HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Gate: LJ11r11ZQ Permit Number:
COUNTY
Building Permit Application
rlanning anu aeveropmenr.3ervices
ouiming a..0 Coir
z iVu v., g, 'a Avenue, Fort Pierce FL 34982 �/
Phone: (772) 462-1553 Fax: (772) 462-1578 c.ommercial RebiaetItidl /�,
PERMIT TYPE:
I PROPOSED IMPROVEMENT COCATION: I
Address:
Property Tax ID #: 24 5V G– 000"�'-000 – 0 Cot Ido.
Site Plan Name: 5 S9 t>
rr &ue(_ Z)('_ Block No.
Project Name: iw t. OF(- Kh -k_
I DETAi[ED DESCRIP i IuN OF WORK: I
I=xact lit.. cllangeout, no 5uct worR, &S ton, [ G seer,
t, .. �► 1�A ��==Uri
I Cul9bTRUCTION INFORMATION: I
r.dditional worn to De perrormei, emeer this permit- check all that apply:
Mechanical _ Gas Tank _ Gas Piping shutters _ vvintaows/Doors
_ Electric _ Plumbing _ aprinRlers
i oral by. Ft or Construction:
Cost of Construction: $ Iy 500
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
uwNER/LESSEE:
CONTRACTOR:
MameMCljVIn((F( S kAaV1Rn_t
Name: DenniscaceR
Kddress:0�&i,5 the m P%%vr,(- uC
Company:ARS
City: Fork P.E . CE Sure: F 1
Hddress:/-37J0l55 Rvv T I
City: Vero Beach State: Fl
/_ip Cone: Fa..:
Phone No. '7 ! `'34 – -t 4A
cip Corle: 3,496u Fax:
E -Mail:
Phone No (772) ,94-1253
Fill in fee simple i isle polder on next page I ii tliTrerent
E -Flail mgillisLars.com
from the Owner listed above)
State or County Eicense [.IVICILZFyIZ)3
if value of construction is $co'u0 or more. a Rr-CORDED Aociec oT Cornrncncensent is required.
IF value or RvH4 i.. 5/,500 nr marc, a RECORDED Notice of Commencemen. is required.
SUPPLEMENTAL LIUM I RuC lI -UM CIER CAw IIQFORMA I IUN:
DESIGNER/ ENGINEER: _ Nut, Applicable
Na.. �v:
MOR I GwGE CURIPANY: _ Not Applicable
Name--:
Addrebs:
Address:
City: State:
cip: Ph-ne
City: State:
Zip: Phone:
FEE SIITIP[E t I I EE MOLDER: Not Applicable
Name:
Addre,,:
BONDING COMPANY: Mot Applicablz
(Game:
Address:
Ci Ly:
Zip: Phone:
City:
Zip: PRone:
OWNER/ CONTRACTOR AFFIDVIT: application is Rerel3y m -3c icy o6tain a permit to do the work and installation as indicaLeti.
a eertiry tR-t no work or installation has commenced prior to tRe issuance or a permit.
at. Eucie County maR�. no rcprc.,ent-tion that is granting a permit will auLhorize Ole permit Rolaer to Buile Me .,t, a,ture
which is in conflict witR any applicaele Flume O-ners A»oeiation rules, bylaws or and covenants that may restrict or proRiBi[ .00R
structure. Please consult with your Rome Owners Assoeia[ion Mn8 yoer deed for any restrictions which may apply.
In consideration of LRe granting or tRis requG tee permit, I Bo Fie, eby agree thaL I will, in all respects, perform tRe worn
in aeevrtlunee :itR tRe approved plans, the Florida Building Coees an'a,t. Eucie Count, AmeRt9m,_nt3.
The following buileing permit applications aro e;;empi rrom ender -going a full concurrency review: room adtlidons,
accessom r structures, swimming pools, fences, walls, signs, screen , eom, ane ocecssomyyy uses to another non-residential use
"nARNING IO OWNER: YOUR FAILURE TO RECORD A NOTICE Or s,OmMENa.ERIIcNT MAY REaOCi IN TOUR PAYING
n10E FUR IMPROVEMENTS 03 YOUR PROPERTY. A NOTICE OF COII ME,n,EWir.Nr mOmi BE RECORDED AND
POSTIED UN r RE .PUB E RE i RE FIRS i INSPECTION. IF YOU INTEND TO OB L gala FIRANCINu. CORM—Our I
WITH YOUR LENDER 0_RSE
AN w i r URNc i BEFuRE mFEupimmc .nl1R NnTICF nF rnmurmcrMcru . "
�r,,—
,)ignaterc or OW—Mer/ [ ee/Contractor as Agent for Owner
,ignature or Conirac[er ieen3c Floldcr
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF �ZIIU6evonnly
COUNTY OF 5[Lna.Cntnty
i Rc fr+�Qoin6 instri, tmte,nAt was acknowledged before me
[R15 ��, da, oT l '�� 20LV by
r Re Tor eiRg m:aname„t .o� acknowledged before me
day (ZU
tRis oT __ �. tum by
Dene:., Za—R
Dennis Za—k
Name of person making statement.
Dame or per.en maRinb statement.
PcFzoM .11y FRo .n OR Produced Identification -
Personally Known OR Preeeecd IecmirieQtion x
iype oT IaeniiT.e.aiio
Type of Identification
Prosucetl Driver License
Produced r.=werlieense
(,ignai T Foto, y PC lic- Stat of Florida }
C1VA_MtM Ok
a or I9otam yy Public- S of Florida)
Commission Ido. mozo-17, MELISSA%lR�rrCRONEUF
Commission Ido. oa��'"� MELISSACHATEAGIIIEOP
51010 f Florida -Notary PuBiiL
Common vts saai �8
starer of Florida - Notary PuM;c
MY Cw
Commission ii GG 34a, ra
n" EMNS
May Ju. 2023
, wmmiis W E�pii
as May 30, 2023
REvIEwb
FRO
R
PMM3
vE5E1A1l01G
COvIG i ER
REVIEW
REVIEW
REVIEW
REvIEvv
REvIEvv
REVIEW
DATe
RECEIVED
DATE
COMPLETED
et.
�r,,—
t
X
23—
—0-0
Making it work'
Insrallauon worx Oraer
(772)567-3100
18i7D US Highw.y 1, Ve.o Beach, FL 32960
Amt rie..n Re.,ia—t- Semaev o; elan_ Inn eic me x c le ; -_z;7 �
EC 13ZB558
Es:. Sart Ds;e `A5" V
Est. Completion Date l-1 it
Co. por..te CO3;omc
Rsleti_rra
(866) 803.0879
CUSTOMER - Emig
�l�pF•
ADDRESSt VSv Mme_ ��1� [.ITY:STATE+,iP 12l tk 1—
1 `G
HOMEPHONL
CELLPHONE
WOR PWJNk
OPTION I
OPTION 2
OPTION
SIZES ")ern TYPI! AQAt)f--
SIZE i T PE
514E TYPE
EFFICIEN,.Y 1517 k
EFFICIEN,:,Y
EFFI%IENC`(
$ n w,
$
3
50BT�IxC $ $�IIuQ
5D6tulA[ $
SUBTOTAL $
IMONiMEt EST." $
RIOAIRLT E5T.' $
MONTHLY EST' $
iuSrvRIER INITIALS PA
CUSTOMER INITIA175 e _
CUSTOMER INI I IACs
Warran;y:" I D Porta .
Warrantyi ' Parts Labor
Warranty:" Parts _ Leb
Co prcasor ( -0 Hca; Exch•.ngar
Compressor ._.. Heat Exchanger
urmpressor Heat Exchang
'Seb,00l 6 wedit T=r-.I. Fig-ieg Pr-vlded 6y Graen:k-. Fc•d lrrt•r__I rale _f 8.999n 1+r 60 momlhc. Pa7meet oz_mple ,...,.ereat, em�-Jivie $7,5ee pomlhe ..n
eppr.val d._:e (APR 719%) wish
i peyman; o7 $Rimli, a paymams vl $,a.ve, ono — sm.mwa paymrnis .t T i 02.Za. Fayments assume Account Activation charge of $39 a, plies and iv dw -itt
first required pa-ment.F,led i-t•r-A til■ -19.99% f -r 84 meeth_, P.-w•et •x.w�le—oewm•o •n.lime $7500
perehaee an eewi -al dale (APR 10.1546), -1h
I es,wen: of $101.44, 5 78 salmi -ed Payrneela .f $:...:.::. Poy...ente asaame .,wash! „c;na:ivn 0orge v: $.',o applies ano 13 0oe wi
Fire: regairea paymara. FiRev jniareat rola m 1lsIp1E ,.r -,213 m.nlRs. rayrnen, arampla asaumas —e -line $7500 purchase on approval date fAPR 10.1 1 %) =1h
I payment of $101.44, 5 payments of $82.44, and 114 an-rti=ed pe-m-et.4 $102,13. P_,mil-.._ewe A■•••nt A■tm tim sh=rgo e1$39 applies m d is dee
:ith foul r•ge•ed prwenl.Foed 1rrler -i r..:. of 9.99% for 144 nre.rh„ P„ymen; a;-,.ple -nommen en ume $-,Cee per—z;u on appr�.l vacs (.,TOR : mva9a) wii
: payment d; $. a ;.�., = payman;, m $ez.-., ati -, amoni— paymers..T $z -,.v2 raymenis assume --ant natiaan.n charge or $39 applies and is dee
will rirsi required payment.
"eniese o111e1111ea nolev. -.I w..,., aim. a. Fran t..a rrmnmt«aorm.
SPECIFICS OF
SELECTED OPTI%_jN: 01 02 ❑;
❑ Weatherproof Myrewnnect Drain L ne ❑ Dehumi3 fier
Q
SQBTv IAL $
e
Diee-meet 13C.ili ,g S --;c, Kit 171Oatd�er Unit Pad
,Bk4<i, .a Equipment Slob (Pan & Float; ❑ Flue Venting
send 1_sil-timet Ped= ' i:3 -m -in Dmi., S-fety5 .itch-Deetwerk CAnneetium'
5
❑ Liquid Tile C. riduit G Seal New Connections __[]'6onnect to existing Mnum
$
0 Start Kit ❑ Support Attie Eqe pircii; u Dect Rledifiestie-=
❑ Refrigerant L.L. Dryer -'M-Supply Plenum -f--k)
!
TOTAL $
IrigeraRt Pipe ❑ New -InWecenr-.c c; ❑ Man, De -t System
p New-15.13econnect -_i_� eturn Plenum 15 No Duct Work
❑ Refrlg-p-ml Pipe Ce-er ❑ Mvv cconnec ❑ Feel Pip -rig
❑ Expansion Valve G Electronic Air Meaner G Electrical Wiring
❑ CASH ❑ L.HEC;.R#
�ki-4�lot - lypuN til ( Pu ❑ Mctlia Filer ❑ Homc 5cnice Plan -
nrect to Existing C] PCG 1 Term 4364 daysl
❑ CREDIT CARD (LAST #s)
Fler.trre-1 ❑ UV Light
15 Mew Mywooa Deck u How iMfiep . __._...-
EAP APPROVAL
OUR GUARANTEES
LJtieRlfert [aetrrtrntee Harris P.vlectivn Ge..r..Rtee
D FINAN4.INu'
thW-Hour Service .guarantee F1 00h inconditional Money -Back Guarantee
-ARS is npi r-ponsibie f.r preaxis6rig doc.work. See Tanis and Conditions on the back of this Document for muetalis,
• Wrr.ren rusi.met sothonzalion -ill be .brained before beginrnng any unforeseen additional or extended work.
• ANY CEMMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE (NOTICE AND CURE PROVISIONS Z;F _HAPTER 558, FLORIDA STAT1.11
• BUYER'5 RIGHT Tf3 CAARCEE: This Ir, o hoiiia aoiiciwtion sale, and If you do not want the woods or services, you may cancel MIs age
Tent by providing written notice to the ,all.. In person, by mlegram, or by mail, This notice must indicate that you do not want the go
or �cmice., and meat ba dellvere�lt or pe+tneai -ode before midnigh. of :he shard business day after you sign this agreement. If you car
this ..greamant, tho eller moy not keep all _r part of •Fry ca.,h duan paynrere;. See she re.erse eider hereof for an explanation of this dt
• I acknenl.dgo ;ha; my nght to —mucl has Been o.plarne7 to me orally and in enhng, and withool waiatng my nghi to cancel, I authorize the performanc
;he —rk, uabiac:.o all —rm. and cond•.tlons se: fo.,h on he rererae a 3a hereof, pies -.y is upon comptarion.
Nwtloe To Owner - Ou net .18n thin home impre-.ament contract I�. blanFL Yoe are entif Rl to a con:recr o: she dime you sawn
Keep it to protect year Iegrt dents. this Flo...o tmpl�oment contract moy contain. moltg+ oro . aQ c Fab a Ilan on your pn.pe
:has ....old be foreclosed on if you do ,.ot pay. Be sure you understand alt provlsi t rnntra fore Fou sign.
vElSiuMER ala&. F.Rff DATE COMPANY REPRESENTATivL
ae el!!R �IeR rRc
51117E M-:
42ota nmencan mr .enrral oervre rr-0. Ad tiphFs reserves. nRa1::i6 F. 19.17. [19017.
This combination qualifies for a Feceral Energy Emciency tax Creai>: when
in Detween FeD -I,,wuy
places service ana Dec si, Ai 5.
MWILI CERTIFIED
a r ■
eo o M a
ARRI ConiTled Rafor m. Na.,,6er : 201779994 Date; Rlvael Status: motive
ARRI I yr_: RCU-A-CB
5crioa : PERFORMANCE 16 AC
Outdoor Unit Brand 19.-u : CARRIER
Oatdoor Unit Wdl Number (Condenser or Single Package, : z-rdW3636A•U;5U
Inaoo. Unit Model Nam6vr (Evaporazo. and/or Air Handier,: P4 IZAR,F)vUX
Regia..: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, INE, vn, RI, ID, IL, IA, 117, RS, RT, LA, MA, RID, RIE, ml, GIN, Mv, Ma,
MT, A7,, nD, AE, NR, NJ, NRI, 17v, MT, VH, UK, QR, PA, Ri, 5C, 5D, TN, I x, 01, vA, v i, WA, vvv, wl, vvy, U.S.
Territories)
Rection Note: Central air conditioners manwactured prior to aanuary 1. Z15 are ellgl5le to be Installeta In all regions
untii dune 30,2U16. Beginning duly 1, 2015 Centra, alp eenditle..■ra van enl7 be 1-utallem I„ rweion(a) to,
wnlvh the, meet the effielan�—' ,—yeLeRlo,.t.
The manufaCZrer o, ails ZwKRIER pRXIuct Is respunsidle for ripe raung oT tnls system cWmolnauv...
Rahe as rollows in accoMance with me LrAmi ealuerp eT ANsuAF1RI z10ttly with Adao,.aa 7 ana 2, Performance Radnor of Unitary
AiFCe..Biae:,ina Airs��nee Rval Yu. p Lyuip.,.vnt and subject to rating accuracy yy RIIRI-sponsore'a, ln�epvnaent, utln7 party testing:
l.:eelA= U-Frelty (A2) - Single o. Rleh Stage (W), 61ah : 33600
5EER : i6.00
EER (AZ) - Single or Flip Slave (ebF) : 13.00
Rive. 'otatGa are those that an ARRI Certification Program Participant is currently producing AND alll..g =p ■ffering fv. -alv; OR -T! models that _re being
rn_rk■ted but -re net yet being predaved.'Prodvction 5wppeo' Mosel w,osa the, -n AHRI certification Program Participant is no longer producing BUT Is soil
semina or offedw far sale.
DISCLAIMER
AHRI does not endorse the products, listed on this Certificate and makes n= r_p.e■e..tatl■n„.. ,p..ntlm ■: gvapa..tm= _: to, rmd,.=&ii= me respv.-.,Iblll., for,
the prDdee.(=) g=:ed en -.hla CeRrrrcaaa. —R. e=.prea■Iy..Isclaims all liability for damages of any kind arising out of the use or performance of the product(s), ■p the
unauthorized alteration of data 11=ted ■n thio Certifimte. Certified retings are :..lid only fe, model..no cerr.gora:l..ns,fstew In .n.
uirecmry a, www..hrldlrectory.org.
TERMS AND CONDITIONS
-1a avron..-re no its conmnu are proprietary products of AHRL This Certificate shall only be used for Indh lde.1, pew■n-I
AM
g0l
mnfld■mti.l r■ferrwe p=ppe=■=. The content: of ;his Cortifieuzu may not, in Rnele or In pan, R.eprodueed; copied; dissaminuted;
entered Into a computer database; or otherwise utilized, In .n; fop... up �..anep up 5y .n; rn■�.n:, owerept fop:he =oar's Indladoal,
pe...o..ol and vonfidandul re Drone. AIR-CONDITIONING, BEATING,
vERTIFICATE VERIFICATION R..CPIPIME mmill,nsTlTtrrg
The Info—seen ter :ho model el:aa on u,ls cor6M.-T. eon as renred at www.ahridirectory.org, click an 'Verily Certifleate' link w I& beu.r-
.eek■
and enter the AHRI Certified R■fep=am Nombep _nd the We on .hi■h the vertifleab =aa laseeo,
R'nlcn la I:steo -pure, ono Ona tnertlficate No., which Is listed at bottom rlgnL
02019Air-Conditionins, Heating, and Refrieeradon Institute CERTIFICATE No.:
Michelle Franklin; CFA -- Saint Lucie trounty Property Hpprlai5ur -- All riyFltu re3Grved.
Ovvnership
Malvinde- S M=kh -i
Parc-n - Makhni
3343 S India.-. Rive. --
Fart P:epss, FL 34982
regal Description
EINSEL'S S D S 1 2 OF LOT 3 LYG F 07 RR -LESS RD P, 'IV- WITH RIP
RTS tOR 5-1-643 1
Current values
Just. Market Value: $884,400
nsseo�ea v-i�e. s643,626
> �empeions: 550,000
iaxauie value 3593,626
Property taxes are subject to change upon
change of ownership.
• P-�t t�-ea ��e not.. �eli�bly pbj«:i4: of faea. � :«mos.
• The sale of a property will prompt the remov=l of =11
e;;enept:ons, assyss;..cn. vap., and sp.,:ial u-ssifiealtons.
-41
axes for this parcel. SLC T_- C=1lrt.,.'� Office
Ue-.Jv.a 1 Kim toy tri:a parccl: Don,-.luad PDF
Total Areas
A.. (5r): 7.384
Gross 3netclleu urea ZSr): 14,707
L; -.MS J:Ze (—rcN): 3.47
Land Size (SF): 151,066
All into—atioi. is believed to be correct at this time, but is subject to change anu is provi'ue'u without any warranty.
k� Copyright 2020 Saint uucie County rroperty r.ppraiser. nn rignts reserves.
Property Itlenzincation
Jito Adar-.m:
3343 S INDIAN RIVER DR
rarce, iu:
2426 -502 -000:) -MU -0
Arvou-.t 11::
30718
May iD:
24 26N
Use 1Tpe.
0100
Zoning:
Rvaidcni[..
City'CountT:
saint Lucie C.enty
Ovvnership
Malvinde- S M=kh -i
Parc-n - Makhni
3343 S India.-. Rive. --
Fart P:epss, FL 34982
regal Description
EINSEL'S S D S 1 2 OF LOT 3 LYG F 07 RR -LESS RD P, 'IV- WITH RIP
RTS tOR 5-1-643 1
Current values
Just. Market Value: $884,400
nsseo�ea v-i�e. s643,626
> �empeions: 550,000
iaxauie value 3593,626
Property taxes are subject to change upon
change of ownership.
• P-�t t�-ea ��e not.. �eli�bly pbj«:i4: of faea. � :«mos.
• The sale of a property will prompt the remov=l of =11
e;;enept:ons, assyss;..cn. vap., and sp.,:ial u-ssifiealtons.
-41
axes for this parcel. SLC T_- C=1lrt.,.'� Office
Ue-.Jv.a 1 Kim toy tri:a parccl: Don,-.luad PDF
Total Areas
A.. (5r): 7.384
Gross 3netclleu urea ZSr): 14,707
L; -.MS J:Ze (—rcN): 3.47
Land Size (SF): 151,066
All into—atioi. is believed to be correct at this time, but is subject to change anu is provi'ue'u without any warranty.
k� Copyright 2020 Saint uucie County rroperty r.ppraiser. nn rignts reserves.