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HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Q—Q L4!@-O Permit Number:
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 i
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: I V It }! v t X xf,IJ I I J M
Site • / • 1 >1
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace AC, exact change out with 3 ton, J�JSEER, KW AC unit
Lot No._
Block No.
CONSTRUCTION INFORMATION:
itiona wor to e e orme under this permit — check all apply:
ffWAC Gas Tank Gas Piping _ Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator 11 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ U=
S Ft. of First Floor: _
Utilities: Sewer 11 Septic
Building Height:
OW ER/LESSEE:
CONTRACTOR:
�r
Name 1
Name: Dennis Zacek
Addr
Company: AIRS American Residential Services
City: State:
Address: 2800 US Hwy 1
Zip Code: Fax:
City: Vero Beach State: FL
Lit
Phone No. �'/J(n" C.Q 7La'
Zip Code: 32960 Fax:
E-Mail:
Phone No! 703k— -7a - 700.7
Fill in fee simple Title Holder on next page { if different
E-Mai�l„1� j�/CL49 Qi(S
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 0 er/ Lessee/Agent Signature of Contra r/License Holder
STATE OF FLORIDA
COUNTY OF stLucie
The fc o' g instr was acknowledged,�gfore me
this _day of 20p(�by
Dennis Zecek
a of person ackn i
.(SlgnWe of NotWP61516—State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission N (Seal)
STATE OF FLORIDA
COUNTY OF St Lutie
The Wring instru as acknowledged before me
this ay
of 20 by
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No. IS. (Seal)
5
>; SULLIVAN .►R''w . COLEEN SULLIVAN
'-'--MY COMME
TAY C0!..1w5�10N n GG077535
Revised 07115/20i4 1to,�t EXPIRES February 09 2021
T.M•�4
EXPIRES rehruary 09, 202I
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Installation Work Order Esl, Start Date
Making it work. Making It rig ht
! V
\(772)567-3100 Est, Complet on Date
2800 US Highway 1, Vero Beach, FL 32960 Corporate Customer
American Residential Services of Flnhicia, Inc. License it CMC12r4*,37,`t3 Relations
EC13008558 (B66) 603-0879
::USTOMER f EMAIL
CALL SLIP
ACIDTIESIN le
HdME Pit ONCE CELL PHO -
W RK PHONE -- --
OPTION I OPTION 2
OPTION
SIZE TYPE G SIZE TYPE
SIZE_ _TYPE
EFFICIENCY EFFICIENCY
_
EFFICIENCY
-
104 r $
$
$
SUBTOTAL $ SUBTOTAL $
SUBTOTAL $
MONTHLY EST.' $ J GUC MONTHLY EST.' $
MONTHLY EST'
CUSTOMER INITIALS --.--_ _ _ CUSTOMER INITIALS
CUSTOMER INITIALS
Warranty:"J Paris J Labor Warranty-." Parts Labor
Warranty:" Parts Labor
Compressor Heat Exchanger Compressor Heal Exchanger
Compressor _Heat Exchangur
'Subject to ctndil approval. Financing Provided by Graensky. Fixed interest Into of 6,99% for 60 months Payment example assumes one -lima $7500 purchase on
approval dale (APR 7.19%) with
1 payment of $62,69. 5 payments of $43.69 and 54 amodued paysnenls or $162 20. Paymanin assume Account Activation cAarga of $39 appftna and is duo with
first required payment Fired interest rate of 9,913% for 84 months. Payment example nsaumes one -lime $7,500 purchase on approval dale {APR 10.15%) with
1 payment of $10 1.44, 5 payments of $62 44, and 78 amortized payments of $131.1 I. Payments assume Account Activation charge of $39 applies and is due with
first required payment. Fixed interest rare of 9.99% for 120 months Paymonl example assumes one time $7500 purchase an approval dato (APR 10.1 1 %J with
I payment of $101,44, 5 payments of $62 44, and 114 nrnodized payments or $102 13. Payments assume Accui: il Act valion charge of $39 applies and is due
with NO required paymoni.Frxed inlarest rate :.I 9 99% for 144 months. Payment examplo assumes one -lime $7,500 purchase on approval date (APR 10.09%) with
1 paym,:nt of $101,44, 5 payments of $62.44 and 138 amortized paymcnls of $91,62. Payments assumo Account Acirvalion charge of $39 applies and is duo
with hr.t required payment.
"Unless otherwise noted, all warranties are from ihn manufacturer.
SPECIFICS OF •UR INSTALLATION
SELECTED OPTION: ❑ 1 ❑2 ❑3
❑ Weatherproof ❑ Reconnect Drain Line ❑ Dehumidifier
SUBTOTAL $
Disconnect ❑ Ce ling Saver Kit ❑ Outdoor Unit Pad
,ss,,,,
[*Lifetime Equipment Slab (Pan & Float) ❑ Flue Venting
$
❑ Sound Isolation Pads ❑ Main Drain Safely Switch IVDuclwork Connections'
❑ Liquid Tito Conduit ❑ Seal New Connections ❑ Connect to existing plenum
$
❑ Start Kit ❑ Support Attic Equipment © Duct Modifications
/r
❑ Refrigerant I_L. Dryer_ 4,Supply Plenum (see Notes far scope at work)
TOTAL $ QU }
❑ Refrigerant Pipe ❑ New 11peconnect ❑ New Duct System
❑ New ❑ Reconnect aRelurn Plenum *rNo Duct Work
❑ Refrigerant Pipe Cover ❑ New VIReconnect ❑ Fuel Pip ng
❑ Expansion Valne/V % ❑ Electronic it Cleaner _ . O Electr cal Wiring
❑ CASH ❑ CHECK#
�1-slat—Type ❑ Media Filter ❑ Home Service Plan —
❑ Connect to Existing ❑ PCO 1 Term (364 days)
❑ CREDITCARD (LAST 4#s)
Electrical ❑ UV Light
❑ New Plywood Deck ❑ Humidifier
EXP APPROVAL
•UR GUARANTEES
fi FINANCING'
omfort Guaranlee Noma Protection Guarantee
ry
24 Hour Service Guarantee 100%Unconditional Moncy-Back Guaranlee
NOTES
r
'ARS is not responsible for preexisting ductwork. See Terms and Conditions on the back of this document for delallr,.
• Written customer authorization will be obtained before beginning any unforeseen additional or extended work.
-ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBfECTTOTHE NOTICE AND CURE PROVISIONS OFCHAPTER 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 buslness 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 acknowledge that my right to cancel has been explained to me orally and in wr ling_ and without waiving my right to cancel. I author ze 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 mortgage or otherwise create a lien on your property
that could be foreclosed on if you do not pay. Be sure you understand all provisions of the contract before you sign.
y , �Q[^ _ iC3�I/
USTO R GNA RE1T DATE C MPANV EPRESENTATTOE
CUSTOMER SIGNATURE DATk DATE
Certificate of Product Ratinas
AHRI Certified Reference Number: 202717626 Date: 01-09-2020 Model Status: Active
AHRI Type: SP-A
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : 50ZPD036-*3"'•
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 10 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 ANSI/AHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning & Air -Source Heal Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing!
Coaling Capacity (A2) - Single or High Stage (95F), bluh : 35000
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.50
t"Active" Model Status are those that an AHRI Certificalion Program Participant Is currently producing AND selling or offering for sale; OR new models that are being
marketed but are not yet being produced.'Produdion Stopped' Model Status are those that an AHRI Certification Program Participant Is no longer producing BUT Is still
selling or offering for sale.
Retings_that are accomoanled by WAS Indicate an involuntary re-rale. The new published ralinq.is_shown elonq with the previous (i.e. WAS) ralinn.
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 AHRL 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; AM
entered into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's 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.ohridiFectory.org, click on *Verify Certificate" link xe make lire 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.
©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13223052495203111184
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
Donalo Tcrrigno
183 Beebe Run Rd
Bridgeton, NJ 08302
Legal Description
VENTURE OUT AT INDIAN RIVER INC LOT 923 (OR 3383-2026)
Current Values
Just/Market Value:
$177,900
Assessed Value:
$177,900
Exemptions:
$0
Taxable Value:
$177,900
Property taxes are subject to change upon
change of ownership.
• Past taxes are not a reliable projection of future taxes.
• The sale or n property will prompt the removal of all
exemptions, assessment caps, and special classifications,
Taxes for this parcel: SLC Tax Collectors Office .
Download TRIM for this parcel: Download PDF
10701 S OCEAN DR 923
4511-510-0I23-000-5
123829
45111 B
0200
Hutch Isla
Saint Lucie County
Total Areas
FinishedfUnder Air (SF): 776
Gross Sketched Area (SF): 807
Land Size (acres): 0.05
Land Size (SF): 2,131
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.