HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUS F BE COMPCE P ED r_Uft mPPCICK 11011 1 U BE ACCEP i ED
Date
7_ �:''
r. k R 1 D A =,
Permit Number:
Building Pcrmit Appikation
t'tanniny and Development Services
Building and Code neyularion aivision
L30'0 virginia Avenue, Torr Tierce rt 3z;"z
Phone: Irrz) g6c-l�.-:,s Fax: jirz) u6/-15ru Commercial
Residential
PERIVIII TYPE: 1 vAC*CkvoCO,
CONTRACTOR:
PROPOSED IMPROVEMENT LOCATION:
Kddress: Cn605 S 1r 1cUv\ Yoie(
Property i ax lug: Z" l4[� U U dad ' `( _ Lot No.
.)ite Plan Marne: Gao cs S tf((1lC{i/� ���j C-( �� _ Block No.
Project Name: .��,M k Gtf d4e-LI
I DETAILED DESCRIPTION OF WORK: I
Exact AC changeout, no duct work, ton, seer, 5� KW
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply: 77��
mechanical _ Gas i anR _ vas Piping _ Auite.., �p� , YY im&7 .10oors
_ Elceiric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: 5 s�1K
_ Generator Roof Pitch
aq. Ft. or First Floor:
Utilities: _ Sewer — Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name K,wa�A Ect rckkeq
Marne:De�,nis Zacek
_
Address: (a WkUln CAVcf ND"C
S �
ComNany:ARS
City: [ P (- Mate: �-1
Anaress:z500 0,i RvvY i
Zig, Code: 5 n."6 Z Fax:
City: Vero Beach Mate: Pl
Phone Mo. 176 " [OK - S`l Z� _
Zip Code: 32960 Fax:
E -Mail:
Phone Mo trrtl rye -f zoo
F II in Tea Ample i itle Rolder on next page ( if different
E -Mail mgillis@ars.com
Mate or iounty [icense �-mD i��yrds
from the Owner listed above)
IT T raMtraativrn is }zs00 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is 57,500 or more, a RECORDED Notice of Commencement is required.
5F nEIGIEN I xE SONS I RCIC:I IUIV CltN CAW INFORMATION:
DESIGNER/ENGINEER: ^ Mot Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
AdUress:
`--& ?P-X-jx
Address: -
City:
State:
City: State:
Zip: Phone
COUNTY OF■aLooQ�tY
Zip: Phone:
rrie ro goln6 in�tre��`erit was acknowledged before me
IL&Z
FEE SIMPLE TITLE HOLDER:
Not Applicable
.—nia caceR
BONDING COMPANY: Not Applicable
Name:
M -me of person making statement.
Name:
Address:
I yve or Identification
Address:
City:
Produced eri�—lflceme
City:
Zip: Phone:
{Signat r of No�ary Public- ;taLj of Florida)
Zip: Phone:
OWNER/ CONTRACTOR AFFlvvI i: Appii�.ti.n i; nercSy made to obtain a permi. to do the work and installation as inuicaiee
I certify Lhat no work or installation Ras commeneela prior to tRr '.;5eunce of a permit.
St. f_ucie County makes no representation that is granting a permit will allEMorize tRe per ... it nolRor to 6eila tl-rr: a6;.et structure
wnien i., in contli,t witr any a plicable Home Owners Associadon rules, bylaws or and covenants that may restrict or proni69t
structure. Mease consult -it goer Ram, O.,.ner. Association and review your deed for any restrictions which may apply.
In consitaer+..tian or tiie s—riti-.s or tRi. requested permit, I do hereby agree that I will, in all respects, per iorm tRe worn
in accordance with the approve'u plans, tRe Florisa Suil0ing CoMc; -1-10 m. [e-ic: Coenty AFMenamcnt5.
Re tollowins 6uilmins p«mit aptAr.tio,,s are exempt from undergoing a full concurrency review: room aallitions,
accessory structures, swimming pool,, ren«,, -ul?;, 3i6n3, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAICURE i V RECUM3 A MO OCE OF COmtoENCEMEN I RIAs RIt50C 1 IN YOUR PAYING
, "ICE FOR IMPROVEMENTS TO YOUR PROPER v v. A mu i ICE uF CummE1 umEla, RIuMO, BE RECORDED AND
Pus, ED ON IRE JUB S1, E BEFORE THE FIRST INSPECTION. IF YOu IR , EMD 1 u ua 1 AIM FIMArvCIMG COMMODE,
..I i R T UOR EEMDER UR AM A, I URMEr BEFORE RECORDING YOUR NOTICE OF cnMMF107 !0111'1!. »
6% � �/�-
`--& ?P-X-jx
Signature of Owner/ C ee/Contractor as Agent ror Owner
�ignatere or Rolaer
a i A, E OF FEURIVA
STATE OF FLORIDA
COUNTY OF
COUNTY OF■aLooQ�tY
The Fnr oing instr`ument was acRnowlengen Rerore Fne
this day of
rrie ro goln6 in�tre��`erit was acknowledged before me
IL&Z
1�2ycu Dy
,Elis t9..y of , zOzOby
.—nia caceR
Denwi- Z -r --k
Dame oi person maRing statement.
M -me of person making statement.
Personally Known vR ProOucet! leentiricadon -
Personally Known OR Prol3ar'd laentitication x
I yve or Identification
i ype of Idendiication
Prooa�ca Dpi7-1-6.m=•
Produced eri�—lflceme
{Signat r of No�ary Public- ;taLj of Florida)
41WO'-f Notary Public- S� of Florida )
ComFni....ion Mo. r -c 340,7 MffEiZ3A UPIA r EAUNEUF
Commission Ido. O6 ���,rti MELISSA CFiATEA�rAlcOr
Plonea - lao0.—, Pe61ie
5tote of Florian - Nory Fueiie
to
LommBsie.-. CG 340178
Ti GG 3407 r8
my %,01
rl"Nsgy
y Qommiz„— Epi
a M.y 3o, 2023
REVIEWS
FRO
n
PCAmQ�
vEGE 1 A 1 IDIS
COUNTER
REVIEW
REVIEW
REvIEvv
REvlevv
REviEvv
nEvlEvv
VA 1 E
RECEIVED
VA i E
COMPLE EG
1Cr. Ljl/-IJ
-king:7 Fig
ht
Makip9 ii werk.
Insrallarion Worn Order Ea;, Siurt Daic,(C ' 4"ZCU
013 ts-,. Completion Dntc .
2800 US High? y 1. V re Be -eh, FL 32960 Corporate Customs
Ani—iin R.rid-nlial Servier_ -f FW &, l-- L,-.rr_. It CMC 12497 . s, Relations
0-v 13 -555. eC:,.ovG✓Ci.. (v013) o173 -v379
1
-ARa is not responsible Tor preexisting duce -Wont. S- Terms anu Convilivns on IRs back uT [his dvcomen-, for dalai13.
•-rilten cmivmar aothvraahon Will be obl.in.d before beginning amy onforeaeen addiiionel ore :ended work.
• ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTE.
• BUYER'S RIGHT TO CANCEL: Thi= I.. o herne a.li■ilrtiwn _air, and if ;ou do not want the goods or services, you may cancel this agree-
nleni b; ;.r__-idlno written notice to the seller in person, by telegram, or by mall. 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 oralq and in wriling, and witllout waiving my dgRi Z. cancel, I au111ori�e '.'ne penumrar ice of
the worK suoglect to all terms and conditions set Tong on [Re rumrse aiue Rereol, plus any lmvs upon �vmplvlion.
Ni�EdOPSR
-o ir Dv net afgn this home Imp...7c-cot ovntract in blank. You are untitled to .. espy of the eo.-.t:-ct at fire time yve sign.
Ko 1:t Of
legal rights. Thea Rvmo InlptetRtent W..tr..ct ay centai.-, a , -qu er ethza..e create a tic:, on yoer prepvrty
n ado ..07 pay. By e-�nd II pre=iaivn of th ntr-ct bvforII you sign. _
- .. NATURE EMTL RESE: "wTN
CL IWER 3113M oRe 13-F
t �tr}v nmcrirJ!n nesiornrlal 3r!rricua r.r .,. Mz;i.7op47vo477 [.zoou77
EQ
r
ADDREs£
-i :...e.
t(Ay�
Sq
FIOhiE FINOn - -
il
li PHONE
WORK PHONE
OPTION I
OPTION
•
SIZE,YVUC�,TYPE
SIZE_ �Q�_TYPE
SIZE TYPE
�`'tSJ
EFFICIENCY
EFFICIENCY
EFFICIENCY
$ f
y '
tb\ a L�L1�
ro
SUQTOT.,B $
SU15-, O r,C $�`
SUBTOTAL $
MONTHLY ST.- $ vkll�t
{ l O
MONTHLY EST. ` ��-
MONTHLY EST" $
CUSTOMER INITIALS
CUSTOMER INITIALS
CUSTOMER INITIALS
Warrun;y:' JI . P-rts
Lcbvr
Warr-nly:"W PUno L.bor
W rruny:" P..na LaEvr
C�Inpraaer
Heal Exehanger
Cel-pre=er Heal E;zehangar
Cempreuuer He -t E�changcr
"Euless or,; iv wr6c nolo.,, m wurranci•a
ura aom lav manar-iurcr.
SPECIFICS
OF
Si.f•CC� f•� 17r 101d: ❑ 7 ❑'1 ❑ 3
❑ W-ih-proof
❑ Rccurrneci Drnr. I inu ❑ Dehumidifier
SUBTOTAL oc,-
7sconnect
❑ Ceillwg Seer Kit 15 Outdoor Unit Pad
GdLifehme, Egerpm.ml Slab
-m & Flou„ O Flee Vent' Fig
$
ElSound Isolation rays
am Dram Safely ;witch I�BOciwuri Cor neclivns'
❑ Ligeid Tite Cende-1
l Ne- Connection- r=-eet to erialing plenerrr
�
11 art K,
defBrant L.L. Dryer
ppon-I.iu Eq..ipmunt Deem Nfodifieirons
Se (_. N=w--I vorkle1
.
ff
TOTAL $
Roftigera.t�
U Now 6"R onm-i 11 No- Deet Syvtea+
,PCipc
i�r New L.YKeconnect
idRettim Plenum 8'No Bucr •Yowl!
CMefRgera„ t Pipe Ce -ems
❑ Nr- WfR-ptw mw et 1711 Fr -1 P'Fn-
❑CASH ❑CHECK#
❑ E-.paneion V IYa
❑ Elecir. c Air Cleaner ❑ Elvv;ricWl Wiring
❑ T-stat-TypXls Q
17 Media Filter - G Home Service Plan -
Ci CREDIT CARD (LAST 4#st
1i�C'vnneel to E;.,,ting
❑ PCO 1 Terin 1364 dayc)
EXP APPROVAL
Electrical
fJ UV Light
{�
❑ FINANCINGM' 1 16-0 C(5 �S
❑ Ne- Pl, red Dank
❑ Helnid.l.er
'^.�..r loans �a of EnerAan' eS. INFIRM rel -ori
• UR GUARANTEES
• • app_..:o are. vor a=!ee vime. ®!males
-- pnymen.A sieve W a RIM a a.a ry aa— ,.pR
❑ Comfert Gearantee
0 Home P.otection Gearaniee
; wxncr°rs M;.. a ri c-eci re as av Apitl i. •e.o
❑T.Hour ServroeGoaramcv 0100%Unao.-,dilion-I Money-Ba-k.Gear+.miec
Reparm t 1f vary aom ae to i... monaa Reeerrn leln
amoumopply..orrrrnnncegoplim*maynears.
r a1 t• cv�� 1 �i�cl� '�• �A�16
-ARa is not responsible Tor preexisting duce -Wont. S- Terms anu Convilivns on IRs back uT [his dvcomen-, for dalai13.
•-rilten cmivmar aothvraahon Will be obl.in.d before beginning amy onforeaeen addiiionel ore :ended work.
• ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTE.
• BUYER'S RIGHT TO CANCEL: Thi= I.. o herne a.li■ilrtiwn _air, and if ;ou do not want the goods or services, you may cancel this agree-
nleni b; ;.r__-idlno written notice to the seller in person, by telegram, or by mall. 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 oralq and in wriling, and witllout waiving my dgRi Z. cancel, I au111ori�e '.'ne penumrar ice of
the worK suoglect to all terms and conditions set Tong on [Re rumrse aiue Rereol, plus any lmvs upon �vmplvlion.
Ni�EdOPSR
-o ir Dv net afgn this home Imp...7c-cot ovntract in blank. You are untitled to .. espy of the eo.-.t:-ct at fire time yve sign.
Ko 1:t Of
legal rights. Thea Rvmo InlptetRtent W..tr..ct ay centai.-, a , -qu er ethza..e create a tic:, on yoer prepvrty
n ado ..07 pay. By e-�nd II pre=iaivn of th ntr-ct bvforII you sign. _
- .. NATURE EMTL RESE: "wTN
CL IWER 3113M oRe 13-F
t �tr}v nmcrirJ!n nesiornrlal 3r!rricua r.r .,. Mz;i.7op47vo477 [.zoou77
A RAO
r%m WON C E RT I F I E Er
Certificate of Product Ratinq§
RFlRI %ertlrreu Reverence Mumser : fz3Z;3 Gate: UU-zs--zOzO M10001 btatus : Hctive
ARRI I,po : RCO-A-t.:6
Series: COMFORT 14 COASTAL AC
vuttloor trait Bran0 Dame : CARRIER
0.0tra, omit moaal Idem 6.r (C.maamaer a. Si..vla P -o alva) : z4AC;A436C*W0*
Indoor Unit Model Number (Evaporator and/or Air Handier): FV;CAjs,F)-VUZE
Region: southeast an'0 IQortR (AC, HR, DC, Dc, FC, GA, FII, K4, GR, RID, R15, TQC, 0K, 54, I A, I x, vA, AK, CU. C 1, ID, IE,
IA, IN, K5, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, v i, irym. YYv, VW I, rr r, 0.3.
I errltories)
Region laote : Central air coriaitienemr rnar,efaetemra prier to Jamea., 1, 2015 -re alit,: 510 to Be imtalloa in all roaiona
until June Z, zv ,6. Beginning ziuly r, zO ro central air conuitioners can only Oe instaileE in reglon(s) for
-RlOR tnvT ...QOt tna rv8iemul QIIIOIQRO7 rQatelrom7n:,t.
I RQ mran0i,.iRero- Or tnlr CARRIER pmdaUl is re-pan..151e for tno rating of tnia ar.tam tambinati.,n.
Rater as follows in aecoraanee -1[R Me Iate..t QaitlQn of AIaiIrARRI z1U/z4U An Aaaenaa i ant z, Perffonnanae Rating of Unita—r
Air -Conditioning & Air -Source Heat Rump Equipment an0 suEject to rating accuracy Dy RRRj-sponsore0, in5epen0em, tRlm party testing:
Cooling Capacity (P¢) - single or RIgR stage (a3F), UtuR : 3400
SEER: 15.0U
Ef'_R t'piz f - 5ingie or Rign stage twP f : i z.5U
T"Active" Model Status are those that an AHRI Certification Program ParticitiM I- ■emontly plededrig AND aalli-gi up =&fimg far =ale; OR nv- modola th..t try being
marketed but are not yet being produced "Production Stopped' Model Status are those that an AHRI Certification Program Participant is no longer prode■ing BUT io -till
a41f„ or vffo0n for or-Ia.
6 511%)WPI ts r u
DISCLAIMER
AHRI does not endorse the product(,) listed on this Certificate and makes no representations,-arranties or gearonteea av to, and a. -wore.. my reepowrlbility far,
the product�s1 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
ort.whu.-Led alter..zion of data Il :ed on znls Certift-t.. rormic. r.,.Inp are -valla only;.r mo„els and ,..,nfigurallons listed in the
dirtvtwq of :--.ahrldir�etory.arg.
TERMS AND CONDITIONS
This Certifloa.v and iw um-aum-a aro prvpriviory pruuauw or nmRl. iIhs oeni„vate shall only be used for individual, personal and
aonfld.nti..l rofaronve pwrpv�oa. Tho contents of thla Cartiflaaza may not, i.. whole or in pan, by roprvdavora; wpwo; oiraaminata;
entered Into a eompst■p d_tab_ew; or athopwlae still -ed, In ..ny form or rw..nmap yr by .,ny—a-riz, v..vapt for the aaer's Indlade..l, -
personal and confidential reference. AIR-CONDITIONING, HFATIHG,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The Infe....otien for the model ■Itnd on this vortifim-tv o.m be triflod at -� :...hridi.eotory.o.g, click on "Verify Ceraficaze" link we male,• lit l,crtrr'"
and enter the AHRI Certified Reference Number and the date on :hieh th_ rrtlfl■ot■ ...= ixwed,
which Is listed above, and the Certificate No., which is listed at bottom right.
M2020mi i onUltloning, Rearing, an'a Refrigeration Instliwe Fu_EK I IFWAI E No.: 132375915446573956
Michelle Franklin, CFA -- Saint Lucie County Properr-y Appraiser -- All rignts reserved.
Proper&y Idendficadun
Site Address:
rarcei w:
Acww..t 9:
iv,ap ,L:
U..e l rt:
Zoning:
Ownarahip
K:rn6e.ly A tr- dloT
6805 S Indi- . Ri--� DR
Fort Pierce, FL 34y82-,760
Legal DescripLivn
12.16 4u FR0m nv i Or G Ktw FEC RR AND 5 LI OF N 112 OF S 1.°2 OF
GOVT Lw—T 2 Rv.. NWGY vN rv-r M.3 FT MR POB, TH E TO IND RIV,
TH NWLY ON RIV 106.47 FT NUL, TH W 7v E K/w RR, TH SELY ON R/W
104.-0,> FT TC PvB wurr mr- rcr5-LU53 5 my vrc R1W- (LycAi,)(OR
471-1885;3163-1223;3257-46:3491-975;4098-1046
Current Valae3
JlraUMw.-Ket V;;lse:
x293,100
Assessed Value:
529x.190
v .empt:ons:
30
Taxable Value:
3iz9s,l0u
Property taxis are subject to change upon
Mange or ownerslilp.
• Past taxes are not a reliable prolecsion or suture taxes.
• Th. sale of a p.ape. ty yill prwiTc rho r.mv- al of all
exemptions, ass.s�-.et .;;p;;, .-d :,valet er_�eillm-tie :�.
Taxes for this parcel: SLC Tax C,ollectoes vrnce .
liownroatl i rum ror tnis parcer: De- .ice PDF j
605 5 INDIAN RIVP-K DR
3412-140.0002-000-9
40627
341712N
Olw
Rw:dcr.;i..
Saint Lucie County
Total Areas
F.r.:3noa7D..8. r Au- (Sr): 2,04-1
gross SKetcne'u urea (3r): 4,732
L -11d 6iie (..cis}: I yZ
Land Size (3171: 53,635.2
An inrortnation is Dere.etl to Do pp..pot -t tn.,: ti e, Dat iZ; =D;oot to :a p.--TRIe8 .:tnvut
® LULU S:.:a.l LEeie Cv»,.ty1'avpert) Arp. wioc. All -,rW3 ±eoe.—d.