❑ CHECKtk - . CRz IT CARD ILAST 4Ital yap-lz EXPk2-S APPROVAL_ M'F)NANCING• 21/rnarrtAc A>.ZTk 'ARS is not responsible for preexisting dmleonrk. See Terms and Conditions on the back of this document for details. • Written customer authorization will be oblai%--A before beginning any unforeseen additional or extended work. • ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBIECTTO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, RL)RIDA STATU' • BUYER'S RIGHT TO CANCEL: This is a home solicitation sale, and If you do not want the goods ar services, you may cancel this ag 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 go or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement If you cat this agreement, the seller may not keep all at part of any cash down payment See the reverse side hereof for an explanation of this d • I acknowledge that my right to cancel has been explained to me orally and in writing, and without waning any right to cancel, I authonze the perfomlanc the walk, subject to all terns 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 slgr. Keep it to protect your legal rights. This home improvement contract may contaln a mortgage or otherwise create a lien on your prope That could foreclosed on If you do not pay. Be sure you understand all provision�olt stela 446��---Lo _CUSTOMER SIGNATURE COMPA E CUSTOMER SIGNATURE GATE GATT; 0 7019 A.-iran R, xk rgI.I Servlcss LLa All nahis ,esravna_ ARS1078 FL190124 L.190124 i Certificate of Product Ratin AHRI Certified Reference Number: 10359714 Date : 02-12-2020 Model Status : Active AHRI Type: RCU-A-CB Series: PERFORMANCE 17 AC 2-STAGE Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 24ACB73WO31" Indoor Unit Model Number (Evaporator and/or Air Handler) : FV4CN(B,F)003L 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 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 : 36000 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 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 Cenlf cation Program Participant is no longer producing BUT Is stlil selling or offering for seta. Rellnas that are eccomoanied by WAS Indicate an Involuntary ra rate. The new published rating is shown elorq with the previous (i.e. WA5)retina. 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.ahfldlrectory.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 users individual, 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.ehFidirectory.org, click on *Verify Certificate' link ne 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. C2020Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 13226M223948a°e10 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 Teresa S Horton 2508 Rolyat St Fort Picrcc, FL 34947 Legal Description SEMINOLE PARK SID BLK 2 LOT 19 (MAP 24119N) (0.24 AC) (OR 754- 1220) Current Values Just/Market Value: $76,700 Assessed Value: $21,995 Exemptions: $21,995 Taxable Value: so 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 of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collector's Office . Download TRIM for this parcel: Download PDF , 2508 ROLYAT ST 2419-601-0030-000-6 27502 24/19N 0100 Comm Otiic Saint Lucie County Total Areas Finished/Under Air (SF): 1,176 Gross Sketched Area (SF): 2,438 Land Size (acres): 0.24 Land Size (SF): 10,454.4 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.