HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
god.wo
-
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: M Pc-1
PROPOSED IMPROVEMENT LOCATION:
Address: IS CoLu EI Lin P !�A Lu R 399SZ
Property Tax ID #: 1 OOZ3 zot Lot No.
Site Plan Name: � �J CoZUww,\ Ly) Block No.
Project Name: x\ k & (1.
-
I DETAILED DESCRIPTION OF WORK:
Exact AC changeout, no duct work, 3 ton, I' -I seer, --Kov
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical — Gas Tank _ Gas Piping _ Shutters
T Electric , Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ G 9 V Z
Un
Windows/Doors
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name: Dennis Zacek
Address: 15 C_oz Q ME1 LV)
Company:ARS
City: Pb(t SA U)(;_ tt State: �t
Address:2800 US HWY 1
Zip Code: 14 C1 S Z Fax:
City: Vero Beach State: PI
Phone No. ���' i✓� -'jS��
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,S00 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 NOTICF OF Co MMFNCFMVNT "
O&M
Signature of Owner/ L ee/Contractor as Agent for Owner
Signature of Contracto icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Si Lucie county
COUNTY OF St Lucie county
The fn�r1eoing instrument was acknowledged before me
this y l' day of _S�UtA_ _ 20Z0 by
The forgoing instru ent was acknowledged before me
this � day of 20ZD by
Dennis Zacek
Dennis Zacek
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification X
Type of Identification
Personally Known OR Produced Identification x
Type of Identification
Produced Driver License
Produced Driver License
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May 30. 2023
COUNTER
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REVIEW
DATE
RECEIVED
DATE
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Certificate of Product Ratings
AHRI Certified Reference Number: 202717626 Date: 01-07-2020 Model Status: Active
AHRI Type: SP-A
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : SCZPDO36"'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 most 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 edition of ANSVAHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning & Alc-�;ouroe Heat.Pump Equipment and subject to rating accuracy by AHRI-sponsored, Independent, third party testing:
Cooling C
SEER; 1A
EER (A2)
-"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 still
selling or offering for sale.
Retinas that are acoomoanied by WAS indicate an involunim re -rate. The new oublished retina is shown alona with the orevious (i.e. WAS) ratino
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 Ilsted In the
directory at www.ahridirectory.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; e
entered Into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's Individual,
personal and Confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on `Verity Certiflcate' 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
®2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132228833"9316591
Property Identification
Parcel ID: 1002329
Identification #: 718020036293
Account Status: Open
Location: 15 COZUMEL LN
City: Saint Lucie County
Business Name: Rautenberg,
Paul & Alisa Holliday
Business Type: 7180 - Sp Lks
DBA: Rautenberg, Paul & Alisa
Riverfront
Holliday
Contact:
State Code: 814190 - Mobile
Home Attachments
Ownership
Paul Rautenberg &
Alisa Holliday
15 Cozumel Ln
Port St Lucie, FL
34952
Exemptions
Grant Exemption
Year Code
2008 TPPX
Asset Group and Value
Current Values
Market Value:
$1,399.00
Exemption Value:
$1,399.00
Taxable Value:
$0.00
Return Received:
Not Yet Received
Penalty: None
Download TRIM
PDF:
Asset
Value
MH Awnings
$162.00
Asset
Value
MH Carport
$173.00
Asset
Value
MH CentralAC
$240.00
3.OT
Asset
Value
$560.00
Exemption Description
Tangible Personal
Property Exemption
Exemption
Value
$1,399.00
MH Florida
RoomR
Asset Value
MH Main Area $0.00
Asset
Value
MH Util Rm
$204.00
Asset
Value
MH Window AC
$60.00
Asset
Value
TotalAppraisedValue
$1,399.00