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HomeMy WebLinkAboutScanned from a Xerox Multifunction PrinterALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: C( 70 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 Address:47M POLtM 0(_ PtP-rCtl, Ft 3yC1 Legal Description: JV410.V1 RLV6(- ES�k7:>' Unt- 0? - 91 K 4q G01-5 Zi� otnd _Z1 _ Property Tax ID #: J 104- - -000 - k Lot No.Z� (' L Site Plan Name: J 1 1 c Block No. _ Project Name: ��' V_ -- &-,k Ctlef_ -- Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK:2 Replace AC, exact change out with S7 ton, I LA SEER, ib KW AC unit CONSTRUCTION INFORMATION: Additional work to e performed under this permit- check anapply; HVAC0 Gas Tank Gas Piping _ Shutters Q Windows/Doors Electric 0 Plumbing Sprinklers E Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 5t00 Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name zXee' L Name: Dennis Zacek Address: S M R&kA Dr Company.. ARS American Residential Services City: EQ4A 21ea& State: F 1 Address: 2800 US Hwy 1 Zip Code: 3Liq 8 ?_ _ Fax: City: Vero Beach State: FL Phone No. _�0� " ��_ Z ` E-Mail: Zip Code: 32960 Fax: Phone No.-I-Cc�` 7 q - �C)� Fill in fee simple Title Holder on next page ( if different E-Mai ��l[��`�_J Qiris . fr m the Owner listed above) Stat or County License: CMC1249753 11 varur o1 wnauuuivn 15 ac3vu or more, a Krcunutiu notice oT commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applica Name: _ Address: City: Zip: Phone: State 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 (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 fr;)m 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 of 0 er/ Lessee/Agent Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF S1Lucie The forgoing instrument was acknowledged before me this .__L_. day of UOLLI 20 ZO by Dennis Zacek (Name of person acknowledging } , Notary Public- State of Personally Known x OR Produced Identification Type of Identification Produced Commission N 4tkISWCH(%WUNEUF State of Florida - Notary Public Commission # GG 340178 IMy Commission Expires May 30, 2023 Revised 07/ 15/20 STATE OF FLORIDA COUNTY OF St Lucie The forgoing instrument was acknowledged before me this day of klau 20 w by Dennis Zacek (Name of person acknowledging ) ture of Notary Public- State of Personally Known x OR Produced Identification Type of Identification Produced Commission No.66t MELISSA CHATEAUNEUF Commission at GG 34017E My Commission Expires May 30 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Installation Work Order Makin Making it work. (772)567-3100 2800 US Highway 1, Vero Beach, FL 32960 A.-.erican Ro.,.dential Services A F-wida, Inc. License A CMC 1249753 E` 1 5U4'8558 Est. Start Date to Est. Completion Date Z-0 Corporate Customer Relations (866) 803-0879 Cu f -R r, / ^"jr"i ! f EMAIL GALLSUP ADDMr 1\ crrwsTAJEl"' HOMEPHONE GfLL PF1 Li W RKP ems+ ��* jti'Zj ��r. 1OPTION OPTION I OPTION 2 SIZE TYPE fl-A CiA SIZE TYPE SIZE TYPE EFF .._� tt EFFICIENCY _ _ EFFICIENCY ,CIENCY C W. to . $ {� $ $ X4,J) L' J-1 (-�G Its $ _ $ $ 01, $ — - $ $ ►.�l nrr.w $_=-7—j-34 $ —$— SUBTOTAL $ SUBTOTAL $ SUBTOTAL $ MONTHLY EST.` $ MONTHLY EST.' $ ... MONTHLY EST,' $ CUSTOMER INITIALS _ CUSTOMER INITIALS _ ._ CUSTOMER INITIALS Warranty:" —,Lit Parts r19Labor Warranty:"_ Parts Labor Warranty:" .. Parts Labor 10 Compressor Heat Exchanger Compressor Heat Exchanger Compressor ,Heat Exchanger 'Subject to credit approval. Financing Provided by Greensky. Fixed interest rate of 6.9N9a for 60 months. Payment example assumes one -lime $7,500 purchase on approval date (APR 719%) with 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 due with lirsi required payment,Fixed interest rate of for 84 months. Payment example assumes one -lime $7,500 purchase on approval dale (APR 10.15vo-) with 1 payment of $101 A 4. 5 payments of $62.44, and 78 amortized payments of $131 11 Payments assume Account Activation charge of $39 applies and is due with first required payment. Fixed interest ralo of 9.99L, for 120 months. Payment example assumes one-time $7,500 purchase on approval date (APR 10.11 r4) with 1 payment of $101 A 4, 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 paymenLFixed interest rate of 9.Wa for 144 months. Payment example assumes one-time $7,500 purchase on approval date (APR 10.09%.) with 1 payment of $101.44. 5 payments of $62.44, and 138 amortized payments of $91.62. Payments assume Account Activation charge of $39 applies and is due with first required payment. "Unless otherwise noted, all warranties are from the manufacturer • • • SELECTED OPTION: ❑t 02 ❑3 ❑ Weatherproof �econnect Drain Line ❑ Dehumidifier SUBTOTAL $ Disconnect ❑ Ceiling Saver Kit ❑ Outdoor Unit Pad `J�l-ifetime Equipment Slab (Pan & Float) ❑ Flue Vent n Ng 11ss] v—t— $ Z 9 fF C PSound Isolation Pads Man Dram Safety Switch )�Muctwork Connections ❑ Liquid Tite Conduit Seal New Connections ❑ Connect to existing plenum $ ❑ Start Kit ❑ Support Attic Equipment ❑ Duct Modifications Refrigerant L.L. Dryer JI.Supply Plenum (we No to% for scope of work) � TOTAL $ 100 Refrigerant Pipe ❑ New PReconnect ❑ New Duct System ❑ New Meconnect FIReturn Plenum filNo Duct Work ❑ Refrigerant Pipe Cover ❑ New Peconnect ❑ Fuel Piping ❑ Expansion V,�Iv l ❑ Electronic Ai Cleaner ❑ Electrical Wiring + ❑ CASH HECK# 0 4' MT -slat —Typ ertr} ❑ Medra Fi r .. ❑ Home Service Plan — gpconnect to Existing ❑KC 1 Term (364 days) ❑ CREDIT CARD (LAST 4#s) lectrical ❑tNew Plywood Deck ier EXP APPROVAL OUR GUARANTEES ❑FINANCING' Comfort Guaranteefome Protection Guarantee 4-Hour Service Guarantee W 009-c Unconditional Money -Back Guarantee • 2c,Lx( `]�r U �.�J ii,,xJ 0 'ARS is not responsible for preexisting ductwork. See Terms and Conditions on the back of this document for details • Written customer authorization will 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. 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 writ ng, 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 mortgage or otherwise create a lien on your property that could be foreclosed on if you d of pay, Be sure you understand al o is t ilpntr before you sign. CIA � UR DATE J REPR nYE � CUSTOMER SIGNATURE DATE r. RT c- 2019 Amriican Ror..dentwi Services LLC. All rights reservrd. ARS1o7e-FL- 190124 L190124 N" Certificate of Product Ratings AHRI Certified Reference Number: 9543716 Date: 01-02-2020 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); FB4CNF036L 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, SO, 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 ANSI/AHRI 210/240 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, thirst parry testing: Cooling Capacity (A2) - Single or High Stage (95F), bluh : 33000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.00 t"Active" Model Status are those that an AHRI Certification Program Participant Is currently producing AND selling or offering for sale; OR new modes 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 BUTis still selling or offering for sale. Ralinas that are accompanied by WAS indicate an involuntary re -rate. The new published rat -inn is -shown along with the previous &e. WAS) m ino. 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.ahridirectory.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, AWN 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.ah rldlrectory,org, click on "Verify Certificate' link „,. tnaLr Idc hcttrr" and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, which Is listed above, and the Certlflcate No., which Is Ested at bottom right. — ©2020Alr-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1322244212527"231 ;u Fcrcvcu Property Card 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 Chester L Belcher 5111 Palm Dr Fort Pierce, FL 34982 Legal Description INDIAN RIVER ESTATES -UNIT 07- BLK 49 LOTS 28 AND 29 (MAP 34102S)(OR 299-1234: 1032-1187: 3590-1070,1072) Current Values Just/Market Value: $164,800 Assessed Value: $72,240 Exemptions: $72,240 Taxable Value: s0 Property taxes are subject to change upon change of ownership. • Past taxes are not a reliable projection of future taxes. • The sale ofit 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 5111 PALM DR 34Q-(,{)8-0330-00-; -I 37416 34 '02S 0100 RS-4 Count Saint Lucie Cvunty Total Areas Finished/Under Air (SF): 1,584 Gross Sketched Area (SF): 2,682 Land Size (acres): 0.46 Land Size (SF): 20,000 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.