HomeMy WebLinkAboutBuilding PermitAli APPEICABEE INFO IOIUbi BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
•
Bunaing Permit Application
rlanning anv ueveiopment cervices
subbing ana Coif
[IDD V,, g,- ,"u AVe„ue, Fo, t Nie, ce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Rcaiacntial
PERMIT TYPE:
PROPOSED IMPROvEMENT LOCATION:
Address: 1I be_-5n� En 1~o_%T IzA WC–tc, R 1041''Z
Property Tax ID #: (o ULD 1 b G3� Lot @o.
Site Plan Name: 1'ry SJOCR No.
Project Mame: 1 Q
DETAILED DESCRIPTION OF WORK:
Exact h�-, cllangeout, no suct worR, 2.5 -ion, J `-j �Vvr, CCA- t-% CC t'Gk.C.tll
CONSTRUCTION INFORMATION:
Kddidonal worn to Re perrormen unser tRis permit eReeR all LRat apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors
_ Electric _ Plumbing _ -,prinRlers _ Generator _ ROOT PILcR
i oral aq. Ft of Cvn,Lraetion: Sq. Ft. of First Floor:
Cost of Construction: $ 5 ZO d 00ities: _ bc.,,cr _ Sept;c Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name: Dennis Zacek
AddressA 17 -vi _ ^�
Company:AKS _ _-'-
City: VCKk'tA UQC kt- _ _ State: I
Address: 2800 US HWY 1
cip %ode: '3L44Z_ rax:
City: vero Beach State: Fl
Llp Code: 34y0V Fax:
Phone No (772) 794-7205
Phone No. 5(a ] Z`j S
E -Mail:
Fill in fee simple Title Holder on next page { if different
E -Mail mgillis(—w_ars.com
Tram zRe O..ner listed above)
State or County License CMC1249753
It value of cons►rucdon is Sz3C,v or more, a REZURFAD Mooce or Commencement is required.
It value or RvxC is $�,SvD or more_ a RtCURDrD Netize or Ca rnenCCMC,,t i3 - cMairecl.
SUPPLEMENTAL C01 -M51 RuC I Iuly LIEN CAW INFORMAI ICIN:
DESIGNER/ENGINEER: _ NUL Applicable
MORTGAGE COMPANY: _ M01 Applicable
Name:
Dame:
Addre,,:
Addre>>:
City: Stat:
City: SLaLe:
Lip: Phone
Zip: Phone:
FEE aIIOIPEE i I i [E ROEDER: ^ Nvt Applicable
BONDING COMPANY: NOL Applicable
Name:
,vame:
Addrebs:
Address:
City:
City:
Zip: Phone:
Lip: Phone:_
OWNER/ CONTRACTOR AFFIDVIT: App,ication is I1ereDy mage to oRt..in „,tee, TIL to do the r,rvrR and installation as indicated.
I c�rtiry that no work or installation has commenced prior to tine issuance or a permit.
at. [ucie Count rn-Rv- n�
o rep�,entativn tFiat is granting a t.ermit will authorize the permit holder to Builtl tRe suBject structure
which is in conflict with any appiicaBle Berrie 0 .nets A;,oe,ativ„ rale., Bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Rome Owners Association anll Fr -ie -goer aee(l tor' any fc�trictions which may apply.
In consideration 01 I.Me granting or tnis requesietl per—;t, 113. nerc5y asr.e tFat I will, in all respects, perform the work
in Gecvraance witFr tFie approved plans, the Florida Building Codes and at. Eucie County AmentIments.
The following builuing permit applications are exe-Pt rroM enaergv:ns a tall concur, ency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms _na 6oee35ory ase, to amotFer non-residential use
"YTARMIMC iD DnNitK: TOUR FAILURE TO RECORD A NOTICE OF COMIIheryEERIrA, MAY REs+u[i IN PDDR PATINA.
snlErE rDR I11WPRDrERIENi3 iU TOUR PROPERTY. A NOTICE OF COMMENCEMENT M03i BE RECURVED AND
ir03 i EQ ON i nc jUH al i E 6tF—uRr- i nE FiRa i INbPEC I ION. IF YOU INTEND TO OBTAIN FINANCING, Zun3Dti
WITH YOUR LENORiR UIR AIO A, DRNEY 6c11"DicE &&EURDING iDuR NO i 1[F OF IL- nMMFN[FMFNT_"
pis„Mare or O..ner/ ["re/Contractor as Agent for Owner
Signature of Contracto icense RolRer
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF s,e-i, uo Oniy
COON i Y VF sr ts.ie ceenr,
I Fie t-moing instri.ment was acknowledged before me
,Ile ror Ding instr mens was QeRn„-leag�i7 6erv, a me
tRi; B�.y or JWv�_ , 20? by
this day oi v V-4—. U,
Denniz Z-1
Venda --R
Name of person making statement.
Dame or person marring state,z,ent.
Per,vrnaliy Kno m OR Produced Identification
Personally Rnown OR ProGucea lHentirication
, ype or Itlentirie.don
Type of identification
PrOUuces GriverLicense
P�odueea Deve.Lhenae
t,ir,m-x r - or Mot.., y FaBlie- Stat of Florida j
(AMAMIM4
u or Mol -F, Paulie- �ot or Flo, in )
Commission Mo. oo••-v.7[7M=ELI1SACHt-%i mONEUF
Commission Mo. c-�O.-3 mEEIsSACHATEAUNEUF
t Florida - Mowry FujjIic
mlSsion ut; save /a
scare or Floria.. - 4�era,-r Publlc
Commiaaio„ # GG 34C . , o
F-Hasm RPM
ay
y Commission expi
s KI,., su, 202a
REvIEw�
FRO
R
PLANS
VEGI�nr►rTIM
1700I11 ER
REvIEw
REVIEW
REVIEW
REVIEW
REVrlvv
rcEvlEvv
DA,E
RECEIVED
DATE
COMPLETED
F-
"ev. 411/17
A .�■
ark. IUlakin
Making
insramation WorK Or Me,
(772)567-3100
zoL v
75 P11yl`lway 1, vero Dacia, PL 32AM
nine, *nn Residentia; Services of =latch, Int. License # CMC 1249753,.
Esq. Srart 0a1.
Esl. vomplelfon Date i zo28
Corpv-ty Caalomor
RJ-Iianz
(866) 803-0875
oOnToniER ,�
d 4t
EFInIL
CALL SUP
besr"r.5
�„....� �..IP
i
- rx 1
Lx
genre PRvnc
:-Ei. PRvnE 561 - -q 7- r
C7 1
-ORR RReRC
OPTION I
OPTION 2
OPTION
SIZE L-5-Tu.7TYPE
61ZE TYPE
SIZE TYPE
EFFICAENCY L SC c T
jJ[ 1<
EFFICIENCY
EFFICIENCY
i�t�t+,LtM�, $
-
SUBTOTAL $ �p LZ�i�
3UBT77AL $ _
SUBTvTAL $ _
MONTHLY EST. $
MONTH LT EST.' $
MONTHLY EST." $
COSTUMER INITIALS
C06TOMER INITIALS
CUSTOMER INITIALS
W..ranl,:' -1
Perla uCy Leber
W F-rdy:- .. R.rt., Labor
W-.r..Rty:" P..rts L..bor
l0 ;7,.ompressor Heat Exchange-
__ Camps---aoeF Hu -t E;:ehaRger
Con,pre=hep Hu -t Ezvh,.rlger
"Snl�ss ollarniso riaim, a.! warrmalics .,r.- From 1191!: mmnurm larcr.
•
SELE,TEDvPTION: 1 02 ❑3
)ZWeatherproof
gReoeprme.t Dpaim CrRc In Dehel :idifieF
SUBTOTAL $
D1Sconnc,I
O vetting Saver Kit ❑Outdoor Unit Pad
0 Lit -limo Egoi&mw nt Slab
(P„ri & Fle-t) 0 Flee Venting
$
❑ Sound 15.la,ion Pads
❑ Main Drain Salety witch ❑ Docrworlt Connections'
Liquid Tite i,onauit
,la 5eal Ne- Cepiheeti.R.- 0 Connect to eriali..g plenum
IF
❑ Start Rit
G Support rittic Equipment ❑ Duct Mouu'lications
0 RJAgere.Rt L.L. Dryer
❑ Supply Planum l.cn R.'— br —pe 0 vmr14
TOTAL _
ERrdr gr:ru.ir Pipr:
151\1„w 0 R-- :onnert 11 New Duct System
0 Ne-
❑ Return Plcna... ❑ No DoA W.Fk
❑ Rofrigmanc Pip. C.,ver
15 New u Reconnect ❑ Fuel Piping
u CASH D i,HECK#
0 Ex.anaiv- VR17e
❑ Elevlrople Air Clcaner ❑ Eleetrro..l Wiring
W s1m -Typec� u i
0 Media f=ilter 17 Home Service Plan
uCREDIT CARD 4LA5T 4#c)
P Cenrleet to E.-.iat n�{
❑ PCO 1 Term (364 d..ys)
EXP APPROVAL
Electraly
0UV
�NANCING CtiI�CJ!/rt�'G
u Ne : Plyweed Deck
❑ or.dihe.
He Odin
•UR
'Loam pondnd try Enoreank USA, Member FDIC, on
7 E1 f gpo-d er,& for a hm.:x! :mv. F,S:n.. w mon-Jy
❑ Condor. Gnar.,nlec
❑ H.,r a Protection Guarantee
C ot:"w pr,—enrr S on 9.75= or zm= 6— ,
1024 -Hour Service- Ge.-r„atee 0 100':, U..00nditi.n-1 Mv-"y-Beek Go-r-mtee
napaymonl ;erm vary nom .,o m :.. monll� rv•;mum ;ocm
arwrma apply. — or lmamana oplons may oe WWIS e.
'ARS is not responsible for preexisting ductwork See Terms and Conditirno an th- bask of Ihi:e do.mmu rt fur detailo.
• Written customer authorization will be obtained before beginning any unforeseen additirnal -r intended -erk.
• ANY CLAIMS FOR CONSTRUCTIvN DEFECTS ARE S'uW-uT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATU tE .
• BUYER'S RIGHT TO CANCEL: This Is a home solicitation sale, and if you Do not want the goods or services, 701 cloy evaeal tRi-,.grec-
mont by providing written notice to the seller in person, by telegram, or by mail. This notice must indlcate that yve de not :..rrt the govdr
or services and must be 'uedvered or postmarRed before midnight or the third business day artep you -igR thl--9rea..eet, If yaw ...Reel
1hi. agreement, the seller may not keep all or part or any cash down payment See the reverse side Ileleof fop -in of thin r;ghL
• I aukn—ledg. Ihm my ng..t to cancel has been explaine'u to me orally and in writing, and-ltheet .airing my right t- cosset, I selheR_e th. pale-,Tnn c r nt
,h. work, subject .o all terms and conditions set forth on the reverse side hereof, plus an,- t-wz. open .ewl,.let:on.
i
Notice To nner - Do n.,t sign this home improvement contract in blank. You are enlille'a to a copy of the contract at the time you oigR.
Kvep it to pmicR your fecal r"ghts. This home Improvement contract may contain a mortgage or otherwise create a lien on yesp property
that could be Ios don if you do not pay. Be sure you understood all pre:LleRa aT 19e mtr.ct before yea algn.
- - �sd B2uN+VfAr\1 4-ali tu,
veo�...e., oEe -one OWE uvPAPAr T nEPRESErvWME
CUSTOMER SIGNATURE
[pe_s,.n,r:rxan lfrsirnneial-nrvirrs r.�e. ,,lirmn;°a rew:rnl.. nRRie,ia R. 7rma77 LZi +iaT7
5-74o
OnTF
1"'..F.
AHRLI CERTIFIED`
Certificate of Product Ratings
AHRI CertiriR Reverence Nember : 2027171325 Data : 00-213-z0z0 Model Stator: Acti,.a
AHRI Type: 515-A
Dutt]oor unit Brand Name: CARRIER
Cuvaoor Unit MOW Rember (CeROeR-r yr5i :nle P..Ck;.-,o) : 50ZPDu30"'3"'
Region: All (AR, AL, AR, AZ, CA, t;v, C I. DV, DE, FE, CA, HI, 1D, IE, W IN, R5, RY, LA, MA, MD, ME, MI, WIN, MO, MS,
W. AC, RD, NE, NH, Ni, NM, NV, NY, OH, OR, OR, PA, RI, SC, SD, TN, TX, 77, Wt. v s, vvm, vvv, VVI, VVY, 0.5.
Territories,
rteglon Rote: l:erlthJ ai. wnaitlerra,,.... rnefpclerea NFior to Jpnep. rT 1, 2015 aro oligi61e to be installed in all regions
until June 30, 2016. Beginning truly 1, 2;,,U central air conditioners can only Be Installed in region(sl ror
which u,ey meet the regional efficiency requirement.
Tho rm.rvatactaror of Mia UARRIER product la reapo,mible for the rating of this system Combination.
Rated as follows In accordance wldl d1e latest eCluon or 7KI11113lrRnlll z r Urz4v wlur Aaflenlla t ana z, refformance Raung or Unitary
Air-ConGiiloning a Air-source neat Pump Equipment an'u su0ject to rating accuracy 0, AFiRI ,.pe.,oerea, iridepoeldent, tnifd party teating:
Cooling Capawq jA2) - 51nale or Nigh stage j93F), bvuh : z3600
SEER: 14.00
EBR DKK) - 5ingle or High stage (vur) : 11.50
r'Acl'wm" Model State=-F. theme that an AHRI Certification Progro— Pprddparr, is ..,,, o.aq proue...ng ..1119 ceding or vrranng nor Soo; OR new models that are being
marketed but are not yet being produced.'Producfion Stoppee' Model Stale_ v,.e theme that on. AHRI Certification Program 12-dicipam io me I.ngar producing BUT is still
sell;mg or offering ;vr age.
Ra.,�n a that all .rcomoaniea by nS indicate an involonrary rvrate. Tee neer published ralino is shown along with the orevious (i.e. WAS) rafino.
DISCLAIMER
AHRI deea ..at endorse :he product(s) IL; ed on .ole Certaicace ano ntafte-a no represanra%wits, warranties or guarantees as to, and assumes no responsibilhy for,
the productlsr listed on this Certificate. AHRI expressl; dlsdalmc .II If.,bilfty fur daeragea J a..y kind .pWrig met of the ago OF pa. formanto of ;hu prode...ta), or cno
anaa.Aori.o. pRorallVn or Vata Ilstou Vn LIlis Certlr.eate. Certified ratings are valid only for models and configurations listed In the
diFuctvr; at - :-..hvldlFvotaFi.eFd.
TERMS AND CONDI..OnS
This Certificate and its ■■etmnts arm rrvp�lvtd; p.adocts of AHRI. This Cortlfieate shall army be used for individual, personal ano
conr.dential reference purposes. The contents of this Certificate may not, in whole or In part, he rep.odmced; m■,Imd; df.-■nd..atad;
ontuped Into . aornpaw r dp:aba, o; or mharwise eali�eo, L. pny corm or mannor or By any means, except for the user's Individual.
personal and confidential reference. AIR-CONDITIONING, nerrRe,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate.me b. -rifled at ::-.ahridlre.tv.;sFd, oliak an 'Verify Cortlflpato' link Na rti, .e 06etk ter"
ano v.--.or Me —..1 oerdir.— Rarerence (lumber and the date on which the certificate was issued,
-hlmh to Ilvtad abv v, and the Certlfiaate Ne., .hlmh is llatad at bottom Ambi
igizazoAlronnitlonIng, Reating, ant! Rerrlgeradon InAxarrr CERTIFICATE NO.: 132349844499771855
Pruparty Identification
Parcel ID:vOSac/- Identification #: r .i UUU—i t7c3zF3
mccount otaTus: Open [ocadon: i i Desoto EM
City: Saint Lucie County Business Name: Hanford, Otis
Jr & Roberta
Business type: r d5U - 5p CRs DBA: RanroM, vtis ur &
#1 RobeRa
Contact: State Code: 814190 - Mobile
Flome Attachments
Owni-9rhip
Carr7cnt VaIuuvs
Otis, Jr & Roberta
Market value:
Hanford
$1,137.00
11 DeSoto Ln
Exemption Value:
Port St [ucie, FC
34952
PaxaDle value:
IGIR Florida
$0.00
Return Recei:ea:
Not Yet Received
Penalty: None
Download TRIM
PDF,
Exemptions
Gran. Exemption E--emption Dcaoription
Tear Cotle Tangi0le Personal
2008 TPPX Property Exemption
Aasat Gruup and Value
Asset
value
MH Carport
$158.00
Asset
valga
MH CenLralAC
$3c0.0'v
4.OT
Aaaat
Value
IGIR Florida
$530.u0
RoomR
Asset
Value
Exemption
Valga
$ I. i3r.00
lgrl Main Area
X0.00
Asset
value
MH Shades
$50.00
AvovT value
IMM Mi, zMetl $45.00
ASSea Value
TokalAppraisedValue $1,137.00