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HomeMy WebLinkAboutBUILDING PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �;i 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: '�y AC PROPOSED IMPROVEMENT LOCATION: Address: 1001 l ii i FmL Wau �y _ CoProperty Tax ID ##: �J3 � Z - (Z 1 " dU� j - (� .- Lot No. -b Site Plan Name: 700'�J V&bLkj_ _ Rya, wuq Block No. Project Name: m �AC)tLQc4) DETAILED DESCRIPTION OF WORK: Exact AC changeout, no duct work, 3_ 5 ton, 1(6. seer, -7 KW I 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 Total Sq. Ft of Construction: Cost of Construction: $ _ 5 5 C> Generator Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name �A eA U4A � Name: Dennis Zacek Address: 70 V11� W �� Company:ARS City:.. vf-\-1 State: Address: 2800 US HWY 1 _� Zip Code: _'JNC( .(a _ Fax: City: Vero Beach State: FI Phone No. `1-Z - Z7CI --1z 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 IT value oT construction is �Z500 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 COMMENCEMENT " Signature of Owner/ L ee/Contractor as Agent for Owner Signature of Contracto icense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S(Luciecounty COUNTY OF St Lucie county The fnreoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of + X _ , 207. by this "_ day of ,._ 1 _ 20 71L, by Dennis Zacek Bennis Zacek Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personal!y Known OR Produced Identification _.. Type of Identification Type of Identification Produced ❑riverLicens. Produced Driver License r C r t (Signat r of Notary Public- Stat of Florida } S u of Notary Public- St of Florida } Commission No. cc 3aa,r MELISSA CHATEAUIV!~UF Commission No. c 340178 MELISSA CHATEAUNEUF State f Florida - Notary Public Commission # GG 340178 State of Florida - Notary Public Commission # GG 340178 My Cui nryftsw' Expires may y Commission Expi es May 30. 2023 REVIEWS FRO R PLANS VEGETATION COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED I\G V. L1 II la m zlamm k1.al lnsl l Wruk kl,lk{,'pit I10111 t Il:tu�la�•,! y&"P If f ' 'tl % �d�4 i l�s a settee or Order ?"N) 3t3r/•;i 1 UU I?sl 811111 Dish EMI Cumplittlon Dato rltxl 11011I111w1w 1, vrlrri 11, if It.I'l 1JIIri(1 �I"'N141'W 41',II11I{,yl.h.•prlFx]I1,fir I 1rM(1'a,rru,, I At IitI INN r 1 a 1 RX101d,Il Ii17 ��r�l 1_q ( 1, i,V•I.}},el.0 h ,We Guru I I?- v 4 r] rt Y I t SIDE 3 ,f;t 7UNTYl t. 1111,1[1lo '+Y .7 fY irk f $ SUBTOTAL $ MONTHLY EST' $ CUSTOMER INITIA Warmn! r ttwmfit I -IIn J Pf , T r Uf�..�I'C 1' III .� . 4a,,11rtlurrl IZE ZI V,; TYpu C%�� SIZE! CILNGY JEil'FICIENC'Y Prd4IC $ v L� r�]sC.$ In `V.k $ rly EST.' $ TOMER INITIALS Labor I Wauanly'" j 0 Porte .10.Cortiprosanr Hu,II Exr.hangur Jig Compressor "Lhw.nu onirywau i+oladi n6 w,urunlloa ivu has gaa innnl,laola�w, 10-Weatherproof �0116conneal Main Line Disconnect ❑.Cuiling'Snvor Kit ,Mfutwna Equipment Stab IPan a Flom) O S`our d Isolation Pads _12Mn n Dmin 5e+uty Switch M'rqurd Tito Conduit ❑ Sent Now Connections 7 Start Kra ❑ Support Attio Equipment i#efnDoranf L.L. DryL.r_ Supply Monum rAofngorant Pipe ❑ New laRorzonnect ❑ New 12roeconnect .0 Return Plenum ] Refrigerant Pipe Cover ❑ New ,0 koconnect Expansion Valvo ❑ Electronic Air Cleaner °fflr-slal-Type O Media Filler 2l'tonnect to Existing C) PCO _ . Electrical ❑ UV Light 3'f`IewPlywood Dock _ ❑Humidifer.- Corporotu Cuslornnr Rolnllunti (oan) 803•0079 �YPf. $ $ $ 5621 SUBTOTAL $ MONTHLY EST.' $ CU57dMER'INfTfAt.S PJMP Labor Warranty:*' Penn — Labor .Hual Exchanger _ Compressor ----_Heat Exchanger © Dubumldifier O Outdoor Unit Pad ❑ Flue Vent! ng El Ductwork Inaction.' _21`60nnuct to existing pkrll,m ❑ Duct Modifications tbuo Notes for µ;eau Isr+.•v,'�1 ❑ New Duct System ARNo Duct Work ❑ Fuel Piping ❑ Electrical Wiring ❑ Homo Service Plan - 1 Term (364 days) i Comfort Guarantee NHorne ProtwAior. Guarantee 9(24•Hour Service Guarantee 7o6 7w__ o � PV +,1 'hv/fff 1 I SELECTEDOPTION: 1 ❑2 ❑3 SUBTOTAL $ _ �101 TOTAL $ SSOa ❑ CASH ❑ CHECK# 2 gC,RD,5�(vARR (LAST 4#51 Jr v EXP APPROVAL C] FINANCING 1-0—pwdodbr&re9ardUSAMm� FDIC. en alp rp�o„d veal lot a Imnid ws ai,,wed .jjky L11.611. P%t"ONS based on 6.99% a 0.99j6 I,d ApR bare, digs an Iwo WMWA, kect„o at a Aprd t. 7o2o. RaPVI— levm y,hom $6 to 1M7mmths Mmd 1. .,v.hb WPy, Ot- r:iAr" optiam r1+ar ba ew:abie. 'ARS to not responsible for preexisting ductwork. Sao Terms and Conditions on the back of Ibis document for details. • W&vn customer aurbonzalion will be obtained before boginnigg any unforeseen addilioral or amended wotk. -ANY-CLAIMS FOR CONSTRUCTION DEFECTS ARE SUWECTTO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES. • BUYER'S RIGHT TO CANCEL: This Is a-homo aoficitatlon safe, and,lf you do not want the goods or servlcas, you may cancel this agree- ment by 1provfdtng written notice to the salter In person, by telegram, or by mall, This notice must Indicate that you do not•wanl the goods of services and must be delivered or postmarked before.midnlght of the third business day attar you sign this agreement. 11 you cancel this sgreoment, the seller may not keep all or part'of any cash down payment. Sao the reverse side heroot for an explanation of this dghL • I ackn9wfed90 that my nghl to cnnr r f has boon axplalnod4o mn ornll and in wrillV, and without wateing my light to cancel, I authotua the performance of file work, eukoct to all loans and conditions rot lodh an rho r witio tilde haroof, irluo any Maas upon completion. Notica To Owner' 00 not sign this home Improvement contract In blApIL You are entitled to a copy of the contract at the time you sign. Hasp It to protect your legal rights. This home Improvement contract rally contain a.mottgflgo or 1ltherwI%0 create alien on your property, M.ccold be foreclosed an It you don pay, Be auto you undarstand-all provislona contra before you sign. f U,rWjtfg1y10NATb DATE: CUM fiCHT - 810INAIUM.' -' - ' - — _ iMTIE ArinihanlWirlOnlalRn,W�.I.I.L Allrlehr>vrnrarvml. AllnldTa rt. 2mt.91 L20WO a7Stt Certificate of Product Ratinas AHRI Certified Reference Number: 201290226 Date: 07-09-2020 Model Status: Active Old AHRI Reference Number: 7942889 AHRI Type: RCU-A-CB Outdoor Unit Brand Name: RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RA1642AJI Indoor Unit Model Number (Evaporator and/or Air Handier): RHIV4821STAN 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, Wl, 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 RHEEM product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda i 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 : 40000 SEER: 15.50 EER (A2) - Single or High Stage (95F) : 13.00 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 still selling or sas offering far rrsale. Ratinthat are acmpan ed by WAS_.ndicato an irvolurrlary ro-rate The new publishes retinq is shown alono with t1v orevicus fi.e. WA51 rafino. 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 ali 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.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; 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-CONDITIONINO, HEATING, 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 CERTIFICATE NO.: 132387700051161130 FILE # 3510428 OR BOOK 3226 PAGE 925, Recorded 09/02/2010 at 12:34 PM Doc Tax: $994.00 Prepared by and Return to: Cindy Lou Wilhoite, an employee of Down Home Title Services, Inc. 1609 SE Port St. Lucie Blvd. Port St. Lucie, Florida 34952 File Number: DH1008-007 PURCHASE PRICE: $142,000 Warranty Deed Made this August 27, 2010 A.D. By Peter A. Brawer an unmarried man, 38 D Southport Lane, Boynton Beach, Florida 33436, hereinafter called the grantor, to Saeed N. Motlagh and Mary Anne Motlagh, husband and wife, whose post office address is: 8415 Orient Road NE, St. Petersburg, Florida 33702, hereinafter called the grantee: (Whenever Used herein the term 'grantor" and 'grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations) Witnesseth, that the grantor, for and in consideration of the sum of Ten Dollars, ($10.00) and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the grantee, all that certain land situate in St. Lucie County, Florida, viz: Lot 36, of POD 6, P.U.D. I in the plat of The Reserve Willow Pines West at PGA Village, according to the Plat thereof, as recorded in Plat Book 42, Pages 33, 33A through 33B, of the Public Records of St. Lucie County, Florida Said property is not the homestead of the Grantor(s) under the laws and constitution of the State of Florida in that neither Grantor(s) or any members of the household of Grantor(s) reside thereon. Parcel 1D Number: 3322-621-0045-000/2 Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances except taxes accruing subsequent to December 31, 2009. In Witness Whereof, the said grantor has signed and sealed these presentthe day and year first above written. Signed, sealed and delivered in our presence: L) Printed a e l V } k� Witness Printed Name Pier A. Brawer Address: 38 D Southport Lane, Boynton Beach, Florida 33436 Address: (Seal) State of Florida 'Y - ^