HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address:. ± �5 1(0 W mdEn ?or4 o,r Fofk PtercE,
Property Tax ID #: I C) (odzd l G 0 0c) Z Lot No.
Site Plan Name: i 1 WCMV _ %hd Qr _ Block No.
Project Name: '6nC S
I DETAILED DESCRIPTION OF WORK:
Exact AC changeout, no duct work, ton, seer, -44W-QC,rttrr- ip t j r,
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
Mechanical — Gas Tank _ Gas Piping Shutters Windows/Doors
_ Electric ` Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ L-1(00 0 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Named w Sukicor,
Name: Dennis Zacek
Address: iS5#(o Wa.ldeh poy-<i Z)r
Company:ARS
City: pt& State: F
Address:2800 US HWY 1
Zip Code: 43901415 Fax:
City: Vero Beach State:FI
Phone No. -11 O 3U 1- T I Z Z
Zip Code: 32960 Fax:
E-Mail:
Phone No (772) 794-7205
Fill in fee simple Title Holder on next page ( if different
E-Mail mgillis@ars.com
from the Owner listed above)
State or County License CMC1249753
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW 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 ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMFNCFMFNT_"
Signature of Owner/ L ee/Contractor as Agent for Owner
Signature of Contracto icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF stLuae,:o-.....
COUNTY OF St Lucie County
The fnrQoing instrument was acknowledged before me
The forgoing instru ent was acknowledged before me
this Z day of �U %A-C- 20M by
this � day of -IU LA -A— , 20ZO by
Dennis Zacek
Dennis 2acek
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification x
Persona-.ly Known OR Produced Identification x
Type of Identification
Type of Identification
Produced Driver License
Produced LmXnW
1i C1 Alif= ow
(Signat r)--of Notary Public- Stal of Florida)
S &aiu'of Notary Public- St of Florida I
Commission No. GG 340' F MELISSA CHATEAUNEUF
ft
Commission No. cc 3W 76 MELISSA CHATE:AUNEUF
Statezf Florida - Notary PublicJ
Commission # GG 340178
State of Florida - Notary Public
Commission # GG 340178
My Cul
n" Expires
may 3u, 2o23
y Commission Expii
as May 30, 2023
REVIEWS
FRO
R
PLANS
VEGETATION
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ICY. Lf 111J
A ItIN'�1
_ klrlkhylltwe�k AI
nkfng
Installation Work Order I:, I Shaft Onto 6
,- .-- 01 , 120-20
477207.3 i dD Est. Cnh,pluul," D:,In
Ma ing,Iwnrk.MaAligitrphl:?13f1UllSlfrglwAy1- Win Rgtclt,(I$'J3[iD CnrpnraluCurdrmu[
*.nnli�r'Wg�r•J;,:�;ln.,Irhkl, F�'I.ce�.�•�r1.IGt)arlr n RnFnlionh
..CuSluelrq ,�,�` 1U J4gj, fr. s;frl^lU �.
.�, 1886) t3D3 08741
ol+riss' - + A ..IL. r s:uksur•
l�S7lrL itir '=�'�,-.LO w �0 ��� �cnr .. �ni.�.�:. t•Q ,} f��j 'I r ONI Y .. "'_^�-��r ��fi'T h.Ftl'�I`4xi[.. i .- _ �aF-_J } i r/�(•�! �r` �'7q ��1/
.. 770-'.701 'q.1Lz
512p 41 wTYPf: �R i/
t31ZF3 -67 TYPE 6 F y /rrL
9ILC TYP.F
EFFIt'IENVY f
ErFICIEIVCY
16S£iF/4
kFffl;l♦:NOY
a
s
SUBTOTAL $ 70 3�I�0�_
7173 _
.SUBTOTAL
MONTHLY EST,' $
S
SUBTOTAL
MONTHLY
EST' $ _
MONTHLY EST.' 3
CUSTOMER INITIALS f Z USTOMER INITIM S
CUSTOMER INITIALS
a Warranly.•'io its Pwrle a
Y �y/j Labor Wnrrnnik'•'
- -
Purls' Labw
- -'
Werrsnty" Parts Labor
+�r--Cnh pica of Hoat Eicl!IANIer CornPl..Ssor tical Eer'ennf,cr :
Gompiussor Ifoat E:0.rngcr
"llhlrxt dMrwiM1e n_ N+d, n1 wnnuil..e nrG Ito�i 4h. miulvh[ty
_
SELECTEAOPTION �❑t ❑2 113
I�Wcalhefpronl Q@Rnr;onmrclDrain Une
f]Dehomidfx:r
v �
SUBTOTAL S -
Olacnnrnrc•t CciGpg Srrver Kit
z []
�j Ouldonr UnitPad
-- -
Lifetenb E W mrvt[ Slob
q p {Pan h Floatl
❑ Fluo Vonl-nq '
1
$ -
' iX=nd Isolation `Pads - W k-iin Dmm SRIr ty Smich
0 Ductwork Connections'
- -
(2 Lrquid Tile Conduct . M Seal Now Corrii!, li-s
❑ Gvvvrl In mntiV Own!
_ $
IX Start Kit 0 Support Mir. Eq.mi
❑ Duct MotkMml,ona I
L� ((_� n
W Refrigerant LL Dryer SRpply Plcntei-_
I++,hoe•. kw WA* of wV
TOTAL i �+v "" .. .
y
[l Rningamnt Pipe ❑ New 11 Reconnrn:l
C) New Duct System
0 Nnw (AReconnect ❑ Rnium Plenum
❑ No Dural Work
01 Refrigerant Pipn Cover ❑ Nnw 9.Reconneot
0 Feet Piping
; []CASH ❑ CHECKM
t'EvpenswnVnWC ❑Elecirpn;cAe Gleaner
fV T-al At - Ty, 5t 0 Mxdia Filler..
❑Eluctiin+IWinng
)2i4ome Semee Plan -
❑ CREDIT CARD (LAST 44s)
(�Conobci to Exu amg ❑ PCO -
t Term (364 days'
EXP -.APPROVAL.-
Electrical El UVLiflht^
0 Nnw Plywood Dock M Humidifier .
❑ FINANCING
I
OUR ti�� tw a.a M r . ay+usL M.rr..r�rt
' • CES
h pprf rnd• b a I9.9.[9A#m r APR
ri Rw-. i le..a m 9.vay a 9VYh hr4 APR
I$Gomforl Guarantee IfHonm FNolection Guarantee a dhq-$ -'-dApal amo.
Rer'R••••d ,rM'e `Mr Sf 144 —0 . V l,— Ywi
,9 24•Hnu, Service Giarantee El ioPx Unconditional Mcnoy-Back Guarantee .,,�.<+.,d,-par..frrr nap:»_
m.rw+.+��u.
annIf-qe flat +.>
Z Alt F,Ife , (04
TARS a not responsible lot preersting ductwork See Terms and Condaons na d� back of this decumerii for dotade.
• Written customer ardhaiiralien will be oblamed before bog rnmg any untaesean addilimkal a nraended wok
• ANY CLAIMS FOR GONSTRUCTIONOEFE(M ARESUBtECT TO TFIENOTICE AND CURE PROVISIONS OF CHAPTER 558 FLORIDA STATLRL ,.
BUYER'S RIGRT TO CANCEL: This is a home solidistlon sale, and It 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
of services and must be delivered or postmarked before midnight of the third business day after you sign this agreement. It 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.
• 1 acftwwlodge that my right to cancel has been orftlaned Ic me orally and n watng, and without waning"t*M to cancel, I authome the petfonnaw P of
the work, subject to all tennis and eondrt m tit forth un the mvef. '- side hn'not plus any trios upon completion.
Not(cs To er • 0 not sigh thls home improveman1 contract ih blank. Ybe are entitled to a copy of the contract al the time you sign.
Keep pr act your legal rights lifts home Improvement contract may contain a mortgage or otherwise create a lien on your property
that ZldfoiracIn don IS d Be sure you understand all provisio of 1 contact before You sign.
cusiok+cnrlo note
t-
cUBTINACIi FrGItkTJnL - + " _NrIS DAT[ATE
d 4a7e+w.r%+tP......r�s.l..cn LI.G.Mlpee Mwmxf FR;lo�a fl 4o7a7t 4i'�+� .. Se
• 11s,
DuawMk A4 3041 Efr, , a Ne4da A1ldntcn
ERsI'nBFOtrafianeff rmcy, d ff'Oda Agonlxrn la Ave+ngn ❑ - - -_ -
Er�slklg HumW,4rai',ck�y. G1 Avmapi ❑ CC.,. n
Titer 3efknp6, -' - •. -, E•rinh se lAf,ota lfgten t4inlAaaon.
--..._ . 3ranMer .. _ .._ _ W+dlo• 64futg Au PUrilion6a•,: '
Typo
I
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) : 54ZPD036"'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 editlon of ANSIIAHRI 21 CV240 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, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 35000
SEER: 14.00� E +
EER (A2) - Single or High Stage (95F) : 11.50
t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models 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 BUT Is su:
sallin or offering for sale.
Ratings that are eni indicate an Involuntarvre-rate. The now oublAho rating is shown alona with the oravious 6.8. A retl
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.ahrldfrectory.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, AM
personal and confidential reference. AIR-CONDITIONING, HEATIN
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on `Verify Certificate" link we make life better"
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.
02020AIr-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: '32230524952036184
Property Identification
Parcel ID: 1010169
Identification #: 706020160002
Account Status: Open
Location: 1816 WALDEN
POND DR
City: Saint Lucie County
Business Name: Sutton,
Ronald W
Business Type: 7060 - Golden
DBA: Sutton, JoAnne
Ponds
Contact: Ronald W Sutton
State Code: 814190 - Mobile
Home Attachments
Ownership
Current Values
Sutton, Ronald W
Market Value:
1816 Walden Pond
$785.00
Dr
Exemption Value:
Fort Pierce, FL
$785.00
34945
Taxable Value:
$0.00
Return Received:
Not Yet Received
Penalty: None
Download TRIM
PDF:
Exemptions
Grant Exemption Exemption Description Exemption
Year Code Tangible Personal Value
2008 TPPX Property Exemption $785.00
Asset Group and Value
Asset
Value
MH Awnings
$54.00
Asset
Value
MH Carport
$185.00
Asset
Value
MH CentralAC
$240.00
3.OT
Asset
Value
MH Main Area
$0.00
Asset
Value
MH Screen
$194.00
Room
Asset
Value
MH Util Rm
$112.00
Asset
Value
TotalAppralsedValue
$785.00