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HomeMy WebLinkAboutappALL 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 34382 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Add ress: Legal Description: "Irv" Property Tax ID If: 143 1 - IN 00 Site Plan Name: ! r iOle 1A) Project Name: n I e Setbacks Front Back: 14])DN Ah 'e -C L 7! t Right Side: Left Side: Lot No._ Block No. DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with©Oton, SEER, KW AC unit W, YET J 'lfvr--w 6UJOW -�c CONSTRUCTION INFORMATION: CONTRACTOR: Additional work NV lectric to be nertormed under Gas Tank ❑ Plumbing this permit - c heck a ❑Gas Piping Sprinklers appy: _ Shutters 11 Generator Windows/Doors EiRoof Roof p tch Total Sq. Ft of Construction: Cost of Construction: $ A." SFt. of First Floor: Utilities:lSewer 05eptic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: Dennis Zacek Address:,iUa5 "o-tanza Company: ARS American Residential Services City: pf-State:,,, Address: 2800 US Hwy 1 Zip Code: Fax: Phone No. -,_12 I -a E -Mail: City: Vero Beach State: FL Zip Code: 32960 Fa -x::: Phone No.� �c�� J1' 4- ICrC 5 Fill in fee simple Title Holder on next page (if different E -Mail Yl(lt �� t'j l G�.I�J� •�.��°i� from the Owner list Id above) State or County Licens�: CMU-iNg753 iT vaiue of construction is az5uu or more, a KtcUKIDW Notice of commencement is required. -SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: x Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: x Not Applicable Name: Address: City: Zip: Phone: 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 Horne 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 applicat'ons are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and a� cessory 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 jobsite before the first inspection. if you intend to obtain financing, consult with lender or an attorney before commencine work or recordine vour Notice of Commencement. s _ Signature of 0 er/ Lessee/Agent Signature of Contra r/License" Holder STATE OF FLORIDA COUNTY OF $t Lucie The or oing instr m nt was acknowledge before me this day of _ 20JQby Dennis Zacek Name of person acknowledging (Signature of Notary Public- State of Flo Personally Known x OR Produced Identification Type of Identification Produced -riir Commission NI CH{s-*UNEUF State of Florida - Notary Public Commission # GG 340178 My Commission Expires May 30, 2023 Revised 07/15/20 STATE OF FLORIDA COUNTY OF St L=4 The forgoing instru ent was acknowiedged before me this `� day of 20c�'ZU' by Dennis Zacek (Name of person acknowledging ) of Notary Public- State of F Personally Known x OR Produced Identification Type of Identification Produced Commission No.�"► �% `— — MELISSA CHATEAUNEUF Commission a GG 340178 My Commission Expires May 30 . REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMP TE INITIALS %_1 I Makin Makin Installation Work Order (772)567-3100 2800 US Highway 1, Vera Beach, FL 32960 American Resident<,I Seances of Flonda, Inc Licensefir CMC1949753 EC13008558 Est. Start Date TEI:7 Est. Completion Date FF4)— Corporate Customer Relations fRFrt1 Rnq.naoo CURT EH ��' , EMAIL CIO,' 1 l - - - CAU -SUP AODRES CtTY(rSJA E/ZIP l pL ,yn . HOMEPHONE CE PO E %Z j � T (WORKPHONE SIZEZ,S TYPE QA SIZE TYPE _ SIZE _TYPE EFFCIENCY /$1$ EFFICIENCY EFFICIENCY. _- - $ �.�$_C $ L_4 4—, $ $ - SUBTOTAL $fit SUBTOTAL $ ��3 a'� SUBTOTAL MONTHLY EST." $ MONTHLY EST.* $ _- MONTHLY EST. CUSTOMER INITIALS CUSTOMER INITIALS _ CUSTOMER INITIALS _ Warranty: ­—LD Paris Labor Warranty:" Parts Labor Warranty:" _ , Parts _ Labor Compressor Heat Exchanger Compressor Heat Exchanger Compressor . —Heat Exchanger 'Subject to credit approval. Financing Provided by Greensky. Fixed intermt rale of 6.994, for 60 months. Payment oxnmplo assumes one-time $7,500 purchase on approval dale (APR 719%) with 1 payment of $82.69,5 payments o1 $43.69. and 54 amortized payments of $162.28. Payments assume Account Activation charge of $39 applies and it due with first required payment.Fixed interest rate of 9.99% for 84 months. Payment example assumes one-time $7,500 purchase on approval dale (APR 10AY10 Sttl with 1 payment of $101 A4, 5 payments of $62.44, and 78 amortized payments of $131.11. Payments assume Account Activation charge of $39 applies and is due with first required payment. Fixed interest rale of 9.99% for 120 months. Payment example assumes one-time $7,500 purchase on approval dale (APR 10.1 V.4r) with 1 payment of $101.44, 5 payments of $62.44, and 114 amorlized payments of $102 13. Payments assume Account Activation charge of $39 applies and is due with first required payment.Fixed interest rate of 9.99% for 144 months. Payment example assumes one-time $7,500 purchase on approval dale (APR 10.09"6.) with 1 payment of $101.44, 5 payments of $62.44, and 138 amortized payments of $91.62, Payments assumu Account Activation charge of $39 applies and is due with first required payment. "Unless otherwise noted, all warranties are from the manufacturer. • • • SELECTED OPTION: ❑ 1 ❑ 2 ❑3 ealherproof ❑ Reconnect Drain Line ❑Dehumidifier_ SUBTOTAL $ Sat Disconnect ❑ Ceiling Saver Kit ❑ Outdoor Unit Pad �rfetime Equipment Slab (Pan & Float) O Flue Venting $ )RtSound Isolation Pads ain Drain Safety Switch ductwork Connections' ❑ Liquid Tite Conduit / Seal New Connections ❑ Connect to existing plenum $ ❑ Start Kit ❑ Support Attic Equipment ❑ Duct Modifications cfrigerant L.L. Dryer _ upply Plenum (see Notes for scope of work; TOTAL $ " Refrigerant Pipe ew ❑ ReconnectVew Duct System e4, ❑Reconnee— eturn Plenum /❑ No Duct Work Ict ❑ Refrigerant Pipe Cover PQ ❑ Reconnect ❑ Fuel Piping ❑ Expansion Valve Ell Electronic Air Cleaner electrical Wiring stat –Type ❑ Media Filter Home Service Plan – 11 CAS H EI CHECK# _ ❑ Connect to Existing ❑ PCO 1 Term (364 days) ❑ CREDIT CARD (LAST 4#s) _ Electrical ❑ UV Light �92evv Plywood Deck ❑ Huml i fier EXP -. APPROVAL OUR GUARANTEES �1NANCING' Cti1C2B n4tiK- 01comfort Guarantee Home Protection Guarantee 4-Hour Service Guarantee io0�'o Unconditional Money -Back Guarantee �O (Q8 0? N cis lee �t'cr/ 01,1.e 41C_ 'ARS is not responsible for preexisting ductwork See Terms and Conditions on the back of this document for details. • Written customer authorization will be obtained before beginning any unforeseen additional or extended work. • ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES. • BUYER'S RIGHT TO CANCEL: This is a home solicitation sale, and if 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 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 hersotfor an explanation of this right. • I acknowledge that my fight to cancel has been explained to me orally and in wriling, and without waiving my right to cancel, I authrrize the performance of the work, subject to all terms and conditions set forth on the reverse side hereof, plus any taxes upon completion. Notice To Owner - Do not sign this home improvement contract in blank. You are entitled to a copy of the contract at the time you sign. Keep it to protect your legal rights. This home improvement contract may conta a mc, create a lien on your property that could be foreclosed on if you do not pay. Be sure you understand all v ons act be i n-- 7.3_ T_ CUSTOMER SIGNATURE DATE C Y REPR. - CUSTOMER SIGNATURE DATE 141E t- 20re Amrriran RnsidenI,nl Smices L.L.C. All rghtn re,rreu. ARS108 r1-19@124 L.19e124 62x:6 EZ Certificate of Product Ratin AHRI Certified Reference Number: 9474297 Date : 12-17-2019 Model Status: Active AHRI Type: RCU-A-CB Series: COMFORT 14 AC Outdoor Unit Brand Name . CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 24ACC430A•030' Indoor Unit Model Number (Evaporator and/or Air Handier): FB4CNF030L Region: Southeast and North (AL. AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME MI, MN, MO, MT, NO. NE, NH. NJ, NY, OH, OR. PA, RI, SD, UT, 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 unt)I June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in region(s) for which they meet the regional efficiency requrement. The manufacturer of this CARRIER product is responsible for the rating of this system combination. Rated as forows in accordance with the latest edition of ANSI/AHRI 2101240 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 : 28200 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.00 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 offering for sale. Ratinos that are accompanied by WAS indicate an rnvoluntary re -rete. The new Dubhahed ralino is shown al ono with the previous fi.e. WAS) rat no, 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.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, &9L% 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.ahrld1rectory.ori4, click on 'Verily Certificate' link ,v nia6C life brucr" 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;s listed at bottom right. --' ' ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO., 132210601617192160 5/6/2020 Property Card Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: Parcel ID: Account #: Map ID: Use Type: Zoning: City/County: Ownership Bernice W Clark 5203 Matanzas Ave Fort Pierce, FL 34946 Legal Description Ef.kRMONY HEIGHTS ADDN BLK E LOT l l (OR 436-1865} Current Values Just/Market Value: ',43,400 Assessed Value: $26,483 Exemptions: $25,000 Taxable Value: $1,483 Property taxes are subject to change upon change of ownership. • Past taxes are not a reliable projection of future taxes. • The sale of a property will prompt the removal of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF 5203 MATANZAS AVE 1431-701-(;051.000-1 10400 14'31 S 0100 RS -4 Count Saint Lucie County Total Areas Finished/Under Air (SF): 816 Gross Sketched Area (SF): t,200 Land Size (acres): 0.29 Land Size (SF): 12,780 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. © Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved.