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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLIIjABLE I O M/U`SST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:eJ ICU v Permit Number: COUNTY F..: L. .Q..-R''l, t3 y BuildingPermit Application Planning and Development 5ervices 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: Property Tax ID #: KJII I Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Lot No.�� Block No. DETAILED DESCRIPTION OF WORK: I Replace AC, exact change out with on, onai wom to de nertormea �AC 0 Gas Tank Electric E] Plumbing Total Sq. Ft of Constructio Cost of Construction: $ unaer tors permit — ci Gas Piping Sprinklers SEER, KW AC unit aPPiY: _ Shutters Q Windows/Doors Generator 11 Roof Root pitch S Ft. of First Floor: _ Utilities.n Sewer O Septic Building Height: OWN ER/LESSEE: CONTRACTOR: NameMa Name: Dennis Zacek {{11 Address: V v . Company: ARS American Residential Services City: State: Address: 2800 US Hwy 1 Zip Code: Fax- City: Vero Beach State: FL Phone Na. q'09U9 Zip Code: 32960 Fax: E-Mail: Phone No..I Ya C)% Fill in fee simple Title holder on next page (if different E-Mai�U1 I IV� a�is 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 commencing work or recording vour Notice of Commencement. Signature of O er/ Lessee/A,ent Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF S1Lude The oing instr as acknowledge ore me this day of 20 _ y Dennis 2acek [Fiof person ackn if 46ign`atbPfe of NotWPuUfic= State of Florida j Personally Known x OR Produced Identification Type of Identification Produced Commission No (Seal) STATE OF FLORIDA COUNTY OF S+Lucia The forgoing instr m was acknowledged before me this day of 2U��by Dennis f 1 ril 1 1, APi A " 7iid Personally Known x OR Produced Identification Type of Identification Produced Commission No. (Seal) rill e SULLIVAN COLCEN SULLIVAN T.7Y CO".1h�tS� tJN tt GQ0 7tsa5 pm cor�lrnts5 rr Revised 07/15/2014 n 1 ;,;; EXPIRES February 0� 2021 +.�•�.�d?�;� C:XPIRES F_l�ruary 49, 202 ;e REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 1�,� work. Makin making it SIZE2—t&-^-_TYPE u+ t" r EFFICIENCY Pl--, Jq. ,L' d JL r o r $ /Le&+, Cr- SUBTOTAL $� OO Installation Work Order (772)567-3100 2800 US Highway 1, Vero Beach, FL 32960 American Residenlial ',c V.cr ; r,f Fterlda, Inc License # CMC 124075 EC 13008558 Est. Start Dale 4 Est. Completion Date Z (O Corporate Customs Relations (866) 803-0879 SIZE TYPE _ 'SIZE.- TYPE EFFICIENCY _ _ EFFICIENCY 13TOTAL $ .-. SUBTOTAL $ MONTHLY EST.' $ MONTHLY EST." $-- - MONTHLY EST.- $ _. CUSTOMER INITIALS CUSTOMER INITIALS ..._ CUSTOMER INITIALS Warranty:" Parts Labor Warranty:" Parts Labor Warranty;" Paris Lab Compressor —Heal Exchanger Compressor _ Heal Exchanger Compressor —., —Heat Exchang• 'Subject to credit approval. Financing Providod by Groensky. Fixed intesesl rate of 6.99% for 60 months. Paymenl example assumes orie-limo $7,500 puichnso on approval dale (APR 7,19%) with I payment of $92.69, 5 payments of $43.60, and 54 amortized payments of $162 28 Payments assume Account Activation charge of $39 applies and is duo will first required paymenl.Rxed interest rate o1 9,99% for 84 months. Payment example nsc Imes one-time $7.500 purchase an approval date (APR 10 154) with 1 payment of $1 OL44. 5 payments of $62.44, and 78 amortized payments o1$izI 111 Payments assume Account Activation charge of $30 applies and is due we rirsl requited payment. Fixed interest ralo of 9.99% for 120 months, Payment example assumes one -lima $7500 purchaso on approval date (APR 10.11%) with 1 pnymonl of $101,44. 5 payments of $62.44, and 114 amortized payments of $102.13. Payments assume Account Activation chargo of $39 applies and is due with first required paymenl.Fixed interest rate of 9,9996 for 144 months. Payment examp a assumes one lime $7,500 purchase on approval date fAPR 1 oo9%) will 1 payment of $101.44, 5 payments of $62.44, and 138 amortized payments of $91.62. Paymenla assumn Account Activation charge of $39 applies and is duo wilh first toquired payment. "Untosa olticrwiso noted, a6 warranties ase from the manufactwor. ❑ Weatherproof 1-Impeconnect Drain Line ❑ Dehumidifier Disconnect ❑ Ceiling Saver Kit ❑ Outdoor Unit Pad ALifelime Equ'pment Slab (Pan & Floal) ❑ Flue Vonling Wound Isolation Pads ❑ Main Drain Safety Switch ?92uctwork Connections' i❑ Liquid Tito Conduit %Seal New Connections ❑ Connact to existing plenum ❑ Start K'1 ❑ Support Attic Equipment ❑ Duct Modifications ;p Refrgoranl ILL. Dryer _1Supply Plenum (goo Noma for scope of woiQ ;RRefrrgerant Pipe ❑ Now P-Reconnect ❑ New Duct System ❑ New Reconnect P:Return Plenum { Wo Duct Work ❑ Refrigerant Pipe Cover ❑ New Weconnect ❑ Fuel Piping ❑ Expansion Valy ❑ Electronic Air Cleaner _ ❑ Eleclr cal Wiring ��- at at Type ❑ Media Filter ❑ Home Service Plan — onnect to Existing ❑ PCO 1 Term (364 days) Electrical ❑ UV Light _ - J ❑ New Plywood Deck ❑ Humtrt.fter ❑ Comfort Guarantee ❑ Home Protection Guarantee ❑ 24-Hour Service Guarantee ❑ 100% Unconditional Money -Back Guarantee -44,-z0- c�s F I L/9k ;s j` r. � c SELECTED OPTION: ❑ 1 02 03 SUBTOTAL $ 3 r! �.ti TOTAL $ O C l ❑ CASH ❑ CHECK# fp CREDIT CARD (LAST 4 #s) �';L�a O EXP?/Y APPROVAL /CIE ❑ FINANCING• 'ARS is not responsible for preexisting ductwork. See Terms and Conditions on the back of this document for details. • Wntlen customer authorization will be obtained before beginning any unforeseen additional or extended work, • ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTI • 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 afire 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 goc or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement. If you can 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 rfg • I acknowledge that my right to cancel 4m been explained to me orally and in wnting, and without waiving my right to cancel, I authorize the performance 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 contain a mortgage or otherwise create a lien on your proper that could be foreclosed on If you do not pay. Be sure you understand a ov Ions th pChlract bef a you sign. CUSTOMER SIGNATURE bAT +' A EPR AC —A CUSTOMER SIGNATURE DATE DAIL 0 70 10 Amnriran Residuniud Services LLC. All uphia resnrmd. ARS1076.1'L-19-124 L190124 Certificate of Product Retinas AHRI Certified Reference Number: 202717623 Date: 02-12-2020 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 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 2101240 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 : 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 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. Ralinus that are accornPanled by WAS Indicate an Involuntary re -rate. The new Dublished retire( Is shown alono with the orevious (ire. WAS) 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.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 CertMcate 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-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectury.org, click on'Veflfy Certificate' link we make lire Exuer` and enter the AHRI Certilled 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 02020AIr-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 13226002MG270369 Property Identification Parcel ID: 1007446 Identification #: 600020111971 Account Status: Open Location: 5500 ST LUCIE BLVD City: Saint Lucie County Business Name: Road Runner Travel Resort Business Type: 5000 - DBA: Road Runner Travel Services Resort Contact: Marilyn Minix State Code: 721211 - RV (Recreational Vehicle) Park Ownership Current Values Road Runner Market Value: Travel Resort $323,381.00 5500 Saint Lucie Exemption Value: By $25,000.00 Fort Pierce, FL Taxable Value: 34946 $298,381.00 Return Received: Not Yet Received Penalty: None Download TRIM PDF Exemptions Grant Exemption Exemption Description Year Code Tangible Personal 2008 TPPX Property Exemption Asset Group and Value Asset Value Arcade $298.00 Machines- 8 yr Asset Value ATM Machines- $461.00 8 yr Asset Value Exemption Value $25,000.00