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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLIC BLE I MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: FO O 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: l I Legal Description: Property Tax ID ff U',4- - CilA W LJ — W Lot No._ Site Plan Name .� U rcan Block No. Project Name:5 �;o 0 U0 o Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with (S)b0n, SEER, U KW AC unit CONSTRUCTION INFORMATION: tt� na wor to orme under this permit �- c ec a apply: VAC f] Gas Tank Gas Piping _ Shutters ❑ Windows/Doors Electric 0 Plumbing Sprinklers Generator 11 Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor - Cost of Construction: $ li'm� Utilities- 0 Sewer 0 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: Dennis Zacek Company: ARS American Residential Services Address Address.. 2800 US Hwy 1 City: State: City: Vero Beach State: FL Zip Cade: Fax: Phone No. E-Mail: Zip Code: 32960 Fax: Phone No..17cA- -7q `_0Ca_7 Fill in fee simple Title Holder on next page { if different E-Mad-ls(ji i ►van o ads - 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: I 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 51Lucia The fgrgQing instquc�� was acknowled�fore me this day of �� 2 y STATE OF FLORIDA COUNTY OF stLoca The oing instr t was acknowledge b ore me this, day of 20 � y Dennis Zecek Dennis Zacak of person ackn i { p rson ackno le ing j e of Not Pu ic- State of Flo da Vkn&Cbl^otary orida Personally Known x OR Produced Identification Type of Identification Produced Commission No (Seal) Personally Known x OR Produced Identification Type of Identification Produced y Commission No. i (Seal) .�•;" rni r-F—:N SULLIVAN COLEEN SULLIVAN • PAY COF:1MIS 1,oN GG071535 •__ MY COMAI 5 Revised 07/15/2014 n y EXPIRES February 09. 2027 iKPIRES P..bruar 09, 2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 14-1&1-4Installation Work Order Est. Start Date MWzD • ! (772)567-3100 Est. Completion Date �rt.-O/W 2$00 US Highway 1, Vero Beach, FL 32960 Corporate Customer Making I right American Residential SelvlLas of Florida, Inc. License N CMC 1249753, Relations Making it Nork' EC13008558 (866) 803.0879 gAWME11— I i -ram t a I EMr' 6&-r-- _ A _ ---r- Zf—) � _ _ .. GA-51JP SIZE �F -,TYPE GJt-hie' SIZE - ry TYPE ',fiLfulilZ SIZE2-, , TYPE EFFICIE Y - �r F CIE icwt } [t'� t. EFFICIENCY O'j;- k (PLC $ v4 C � $ # A �k jjt ­ $ _.� SIC C-cF_+ $ -�- 1C-LDS----$t�2i iS. _f;j Chu. $ _ I .� ( ` '. $�-- SUBTOTAL $ SUBTOTAL $_�p_rJ �t� SUBTOTAL $`t MONTHLY' ST.' $ ��T3. MONT EST ' $ MONTHLY EST.' $ th W y CU5 ER INITIALS CU OMER INITIALS -CUSTOMER INITIALS W.n-Compressor nly."_ Parts � Labor Warranty." .- Parts •d � ,, Labor Warranty:" T Parts . Labor ______Heat Exchanger ,(Compressor Heal Exchanger Compressor Heat Exchanger 'Subject In credit approval. Financing Provided by Groerisky. Fim:d iniorost rnte of 6.99% for 60 monit-n. Payment example assmni•s one-time $7,500 purchase on approval date (APR 7.19%) with 1 payment of $82.69. 5 peymenla of $43.69, and 64 anr_rtuod paymoi•Is of $162.2B. Payments assuira Account Activation charge of $39 apption and is duo with first required payment -Fixed interest rate of.9.99% for 84 months. Payment axsmple assumes one•t+me $7,60o purchase on approval dale {APR 10.15%) with 1 payment of $101.44. 5 payments of $62.44. and 78 amorl¢nd payments of $131.11. Payments assume Account Activation charge of $39 applies and is due with first required payment Fixed interest rate of 9.99% for 120 months. Payment axamplu assumes one-time $7,500 purchase on approval dale {APR 10.1 1 %) with I paymonr of $101.44 5 payments of $62.44, and 114 nmoftized payments of $102. 13. Payments nsxumu AG�ounl ALimalfon charge of $39 applies and its duo with first required payment.Fired interest rate of 9,99% for 144 months. Payment examplo assumes one-time $7,500 purchase on approval date (APR 10.09%) with I payment of $101.44., 5 payments of $62.44, and 138 amortized payments of $91.62, Payments assume Account Activation chargo at $39 applies and is due with first required payment "Unless otherwise noted, all warranties are Irom the manulaclu ur SPECIFICS OF •UR INSTALLATION SELECTED OPTION: ❑ 1 ©2 03 ❑ Weatherproof }Reconnect Drain Line ` ❑ Dehumidifier SUBTOTAL $ Disconnect ❑ Ceiling Saver Kit ❑ Outdoor Unit Pad i ifelinle Equipment Slab (Pan & Float) ❑ Fluo Venting ' � �`� $ J— F3bund Isolation Pads ain Drain Safety Switch �uctwork Connections' 1 ❑ Liquid Tito Conduit et5l3eal New Connections ❑ Connect to existing plenum $ ❑ Start Kit ❑ Support Allic Equipment ❑ Duct Modifications Refrigerant L.L. Dryer Supply Plenum (sae Notes inr scope at work( _ TOTAL $ f�L� Refrigerant Pipe 13 Now )513econnoct © New Duct System ❑ New �Weconnecl tWelurn Plenum WNo Duct Work ❑ Refrigerant Pipe Cover ❑ Now Reconnect ❑ Fuel Piping ❑ Expansion Valve 1pq-stat -Type =❑ ❑ Electronic Air Cleaner Media Filter ❑ Electrical Wir'ng ❑ Home Service Plan - ❑ CASH ❑ CHECK# onnecl to Ex'sling [IPCO 1 Term (364 days) ❑ CREDIT CARD (LAST 4#s) // Efeclncal ❑ UV Li h New Plywood Deck ❑ H idifier EXP . _ _ APPROVAL ` 'FINANCING' 9I�1(-6 n::=, L.. ;omfort Guarantee ome Protection Guarantee ram' 4-Hour Sory ce Guarantee T`100% Unconditional Money -Back Guaranlee Z VS 0161f ) O5-8 t1.t l�ra LI C r it v S k i S _ � �� 'ARS s -A responsit a for preexisting duclwork. See Terms and Conditions on the back of this document for details. • Wnticri customer a,iiitarization wt. be obtained before beginning any unforenvvn additional or extended wotk. • ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, 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 payment. See the reverse side hereof for an explanation of this right. • I acknowMdge that my right to cancel has been explained 10 me orally and in wr'ting, and without waiving my tight to cancel, I authorize the performance at the work, s-bject 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 property j11atuld be la an if you do not pay, 8e sure you understand a[1 revisions of .c tract befor yousign. .1oec 2. IC3 DATE NY RE ESE VE-,"N CUSTOMER SIGNATURE DATE D a2019AmedrAnRneideniolSnivicesILL ,r ANrialuare"Nnd. ARS10711 FL I130124 �_11013124 897.6 Certificate of Product Ratings AHRI Certified Reference Number: 9489533 Date. 01-07-2020 Model Status : Active AHRI Type: RCU-A-CB Series :14 SEER AC Outdoor Unit Brand Nome: PAYNE HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : PA14NC030'0"A' Indoor Unit Model Number (Evaporator andlor Air Handler) : FB4CNF030L Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ. NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, Wl, 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, 2015 central air conditioners can only be Installed In regions) for which they meet the regional efficiency requirement. The manufacturer of this PAYNE HEATING AND COOLING product Is responsible for the reting of this system combination. Rated as follows in accordance with the latest edition of ANSUAHRI 210l240 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 : 28200 SEER :14.00 EER (A2) - Single or High Stage (95F) :12.00 t"Aclive" Model Status are those that an AHRI Certification Program Participant is currently producing AND se - ng 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, Rali a that are accom anied by WAS Indicate an involuntary re -race. The new published rallno Is shown along with the previous (i.e. 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.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 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-001101TIONING, HEATING, CERTIFICATE VERIFICATION 6 REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.shridirectory.org, click on 'Verity Certificate" fink xti make life bertcr` 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 02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1322287N021732&M 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 Thomas James Jordan Jr 5406 E Seminole RD Fort Picrce, FL 34951 Legal Description LAKEWOOD PARK•UNIT4- BLK 25 LOT16 (MAP 131115) Current Values Just/Market Value-. $206,800 Assessed Value: $206,800 Exemptions: $50,000 Taxable Value: S156,800 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 of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collector's Office : Download TRIM for this parcel: Download PDF o 5406 E SEMINOLE RD 1301-604-0016-000-6 841 13/11S 0100 RS-4 Count Saint Lucie County Total Areas Finished/Under Air (SF): 2.920 Gross Sketched Area (SF); 4,904 Land Size (acres): 0.3 Land Size (SF): 13,071 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.