HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO IOICa I BE COMP[E r ED FCR APP[ICf% i IU19 10 BE iXCEP i ED
Date: _ G I 1 O L Zo Permit wumQer:
Building Pcrmit Application
and Development Services
Building and Code Regularion Division
z3I717 virginia Avenue, torr Pierce rc sz;yzsz
Phone: rax: ji/z145z-15/8
PERIDIi I i YPE:
PROPOSED IMPROVEMENT LOCATION:
arldracc- C, TkC .A -C[ C _�
Commercial Residential G�
Property pax IG 9: SU�C— J00 �Uyr.S _ Lot No.
z,iTe plan Mame: G54SS �C�S1� C� Block Ivo. S
Project Name:'RotL -k- Tnctu
DETAILED DESCRIPTION OF WORK:
Exact AC changeout, no duct work,
ton, IC51k seer, T Rvv
I COIQSTRUCTION INFORMATION: I
Additional work to be performed under this permit— check all that apply:
Xmechanical _ Gas anit _ uas Pipinr, . Shutters _ Windows/Doors
_ EI«tr;c _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 'J GUO
Generator ` Roof Pitcm
�oq. Fi. oT Fiat Fivor:
Utilities: _,ewer _ z-eptic 6uilaing Fleigni:
OWNERAESSEE:
CONTRACTOR:
Name —v-r,cLu
Namme: Dennis Zacek
Address: to'0:S tevlc�Jxkck Or
Company:r.RS
City: %C� P+C:% Cf6- btate: Irk
Address: 2800 US HWY 1
Zip Code: INCI j Fax:
City: veto seacR State: FI
PRone Ido.-�i7__ �QZ— 66Q
Zip Code: 32960 Fax:
E -Mail:
enone Mo (772) 794-7205
Fill in fee simple Title Holder on next pare ( if different
E -Mail mgillis@ars.com
from she Owner listed a3ove)
State or County License CMC1249753
IT ❑Qiae QT %instruction rs >zsuu or more, a KtcoRotio Notice of 4ommencemem Is requires.
If value of HVAC is $t,AV or more, a REwRDED Notice of Commencement Is requlrea.
5UPPEEMEN I AL LORb I 1100-10N 10N LIED LAW INFORMATii—UIQ:
DESIGNER/ENGINEER: _ Igot Applicable
Name:
MORTGAGE COMPANY: _ NUL Applicable
Name:
Htlzaress:
Address:
City: State:
Zip: PhUne
City: State:
cip: PhonE:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
i3orvDhmG COMPANY: Not Applicable
!Name:
Address:
Hddress:
City:
_
City: ---
cip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR wFFIDvI 1: Appliration is hereby made to obtain a permit to Uo the worK ane installation -3 imai.: ,ted.
I ceiify that no worK or installation Ras evn7lTierire?] prior to tRe issuance of a permit.
St. Lucie County makes no representation that is granting a permit will oatriorize ifir-ermiit Holder to build the subject structure
wRicR i3 i- conflict witFi any applicable Home Owners Rssociadon rules, Bylaws or anRovenont3 iR-t rm .y . t-3trict or prohibit such
structure. Please een;elt ..ith your Home Owners Association and review your deee for any restrictions wRicR rri, oppl,.
In con„iaer..tierl of tRc wanting of this requested permit, I do hereby agree tRat I will, in all respect,, pe, tarn, the ..ark
in accordance with the approved plans, Oe Florian Sailaing Cedes and St. Lucie County Amendments.
i Re calla -ins 6ail0im5perrmit applications are exempt from undergoing a Lull concurrency review: morn aul1tiom.,
accessory structures, s-irmming pool.,, tt:mce3, grails, signs, screen rooms and accessory uses to another non-resieemioa a,e
"WARNING TO OWNER: YOUR FwICOrcE r O KECORu A MO i ICE OF COMMENCEMENT MAY RESULT IN YOUR Pw ■ Inca.
i RICE FOR IMPROVEMENTS TO YOUR PKYPER i r , A RO i ICE OF COMMEIVCEMtR i MUST BE RECORDED AND
POa i Eo Dim i HE JOB SITE BEFORE THE FIRST INSFEC r dun. IF r OV IWEND EN D i D OB i punt FIAANCING, CONSULT
nRB itOUR CENDtR OUR AN ATTORNEY BEFORE RECOR1nING Yn.-Iff lit...is F .—.r a. mr:ma imr:m. --
Signature of Owner/ E ee/Contractor as Hgent roc 0 -mer
5isnatare of Contracto icense Holder
3I14I E of FLORIDA
STATE OF FLORIDA
COUN i T of StL..i.Comt-
COUNTY OF ..cLude<kUnty
i he fnrgoing instrument was acR.,a.I.ZIga 6ct.re me
The forgoing instrument was acknowleegea Berore me
this U day of yvt_ zC, ZU By
tKi3 -LQ day of _ - IiUV._A . __; z:, W by
Dennis Zacek
Gel 11n...a�R
Name or person Pri-Cris as .tt rnl cit.
Name of person making statement.
Personally Rnown OR Proaucctl iaerltitie.tiorl x
Per,omallr Known OR Produced Identification
Type of Identification
type or IBent;ti._iiom
Produced Dr-erLi—s.
Proaucee DrrverL--rne
Q
Public-3Lat Sr Fioriea )
(Signal r of R7G03M4017
C1 - AZ�j 0
S u of Rotary PuBlic- Or Floriea
Co,. _i53iom No. !RECIsSACHATEAUNEUF
MV—
COrmn7l��lOn NO. GG ?491? IOIGC155HLRHIEAUNEUFState
T FraRao - Notary Public
t r atommission
State of Fx�rioa - Rotary p,M1 RG3iiirnissi34v
ii GG 340178rrMy
CIN
Comnussion Expi
+Kay av, hiesREVIEWSu
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PLANS
VEGETATION
COUNTER
REvIEvv
RtvIEVV
REvIEvv
REVIEW
REVIEW
REVIEW
DATE
RECEIvi=f7
17A I E
�i�I9IP[E I ED
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InStanaGuit Work Order
VVI E -t.
(1 14051-a l w
2800 US Highway 1, Vero Mach, FL 32a6133
-rn.wan Roi wem-al Semces of Flonda. Ino 1 --azo i CMC 124975':,
C:.-.0 : 37e9, ft . C000030 1.•L. I ') 7 _ t 14«7
mV tj
Ect. stem Q.-te "v
Completion ba;e
Corporate crasteRrar
Relations
(8661803-0879
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CALL SGP
GT eerr.aa,�l:,ciPt�t.
HOME PHONE
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OPTION 1
OPTION 2
OPTION
s1Z -TOIVTPE
51 E TYPE
SIZE.
EFFICIEN i I
EFFIt;IE Cl'
EFFICIENCY „l
5
t fte $,- L+7
3
>.'
$
SC+Mrti�F�i5p
SUBTOTAL�}(g 5 iMONTHLY
E .' $
MvNTHLY
MONTHLY EST.' SCUSTOM
INITIALS
CUSTOM
7,U3 -TOMER INITIALS
W RaR :'. ,. Part-
Labor
W„rr-FIt .'°, Parl- Labar
Warrany:-[0(1c PanJ� -t Labor
Lert,pre....er R -t Rger
C;aR+pro.—r He E;�hangcr
iJompr�{{swot Fleai Exchanger
less otherwise noted, ell warrantioa are from the man.fa urer.
SPECIFICS
OF • •
SELECTEb OPTII7N: ❑ 1 ❑2 3
).Weatherpreef
Povoirrivot Drain Line ❑ D�hsmidifie.
SUBTU-TAL $ Q
D,sconncet
Ceding Saver Kit ❑ Outdoor Unit Pad
Lifetime Equipment 51-5
(P- & Float) ❑ Flee Venting
2 -MLS Pic $ -/00
Sound Isolation Pads
'S -Masi Dr R Safety S tchDuctwork connections'
[3Ti
Liqula te Conduit
eat New Cvneciivns WConneot tv oaeing plenum
n
$
❑ Start Kitrs5upply
eppert Attie Egeipment ❑ D•ct MoMifiee.ti-Ro
N&Refrigeran: LL r Ter
P6nam aea noin. n,r s-pe.,l world
Tv -TAIL
1�Refngerant Pipe
❑ N� : XLR.e enReet New Duct System
[I Raw IyReconner�t
Return PI num Po Do..; WviiR
PI
f 0afriger4.nt Pipe F -o7 r
[3 No= 0 Feel Piping
❑ CA5Ff ❑ CHECK#
❑ Expansion Va �e
15 Mectronic Air ileaner ❑ Electrical Wiring
T otot -Type r44 t
❑ Media Filter ❑ Hume S.rrioc PL.n -
❑ CREDIT CARD (LAST .#s) _...
Connect to E,-ti,q
u PCO31 Term (364 days}
EXP _ APPRO L
Elee
E3 UV Light
YFINANCINGUN
Piy
Plywood Qeck
a Humidifier
,t❑New
'Leans vovdW by En Hank USA, MwW FDIC. w
•GUARANTEE
� — e.ea a.,on la a 911.- vroa. m INy
❑ Ourn c+rt Cat: vraRtea
tJ Hartle P-etwetien Gssp—Rt�o
paym— onto on o.97" or 9.99911 To— ev
baea mpeeding on ISI amount. erteaire as or A.M r 202u
❑ 24-H.:1ur Service Guarar-tee ivuQ-o Unconditional Money -Back Guarar lee
Reuel !arms — f,mn 361.144 monll.a Mmme,n loan
amounlsappy. 0IF"In•.•s.pfirm .._, beavarlebla.
tr&VMVt(:5
Cbki z2—* �,��M -� — rr v c��ol •�
Ct�-d
'ARS � isrw; responsible for prtcaising dacwork. See Tcr ma and Cvndlilona on rhe back of This doeomem for d—ils.
• Wr I;en vaeumer aolhorRation ,will be vb;ained before begs, ming any onforvueon add41onal or c+;ended work.
• ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES.
• BQYER15 RIGHT To CANCEL: Tbia is a home -licit -tion Salo, and if you do not :a. -.t tho or ovacca, yva may eerrayl thin agrev-
meet by prbading -. itty. rrotice to the -elle. i;; p.mon, by telagram, or 5y m..il. This notice nlla;;t indtevty tfiat yoz ay not .ant t8u good„
yr serrlvva and meat 5. avii.orbd o.- poatrifrFR0 Before-r..ianigHt of the third 6eal„vaa day otter you sign this agreement. If roe cent --1
thin avreemynt, the aollor mar net kvop all P. part of any waft duan Pay ... an -L 5vo the ro•oraw uldo Flyroof for an o,.planatio., of tfila rigl:L
• I avknv-ludge ihat my right ;v m. l has Seen eapla •ad io me „rally and I., w-4inc, aria wirhom waiving my rig6; Iv ..an..el, I amhonce the parfo,„.anac of
the work, sabiecl Iv all ierms a„d ..vndi;ions 3oi forth on ;hP reveres side hereof, pli is mq taAcs upon �vmplviron.
Notice To Owner - Do not aign this homa impre;vment co..tract in blank Y e a.e entitled to a copy of tha contract at the time yea Agn.
Keep it to protect yvier galrights. Thin home l-prb�omynt Contract may eo tain .. mortgago a. othernizu erv..ty a lion o.. yy..r p wperty
that cv f Io on if y.,e d.r not pay. By aaro�v o rStand all w....7 .he con:r..cr before y. a sign.
R
CUSTOMER SIGNATURE $ATE GATE
r �Mn--- nPo :."„tar r... — i r r A,, ARS—W cr onnegn . y.a.2�n ■'Mk
Certificate of Product Ratinas
ARRI C Aitloa Reter.nce I9arn5er : 9h43523 Dote : 06-03-2020 Model Status : Acli.e
FmR1 i ype : R%u-mZa
Series : l7C7MFuR I 14 At,
C iatdovr Omit Brand Name : CARRIER
"utuoor Unit IQluuer Mumuer (C,onuenser or sinyle PacRaye) : c; -+F0 ,•i33A'53i,'
Indoor Unit Motel Murnl5er (t.apo,atep andl-F Alp Fianalvr) : FVzFCIQ(B,F)005L
Region: 5oathoast and North (AL. AR, DC, DE, FL, OA, Hl, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, It,
K IIS, R5, 141A, ME, MI, MM, MU, M 1 , 190, ISE, 17I, 143, R r, CIR. OR, PA, RI. 50, 01, V I, WA, WV, WI, VVT, 0.5.
Torrit..ries)
Region Note: Central air conditioners manufactured Prior to January 1, 2015 are eligible ko Be installe'u in all regions
until 3une 30, z01n. Beginning auly i, z'u-16 centpal a:r eentiitienvpe von only do inutallva in region(..) Top
which they meet the regional efficiency requirement.
The manufacturer of this CARRIER Product is responsil9ie for are rating or this system combination.
Rated as folks, 1..—c.,raa..ce with the latest edition of ANSIIAHRi 2101240 with Addenda 1 and 2, Performance Rating of unitary
Air-i�ontiitioning a Air -Source Rear Pump Equipment anti subject to rating accuracy 6, ARRI-spenrypod, inavpona.rlt, tMiM party tortina:
Coaling C-p-aily (A2) - Single or MUM Stage (85F), 6ta5 : 3500U
SEER: 15.50
EER jrrz) - single or Rigf1 Stage (aoF) : 13.Ou
T"Active" Model Status are these that an AHRI CertAwaties Ppusr-m Participant is vapp.pltl; ppod-z< ing AND Gelling rip offering for cola; OR new modelz th,.t aro being
marketed but are not yet being prod.,ced.'Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is ro.]
selling .,r owvdng wr solo.
Ra-.P)s that aro - &fymDunicd UY WA' 3 ir-ditu90 an irvoluntary re -rale. The new published raiiro is viown alums Win lhB arevic.,-. 6 e WAS) ,atincp
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no peppeseritatlons, -apr. -tlr_ or gu.p.nte.c ac tw, artd ..—.amoc :o pucp.n=ibllit; for,
the productts) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product-tsf, or the
anaurc—rhofl .hon tim, ori vara lis.co on Otis aerth,...te. acrtGca rudngs wit valla only r.,r muacls ant cunfiguratlons listed In the
dirtotory..t—...hridiraotory.org.
TERMS AND CONDITIONS
This eertirc.Oc ...v liw. orrOcnu art p.opricrory pro_ticrs yr nFIRL Wis Cortideate stall only be used ror i,.dividual, personal and
.ortflderitlal tufo.enc. parpo=m The coritents of ,his Curtiflc.Oa may no., In whole or in p.rO be reproduced; c.pi.d; dissonlin.Ocv:
.-toped bit= ., supnpst.p d_taba-, =p ethapacv atlllzed, In an; fer4„ rip prr..:n.p o: b; -my rn.onc, a—upt fur th. a= --F'= Indi.lda,.l, A: low I,
personal and Confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION «REFFIMER—IoN In3-v UM
The fefupprrativa for the pried.) vital on thic oertlfie..te a..n be..plfl.d ..t--...hridlr.otery..rg, .link on 'Vvrify Cartifl„;;W link me nskc Gk herrcr-
and enter the AHRI Certified Reference Number and the date on which the certific.,t= -as is_v=d,
which Is listed above, and the Certificate No., which Is listed at bottom right_
U2020AIr-Conditioning, Reading, anti Rerrlgeradon Inst.ltute ICER i IFIGAi E NU.: 132356554196813546
PlILI IGIIC Frandrl, c;FA -- Saint Cade Uounty Property Appraiser --All riyhts rserved.
PrwP7.rty ldzntifi%ation
site MIUress:
F—Ccl It):
nccountft:
Mur Ill:
vse type:
City/County:
Orrilcltzhip
Rouen L Tnau
Rv. alia A Zober
6555 Te. -omit» CT
Fort Pierce. FL 34951
Legal uea%Cripduue
US s4 jy i HAT PART VF ziEC Azi SHV WN IN OR 2380-1964 BEING LUT
6333 Tr -r cal iA AVn ZoLr. 5y LOT 3);uu.1 S ACI CUR 4075-37yj
Current. Values
Just/Market Value: %91,400
Assesses value: $91,00
L:nG.iyttai-'3: %76,000
laxame value: $15,400
rroperry riaxes are subjeci; to change upon
change of ownership.
• Pcct to�er ��e
nut- rel:oble pPej.ctie.-. of fete.. -v I_:;v_
• The sale of a property will prompt the removal of all
c,.cmpd-H9, 113.C.3amic7it CXV., a -.d spread c13.31fl—JU113.
taxes for this parcel: SLC Tax Collector's Office,
1)v—leu% L KLM Iv. tn,5 Fu.eet: Don .6.0 PDF D
6555 TERESITA CT
1305-3Ui-u58y-v00-3
175801
13/06N
0100
Planned un
Sala. Lucie Couury
loiaiAreas
r inisneMUntler Air (sr): 1.439
l RVO 51(c7uhrd A.za (SY): 2,074
Lantl Size �acres): 0.18
L;Ra S.Zv (Sv): 7.y45
All :a hel:c-ea to bo carrect :,t tl::-u tLT,G, bt2t13 3Qb�vct tv rhai-is, una is pzvvadcd ni.houi niy warrauip
® Coyyribht 2020 Saint Lucie County Property Ayyraiser. All ribhts reserved.