HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ! J 0 Permit Number:
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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: boug I �
Legal Description: I' it V I L G
Property Tax ID #: M U—)--kp
Site Plan Name:
Project Name:
Setbacks Front Back: night Side
DETAILED DESCRIPTION OF WORK:
Replace AC, exact change out with on, I
Left Side:
SEER, 0 KW AC unit
Lot No.
Block No.
I CONSTRUCTION INFORMATION: I
NUUMUIIdI WUFK LU UC F1U1111CU UFMUF UM prrITIM— CI
+ AC Gas Tank ❑Gas Piping
U
au [n apply:
Shutters
Electric _ Plumbing Sprinklers L J Generator
Total Sq. Ft of Construction:
Cost of Construction:xu
S of First Floor: _ ]utilities.
Sewer 0 Septic
Windows/Doors
Roof Root pitch
Building Height:
OWN R/LESSEE:
CONTRACTOR:
Na:m
Name: Dennis Zacek
Address
Company: AIRS American Residential Services
City: State:
Address: 2800 US Hwy 1
Zip Code: l Fax:
City: Vero Beach State: FL
Phone No. Lq 3 IJ
Zip Code: 32960 Fax:
E-Mail:
Phone No.1 Yak— —7qL
Fill in fee simple Title Holder on next page ( if different
E-Mai�juf I iva- + a�v -
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: f
DESIGN ER/ENGINELK: x Not Applicable
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, wails, 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
_ s
Signature of Contra r/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF SrLude COUNTY OF St Lucie
The f r oing instr ftqt was acknowledge before me
this day of 2�by
Dennis Zaeek
person
of Not&WPL ic= State of
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No� l O (Seal)
The fp'going instr men was acknowledged before me
this day of 20;2D by
r, I . �i � 1►/III
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. 1 c� (Seal)
:. _•. rnLFF—N SULLIVAN .:a" :: GOLEEN SULLIVAN
ti, i �? 71535 MY COMMi
Revised 07/15/2014 3. y = r�Y co'•sh+ls.u�l oraa
+ o cXP1R a February 09. 2021 EXPIRES February 49. 2421
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
T T
EMM
Makin.
Making it work. Making
Work Order
(772)567-3100
2800 US Highway 1, Vero Beach, FL 32960
Amencnn Residential Services of Florida, Inc License tl C M-=1, 497E 3
EC13008558
Est, Start Date ZL Z 7
Est. Complellon pale V %Vcl
Corporate Customer
Re at'ons
(866) 803.0879
CU- MER - ti.rU y EMAIL
ADDCI 11� p
elL
ft
110LiE?BONE CELL E 2 Z -.
OPTION 1 OPTION 2
CALL 911121
W pit'
OPTION
xxx-
SIZES k TYPE GJ-1-1 1% e-6 SIZE TYPE -LE d L LD/(—
SIZE 2:6r�,_ TYPE
EFFICIENCY C' EFF1 C 1 `' r�L,r
--f-t- 4L ��$
EFFICIEN` c' t�
ram$
$—iy-1!] i 5
SUBTOTAL $ .-- _3_�— SUBTOTAL $ (�� cL _
, SUBTOTAL $ _
MONTHLY EST.' $_S�G�QQ_ MONTH EST.' $
MONTHLY T. $
CUSTOMER INITIALS CUST MER INITIALS
CUSTOM R INITIALS
Warranty:"T/-0 Parts .�iani,C- Labor Warranty:"I k3 Parts O2!� Labor
Warranty:"- i s�_ Parts _Cf=t4_ Labor
-L-b Compressor Heat Exchanger -/bCempressor Heat Exchanger
Compressor Heat Exchanger
'Subject to coedit approval. Financing Provided by Greensky- Fixed interest rate of 6.99% for 60 months. Payment example assumes ono -lima $7,500 purchase on
approval dale (APR 7.19%) with
I payment of $82.69, 5 payments of $43.69, and 54 amortized payments of $162.28, F(tymenls assume Account Activation charge of $39 applies and is due with
first required paymem.Fxed interest rate of 9,99% for 84 months. Payment example assumes one -lime $7,500 purchase on approval data (APR 10.15%) with
I payment of $101.44, 5 payments of $62.44, and 76 amortized payments of $131.11. Payments assume Account Activation charge of $39 applies and is duo with
first required payment. Fixed inferesl ralu of 9.99% for 120 months. Payment example assumes one-time $7,500 purchase on approval dale (APR 10.11 %) with
I payment of $ tO 1,44, 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 paymeriffixod interest rate at 9.99461or i44 months. Payment example assumes one-time $7,50o purchase on approval data (APR I o.o9%) with
t payment at $101,44, 5 payments of $62.44, and 138 amortized payments of $91.62. Payments assume Account Artivalron charge of $39 applies and is due
I with firsl required payment.
"Unless otherwise noted, all warranties are from the manufacturer.
SPECIFICS OF •UR INSTALLATION
❑ 3
❑ Weatherproof '&Reconnect Drain Line ❑ Dehumidifier
SUBTOTAL $
I Disconnect ❑ Ceiling Saver Kit ❑ Outdoor Unit Pad
fetime Equipment Stab (Pan & Float) ❑ Flue Venting
$ 3�
-- I �'ound
Isolation Pads Main Drain Safety Switch ❑ Ductwork Connections'
❑Liquid Tile Conduit tMal New Conneel'ons ❑ Connect to existing plenum
11 'D,S(�_$ i Q311
❑ Start Kit ❑ Support Allic Equipment ❑ Duct Modifications
,� Refrigerant LL Dryer— pSupply Plenum (son Notes for scope of work)
r��
TOTAL $
PRefrigerant Pipe ❑ NewERReconnect ❑ New Duct System
I—f—'
❑ New PReconnect Weturn Plenum ❑ No Duct Work
❑ Refrigerant Pipe Cover ❑ New [meconnect ❑ Fuel Piping
❑ Expansion Valve ❑ Electronic Air Cleaner _ ❑ Electrical Wiring
❑CHECK#
�Tstat -Type fir ❑ Media Filler ❑ Home Service Plan -���PIED
;A:H
nnect to Existing ❑ PCO _ 1 Term (364 days)
RDIT CARD (LAST 4#s) , -9
Electrical ❑ UV Light
❑ New Plywood Deck ❑ Hum' for
EXP .. - APPROVAL.
• GUARANTEES
i
FINANCING' -,.
�omlort Guarantee dome Protection Guarantee
24-Hour Service Guarantee )9100% Unconditional Money -Back Guarantee
•
,�� yam^ L }�
rt. (�. lJ �.' � 1 1�6�.'T YJ � ( `J�J A 1 64
1ARS is not responsible for prawist'ng ductwork. See Terms and Conditions on the back of this document for details.
• Written customer authorization w II 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 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. 11 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 acknowledge that my right to cancel has been explained to me oral y and In waling, and without waiving my right to cancel, I authorize the performance of
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 m r otherwise create a lien on your property
that outd be foreclosed on if you do not pay. Be sure you understand a ov tons f th contract fore you sign.
Z to ZC) - .
C 'TOMER SIGNATURE DATE C PA REPR ENi VE
CUSTOMER SIGNATURE DATE DdEL J
02019 Am i an Rnsklnmwl Servicre L.LC.All rights M.Nemird, ARS1107a F t +': r7n LIeo124 s.�,s
Certificate of Product Ratings
AHRI Certified Reference Number: 201852840 Date: 02-12-2020 Model Status . Active
AHRI Type : RCU-A-CB
Series: COMFORT 14 AC
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number {Condenser or Single Package) : 24ACC436A'030*
Indoor Unit Model Number (Evaporator and/or Air Handier): FMA4P36'*AL'
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, 10, IL,
IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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), btuh : 32800
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.50
t'Active' Model Status are those that an AHRI Certification Program Partcipant Is currently producing AND selling or offering for sale; OR new models that are being
marketed but are not yet being produaed'Produclion 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 bv WAS Indicate an Involunta re -rate.- The new Dublishad ratina Is h alonq with the Drevious fl.e,WAS tino.
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; disseminatad;
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, NEAANG,
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verlfled at www.ahridirectory.org, click on'Verify Certificate' link
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
42020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
& REFRIGERATION INSTITUTE
we make life better
132260047331669392
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Site Address:
Parcel ID:
Account #:
Map ID:
Use Type:
Zoning:
City/County-
Ownership
Jennifer L Burch
3201 Avenue J
Brooklyn, NY 11210
Legal Description
MILE LAKE VILLAGE BLDG 5 UNIT 4A
Current Values
Just/Market Value:
Assessed Value:
Exemptions:
Taxable Value:
$25,700
$25,700
s0
$25,700
Property identification
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.
'saxes for this parcel: SLC Tax Collectoes Office
Download TRIM for this parcel: Download PDF
13272 HARBOUR RIDGE BLVD 4A
4426-801-0036-D00-0
1I9367
44/26S
0400
Saint Lucie County
Total Areas
Finished/Under Air (SF):
Gross Sketched Area (SF):
Land Size (acres):
Land Size (SF):
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.