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HomeMy WebLinkAboutScanned from a Xerox Multifunction PrinterALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: PY1.2 Permit Number: 011111111 a SUN 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: II Legal Description: Property Tax ID Lot No. Site Plan Name:MV! Block No. Project Name: LW 11 LLCJI Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with ton, SEER, KW AC unit monat worx to be ertormed under this permit - cl HVAC Gas Tank ❑Gas Piping Electric ❑ Plumbing Sprinklers Total Sq. Ft of Construction: (*� Cost of Construction: $ ,G) 2j m apply: Shutters Windows/floors Generator Roof Roof pitch S Ft. of First Floor: _ Utilities: Sewer E]Septic Building Height: OWNERAESSEE: CONTRACTOR: Name e Name: Dennis Zacek Addres •ffi Company: ARS American Residential Services City: State)ZI Address: 2800 US Hwy 1 Zip Code: Fax: City: Vero Beach State: FL Phone No. 7 Zip Code: 32960 Fax: E-Mail: Phone No. -I -1 - J`'1� ' 00-7 Fill in fee simple Title Holder on next page (if different E-Mail'-, '�'_'Ul I ivo_n 0 CAS from the Owner listed above) State or County License: CMC1249753 It value yr cumtructron rs ac2uu or more, a KtwrtutU Notice or commencement is required. SUPPLEMFNrAL CONSTRUCTION LIEN LAIN:`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 your Notice of Commencement. _ Signature er/ Lessee/Agent Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF si Lupd The falgoing instr ent wa acknowledged before me this 4— day of 20Wby STATE OF FLORIDA COUNTY OF Si Lucia The forgoing instr t�wa acknowledged before me R this _L day of 20 ZOoy Dennis Zacek Dennis Zacek (Name of person acknowledging } (Name of person acknowledging j Notary Public- State of Personally Known x OR Produced identification Type of identification Produced Commission N Rofflodda H{�9�UNE:UF Stat-Notary Public Commission # GG 340178 My Commission Expires May 30, 2023 Revised 07/ 15/20 of Notary Public- State of Personally Known x OR Produced Identification Type of identification �Produced Commission No.6t&t MEi_ISSA CHATEAUNEUF Commission k C>G 340178 My Cenimission Expires May 30 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS G1r Making it work. Milk rig _`�5 Installation�Work Order p 2800 US Highway 1, Vero Beach, FL 32960 American Residentint Si nrica= of Florida, Inc. License * M. EL13008558 Est. slam Date y� Est. Completion Date= Corporate Customer Relations (866) 803.0879 CUSTOMER KiPPID CALL S1 P ADDRES' « l� rtOMC�HaNCV FC.-P Icyi w0 tN PHcaE OPTION 1 OPTION 2 OPTION SIZE . TYPE SIZE 3 +�_�1 _ TYPE &2jjj-_cr SIZE _. TYPE EFFICIENCY _ EFFICIENCY c A,-,l{' EFFICIENCY $ �#.1 ' $ 31L_ $,C_lsxs - $ SUBTOTAL $.___.._. SUBTOTAL $��j�i� SUBTOTAL $_ MONTHLY EST,' $ MONTHLY EST' $1%Y• gi MONTHLY EST.` $. _ CUSTOMER INITIALS _ . _ CUSTOMER INITIALS _�_ CUSTOMER INITIALS .- Warranty:"_ Parts Labor Warranty" 7`—Parts D-1kJKLabor Warranty" Parts Labor Compressor __.. Heat Exchanger 4 rCompressor JAD 1Heat Exchanger Compressor Heat Excharger 'Subject in credit approval. Financing Provided by Gieonsky Fixed inteiesl into of 6.99% for 6o months. Payment example assumes one-time $7,500 purchase an approval dale (APR 719%k with 1 payment of $82 69, 5 payments of $43.69. and 54 amertuad paymanta M $162 28 Pnymanls assume Account Activation charge of $39 applies and is duo with first required payment.Fixad interest rate of 9 99% far 84 months Payment example assumes ono -time $7,500 purchase on approval date (APR 10.15%) with 1 payment of $101 44. 5 payments of $fit 44. and 78 amwlized 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 example assumes one -lime $7,500 purchase on approval date (APR 10.11%) with I payment of PI01 44. 5 payments of $62 44, and 114 amortized payments of $102.13. Payments assumo Accou t Activation charge of $39 applies and is dun with first requ ed paymanl.Fixod interest rule of 9 99% for 144 months. Payment example assumes ono -lime $7,50 purchase an approval data (APR 10.099h) with 1 payment of 101.44. 5 payments of $62.44, and 138 amortized payments of $91-62. Payments assume Accoun Activation charge of $39 applies and is duo wrih first required payment. Unless otherwise noted, all warranties are from the manufacturer. • • • SELECTED OPTION: ❑ 1 ❑ 2 ❑ 3 Weatherproof ❑ Reconnect Drain Lira ❑ Dehumidifier SUBTOTAL $ Disconnect ❑ Ce. ling Saver Kit ❑ Outdoor Unit Pad Lifetime Equ pment Slab (Pan & Float) ❑ Fluo Venting Sound Isolation Pads ❑ Main Drain Safety Switch ❑ Ductwork Conneclions' _$ ❑ Liquid Tito Conduit ❑ Seal New Connections ❑ Connect to existing plenum $ ❑ Start Kit p $Llpport Attic Equipment 0 Duct Modifications ❑ Refrigerant LLDryer— V5,5upplyPlenum (nee N:diisImscope ofweikl TOTAL $ ❑ Refrigerant Pipe ❑ New Reconnect New Duct System ❑ New ❑ Reconnect A Return Plenum WNo Duct Work ❑ Refrigerant Pipe Cover ❑ New 0w!onner.t ❑ Fuel Piping Expansion Valve ❑ Electronic Air Cleaner ❑ Electrical Wiring T-stat -Typo M ' ❑ Media Filter ❑ p CASH ❑ CHE_CK# -C 90 Home Service Plan - ❑ Connect to Exi3Ting ❑ PCO . 1 Term (364 dayo) ❑ CREDIT CARD iLAST 4#s) Electrical ❑ UV Light ❑ New Plywood Deck ❑ Humidifier EXP APPROVAL OUR GUARANTEES FINANCING* C) Comfort Guarantee ❑ Home Protection Guarantee ❑ 24-Hour Service Guarantee ❑ 100% Unconditional Money -Back Guarantee NOTES MID frG - rg�"r%+ �� � ns a rzz-o Usim/l rr 'ARS is not responsible for preexisting ductwork See Terms and Conditions on the back of this document for details. f`r • Written customer authorization will be obtained before beginning any unforeseen additional or extended work. • ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBIECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558 FLOR DA 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 agreemenL 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 explatned to me orally and in writing, 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 leg I rights. This home Improvement contract may contain a mortgage or otherwise create a Ilea on your property that old be to lewd u do not ay. sure you understand all prov Mons of the contract before you sign. f'-, _ &WdIUMER ATURE DATE co M N PRESENTATNE CUSTOMER SIGNATURE DATE DATE V 201D Amnrinan Rnaidmlial Snrk,.n LLC. All rrjjhla rea d. AR5107e_rL I9DI24 1-190124 h,;k. Certificate of Product Ratings 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 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 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning 6, Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party lasting: Cooling Capacity (A2) - Single or High Stage (95F), bluh : 35000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 t"Active' Mad*[ Status are those that an AHRI Cen,ficalion Program Paricipanl is currently producing AND sel5ng or offs-ng for sale. OR now models that are be ng marketed but are not yet being produced.'Production Slopped' Model Status are those that an AHRI Curt ficat on Program Participant Is no longer producing BUT is still selling or offering for sale R tin s that re ccom anied b WAS ndic I an involuntaryre-rale. The new ub'ished ralin i shown alongwith the Previous i.e. WAS retina. DISCLAIMER AHRI dons not endorse the products) 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 bablllty 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. Cert.fied ratings are valid only for models and configurations listed In the directory at www.atirldirectury.org_ TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI_ This Certificate shall only be used for Individual, personal and AU"_ 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-CONDITIONING, HEATING, CERTIFICATE VERIFICATION a REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www,ahridirectery.org_ click on'Verify Certificate' link uc make life bmin— 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.: 13223o524952338184 Property Identification Parcel ID: 1001631 Identification #: 716020025973 Account Status: Open Location: 4 MONTEREY WAY City: Saint Lucie County Business Name: Riccio, George E Business Type: 7160 - Sp Lks DBA: Riccio, George E #1 Contact: George E Riccio State Code: 814190 - Mobile Home Attachments Ownership Riccio, George E 2092 SW Villanova Rd Port St Lucie, FL 34953 Exemptions Current Values Market Value: $1,231.00 Exemption Value: $1,231.00 Taxable Value: $0.00 Return Received: Not Yet Received Penalty: None Download TRIM PDF Grant Exemption Exemption Description Exemption Year Code Tangible Personal Value 2008 TPPX Property Exemption $1,231.00 Asset Group and Value Asset Value MH Awnings $72.00 Asset Value MH Carport $250.00 Asset Value MH CentralAC $240.00 3.OT Asset Value MH Florida $560.00 RoomR Asset Value MH Main Area $0.00 Asset Value MH Util Rm $109.00 Asset Value TotalAppraisedValue $1,231.00