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HomeMy WebLinkAboutCHANGE OUT FORM - LIZZAALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:i �'S I=.�-7 Permit Number: P w 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 I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: '6 +� c Tqk—1 Legal Description: COn 3� AT THE i oe- I AD to .3'S,6Z-�i% Property Tax iD #: 33`3 Jim ` '� Lot No. Site Plan Name: Project Name: L i -&�Z_A Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Block No. �Jaln�t_ (DO+ CA 1( 00nAi +LD~ +Q 5 ray Ito 51z_e� t,, *)+f .. Ic7 kuJ CONSTRUCTION INFORMATION: Additional work o be erformed under this perms -check all that apply: HVAC Gas Tank as Piping _ Shutters Windows/Doors CElectric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction: a $ �,d Utilities:0Sewer !. _i Septic Building Height: OWNERAESSEE: Name 960 --- Address: City: �v+.,. � �'uCt-e State-Y-L Zip Code: S'4 Cl $ G. Fax: Phone No. T?q - 0111 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: cwid_ 9i0�(.r Company: aid u AC Serv-- Address: 532. OLD do.r-e(knfi l L I I I --- City: , luck -,State: ��- zip Code: 3`d $ {� _ Fax:-7 ra -g 3q Phone No.- E-Mail; 1�1DSQ�ed�vtiC.S�+'�C Cby73 - _ -- State or County License: CAC I %I 1 6,)3 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City; State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 O E JOB SITE BEFORE THE FIRST INSPECTION. IF INTE D TO OBTAIN FINANCING, CONSULT WITH R LENDER OR AN ATTORNEY BEFORE RECORDING YD R NOTICE OF COMMENCEMENT." Signature of Contractor/License Holder Signature of 0 ner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA r> COUNTY OF b� t] - ,�i1C. -_ STATE OF FLORIDA ��� COUNTY OF ~ �b J The fo:going instrument was acknowledged before me this -EL day of U A)L _. 20� by The forgoing instrument was acknowledged before me this _(5 day of �T.](�20?Cdl by .� UL� l a iV.] ,1r1 �-�'� `ll �1 i c�. iJ'1 l � t�-� •� Name of person making statement. Name of person making statement. Personally Known _ " OR Produced Identification Personally Known I` OR Produced Identification Type of identification Type of Identification Produced Produced (Signa Notary Public State of Florida Jennifer l A uiar Commi i ,�w.H ec ssss�4Seal 1 a ) 114 Igo" Public State of Florlda Y+ Jennifer i A ular C t' �I [Seal] �QfpwExpires osrzaraozs �, ExpirBs osrzsrzo2s REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED [SATE COMPLETED Rev. Ready ---Set ..COM Customer Name: Street: Phone: PROPOSAL 532 NW Mercantile Place, Unit #111 - Port 5t. Lucie, I'L 34986 TEL: 772-871-1560 • FAX: 772-934-3511 info@speedyacser►+ice.com I www.speedyacservice.com CAC1817623 C11K!R xisting ductwork system (as accessible) Q Disconnect Box and electric whip at CU. at AH switch at Air Handler = Can to Pump to existing plug rain line float switch/clean out an o existing, Copper Refrigerant lines CDEmergency drain pan w/Float Switch {Attic] oC�C�td to existing Drain line, Electrical, Duct Work ©Aluminum AIH Stand L.��1°Recla,' and Recycle Freon per EPA Regulation Or X vertical AIH [��f01 wo�r Performed by EPA certified technicians ood top Cov nd disposal of existing equipment, clean work area C�Con Pad x ©.Airrequ' ed Permits and coordination of inspection urricane Strap CIU to concrete ACCESSORIES & MAINTENANCE C] Insulate Return Box Thermosta6;D�Programmable Wi-Fi =Copper line set and 0 Humidistat -Vertical Horizontal C=I Line fL whop C1 Reme Halo Whole House Air Purifier r an Flush Drain Line 0 Air Handler mounted UV Air Purifier op me Flush for new 41OA High Efficiency Air Filter System i ter Drier (compr, protect) Total Accessories Cost $ =Time Delay Relay(compr. protect) 0 Club Member Maintenance Plans - Platinum, Gold, Silver, Bronze =Air Handler Filter extension, 2" ,4 Start 6 months OR 12 months from install. Bill -- Monthly - Annually NOTES: NOTE: Under Terms of Manufacturer and Extended Labor Warranties, Annual Maintenance Must be Performed or Repair Claims could be denied. Water damage and No CootMg can occur from a lack of maintenance and plugged drain lines. Speedy A/C does not warrant existing drains dno the equipment. Acknowledgment O: 7ing OPTION -2: OPTION -3: HPI Pkg Unit) Water HP Str ACI HPI Pkg Unit/ Water HP Str ACI HPI Pkg Unit/ Water HP tag Two Stage/ Variable Spd. Single Stage/ Two Stage/ Variable Spd. Single Stage/ Two Stage/ Variable Spd. Size: Ton, SEER Rating: Size: on, SEER Rating: Size: Ton, SEER Rating: CU Model CU Model CU Model AH Model I AH Model AH Model Fan Type - Fixed, Variable, Heat: �� KW Fan Type - Fixed, Variable, Heat: KW Fan Type - Fixed, Variable, Heat: ItVil Warranty Compressor: p Year warranty Compressor Year Warranty Compressor. Year Cond Coil, Evap Coil: Year Cand Coil, Evap Coil: Year Cond Coil, Evap Coil: Year All Other Parts: Year All Other Parts: Year All Other Parts: Year Labor Warranty: 1, Z, 5, 0, ear Labor Warranty: 1, 2, 5, 10, Year Labor Warranty: 1, 2, 5, 10, Year S Year $ —^ 10 Year $ S Year $. 10 Year $ 5 Year $ , 10 Year $ TOTAL COST: $—& TOTAL COST: $ TOTAL COST: $ FPL Rebate: $ FPL Rebate: $ FPL Rebate: $ Trade in Allowance: $ Trade In Allowance: $ Trade in Allowance: $ Other Rebate $ other Rebate # Other Rebate ; Accessories Cost $ Accessories Cost S Accessories Cost $ Total Customer Cost$ $ Total Customer Cost $ Total Customer Cost $ Finance Terms: U Finance Terms: Finance Terms: Non -Financed Save %Total $ Non -Financed Save % Total $ Non -Financed Save % Total $ We propose to furnish all material and labor as specified above for the sum of $ r y JW L A e lC� a �� d Payment Terms: Deposit $ Rue at Acceptance, Balance Due upon Completion Deposit Paid by Check # CrediLC Cash, Financed through Respectfully Submitted by: Note: This Proposal may be withdrawn if not accepted within days Acceptance of Proposal The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified; payments will be made as outlined above. Customer Signature: Date: Michelle Franklin, CFA — Saint Lucie County Property Appraiser --Alf rights reserved. Property Identification SiteAddress: Parcel ID: Account #: Map ID: Use Type: Zoning. City/county Ownership Ralph J Lizea II (TR) 8816 Firci Tce Rd Port St Lucie, FL 34986 Legal Description POD 33 AT I IIE RESERVE PHASE 1 KINCAM ILL LOT 51 (OR 1970- 1680:3582-2618) Current Values Just/M arkrt Value: Assessed Value: Exemptions: Taxable Value: N $315,700 $276,136 $50,000 S226,136 Property taxes are subject to change upon change of ownership. ■ Past taxes are not a reIiahle projection of future taxes. ■ The sale of a property will pro inpt the removal of all exemptions, assessment caps. and special classifications. Taxes for Ihls parcel: SLC Tax Collectnr's 0f:ice Download TRIM for this parcel: Download Pr)F 8816 First Tee RD 3334-500-0062-000-2 142796 33/34N 0100 Planned Un Saint Lucie County Total Areas Finished•Under Air (SF): 2.395 Cross Sketched Area (SF y; 4.193 Land Size ( acres ): 0.18 Land Sire {SF): 8.015 A1! information is believed to be correct at this time, but is subject to change and is provided without any warranty. C Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved.