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HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: !i) 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: Add Legal Description: Property Tax ID #: 1 U a T Upt `1 J r Site Plan Name: � L 01 Project Name: Ql_ Setbacks Front Back: Right Side: DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with on, F-14y, A-1 0- 1 Left Side: SEER, )0 KW AC unit Lot No. Block Na. CONSTRUCTION INFORMATION: itio wor to e e orme under t-checkispermit a apply: HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors Electric 0 Plumbing Sprinklers Q Generator L1 Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: aGTCost of Construction: $ Utilities. Sewer OSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name ti Name: Dennis Zacek Address: Cm 0 Company: ARS American Residential Services City: �— State: JT, Address: 2800 US Hwy 1 Zip Code: ax: City: Vero Beach State: FL Phone Noi Zip Code: 32960 Fax: E-Mail: Phone No _1 7a` r a - �0-7 Fill in fee simple Title Holder on next page (if different E-Mail�0,l1 I i Vti" QirS frnn the Owner listed above} Stale or County License: CMC1249753 It value of construction is SZ500 or more, a RECORDED Notice of Commencement is required. U.PPLEM t TAL-CONS,TRUGTION.'LIE.N .{AW INFQRM TC r" 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 Horne 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 00vderl Lessee/Agent Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF s+eeae The f �(ng instr ent wa acknowledged before me this �t�tiay of 20 LO-by STATE OF FLORIDA COUNTY OF S+Luce The forgoing instrument w s acknowledged before me this day of� 20 20 by Dennis Zacek Dennis Zacek of person ackn i ( p rson ackno le Ing j 1h11 )OA e of Nat P ic- State of Flo da j otary orida Personally Known x OR Produced Identification Type of Identification Produced Commission N 9— (Seal) Personally Known x OR Produced Identification Type of Identification Produced Commission No. ! (Seal) .� •rni r-FN SULLIVAN :�►":.•' : GDLEEN SULLIVAN ?9,•' .:. -__ PAY CUADAI Revised U7/15/2014 r�` cor:ih4iS��43N n �,fap73535 ,., g+ EXPIRES i-bruaiy G9. 2021 ro.�i� EXPIRES February 09 202 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS A-% -4i F ..• Making it work. Mpkin g it right, !NO Installation Work Order (772)567-3100 2800 US Highway 1, Vero Beach, FL 32960 American Residential Services of Florida. Inc. License M CMC 1249750 EC 130011558 Est, Start Date 3_20-zoZf Est. Completion Dale3_?AD--2-A= Corporate Customer Relations (866) 803.0079 CUSTOMER ( V 17 4 ' EMAIL CALL SLIP . ADDRESS T CITYlSTAT JZIP ° ° cc, t3Dg�L k,lej Lear Ft HOMEPHONE��x^6q�- '499 CELLPHONE^1-1Z-$ol-Io-4� ' WORK PHI; E SIZE4.yapt_TYPE aQfi. SIZEJ TYPE -CffR=f SIZE TYPE - EFFICI CY _ * 1b-g&L— EFFICIENCY J-4-Ur( EFFICIENCY $ z $ $ —$... IAk% $��i s$ $ 1 $ ii $ $��p} Ac SUBTOTAL $ SUBTOTALT.' MONTHLY EST' $ MONTHLY EST.' $ INITIALS CUSTOMER INITIALS CUSTOMER INITIALS r_ Parts y.r_ Labor Warranty:" S�3fParts eLabor Warranty:"Parts Labor pessor iO.�We Exchanger -.Compressor IQ,r Heat Exchange Compressor Heat Exchanger 'Subject to cradil approval. Financing Provided by Gruensfry. Trod interest into of 6,99%lot 6D months, Payment example assumes ona-lsme $7,500 purchase on approval date (APR Z 19%) wish 1 payment of $82.69, 5 payments of $43.69, and 54 amortized payments of $162.28. Payments assume Account Activation charge of $39 applies and is duo with lirsi required payme.nLFxed interest rate of 9.09% for 84 months. Payment example assumes one-time $7,500 purchase on approval date (APR to 15%) with I payment of $101.44, 5 payments of $62.44, and 78 amorlized payments at $131.1 I. Payments assumo Account Activation charge of $30 applies and is due with first required payment. Fixed interest rate of 0,99% for 12D months. Payment example assumes one-unru $7,500 purchase on approval date (APR 10.11%) with t payment at $101.44, 5 payments of $62.44, and 114 amortized payments of $102. Q. Payments assume Account Activation charge of $30 applies and is due with first required payment, Fixed inler(ist rate of 9.99% for 144 months. Payment example assumes one-time $7,500 purchase on approval data {APR 10 09%) with 1 payment of $101.44, 5 payments of $62-44, and 138 amorlued payments of $91.62, Payments assumo Accounl Activation charge of $30 applies and is duu with first required payment. "Unless otherwise noted, all wananlias are from the manufacturer. + • + SELECTED OPTION; 1 92 03 -OWealhorproof JeReconnect Drain Line ❑ Dehumidifier SUBTOTAL $ Disconnect JVCeiling Saver Kit 0 Outdoor Unit Pad Lifotime Equipment Slab (Pan & Float) ❑ Flue Venting $ ❑ Sound Isolation Pads ❑ Mahn Drain Safety Switch El Ductwork Connections' ,l Liquid Tito Conduit F1 Seal New Connections ❑ Connect to existing plenum i $ _ ❑ Start Kit XSupport Attic Equipment ❑ Duct Modifications ❑ Refrigerant ILL Dryer ❑ Supply Plenum (son Was for Scapa of world . TOTAL $ �.J . ► Refrigerant Pipe ❑ New ❑ Reconnect ❑ New Duct System ❑ New 13 Reconnect ❑ Return Plenum ❑ No Duct Work ❑ Refrigerant Pipe Cover ❑ New ❑ Reconnect ❑ Fuel Piping _ _ ❑ Expansion Valve ❑ Electronic Air Cleaner ❑ Electrical Wang i ❑ CASH CHECK# fit T-stat -Type �J:St ❑ Media Filter 0 Home Service Plan - f4 Connect 10 Existing © PCO 1 Tenn (364 days) ❑ CREDIT CARD (LAST 4#s) .. Electrical ❑ UV Light ❑ Now Plywood Deck ❑ Humidifier EXP APPROVAL OUR GUARANTEES VComforl Guarantee JZf Home Protection Guarantee ❑ FINANCING" IZd24-Hour Service Guarantee ❑ 100%Unconditional Money -Back Guarantee SaNrnzz t7uCT,5 CFREF-J Cal It e,+ 0--ce.K NO I r't,51}a t 1 [ b 'ARS s not responsible for preLx1sling duclwgrk Sea Terms and Conditions on the back of this document for detai3s. • Written customer authorization wik be ablaned bi4we beginning any unforeseen additional of 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. 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 Thal my right to cancel has been expla.ned to me orally and in wriling, and wahtrul wasving my right to cancel, I authorize the performance of the work, subject Ie c11 terms and conditions set forth en the reverse side hereof, plus any laxes 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 an if you do not pay. Be sure you understand al ovisions of the contract before you sign. CU AIRSI AT DATE MWANY REP.4r yENTATNC ^" _ 19.7ozo CUSTOMER SIGNATURE DATE DATE Certificate of Product Ratinas AHRI Certified Reference Number: 9824465 Date: 01-14-2020 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) : 24ACC448A'030' Indoor Unit Model Number (Evaporator and/or Air Handier): FB4CNF048L 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, Rl, SD, UT, VT, WA, WV, W1, 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 ANSIIAHRI 2101240 with Addenda t 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: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 43500 SEER: 14.00 EER (A2) - Single or High Stage (95F) ;11.50 t'Aclive' 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 be rig produced'Production Stopped' Model Status are those that an AHRI Cartircation Program Participant Is no longer producing BUT is still selling or oifering for sale Rat ngs thatCODntpaitied by WAS indicate an Involuntary re -rate. The new published rating Is shown -along with the.previous (i.e. WAS) rat no. 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 unauthorised alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www, ahridirectary. c rg. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and Ak 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, personal and confidential reference. AIR-CONOITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org, c11ck on "verily Certificate' fink ui 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. — ©202OAir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132234880812242646 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 David G Kujala Mary Jo KuJala 5006 Sunset Blvd Fort Pierce, FL 34982 Legal Description INDIAN RIVER ESTATES -UNIT 07- BLK 47 LOT 17 (MAP 34/02N) (OR 1930-1685) Current Values Just/Market Value: 5161,400 Assessed Value: $91.382 Exemptions-. 5.50,00 Taxable Value: $41,382 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 FviIl prompt the removal of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tux Collector's Office Download TRIM for this parcel: Download PDF 5006 SUNSET BLVD 3402-608-0247-000-2 37338 34102N 0100 RS-4 Count Saint Lucie County Total Areas Finished/UnderAir (SF): 2,016 Gross Sketched Area (SF): 3,876 Land Size (acres): 023 Land Size (SF): 10,000 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.