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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date Permit Number: �J • 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: PROPOSED IMPROVEMENT LOCATION: 1.I.l- r 3, I -,A. 10,Gr!'t L ,(4Q"N 1 Property Tax ID #: l Vz'&oE5 Lot No. Site Plan Name: Gi 3Z 5 t v%SOinA-E C* Block No. Project Name: QOss',MA ' cA ICOCde I DETAILED DESCRIPTION OF WORK: I Exact AC changeout, no duct work, 3r'5 ton, 1LJ seer, t C) KW 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 Constructions Cost of Construction: $ Go 6 -1 Generator Roof Pitch Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: OWNER/I_ESSEE: CONTRACTOR: Name -v"at , (Z.OSC Mr& -1L' _ Address: V-1 XAXCK&'f 4 t•!!IL Name: Dennis Zacek Company:ARS City: ct,l dw�CIC State:lV_� Address:2800 US HWY 1 Zip Code: o P 3 Fax: City: Vero Beach State: FI Phone No. ( - Zit - "0_1 Zip Code: 32960 Fax: E-Mail: Phone No (772) 794-7205 E-Mail mgillis@ars.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License CMC1249753 IT waiue OT construction is $Z51JU 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement, eJ'NyJ� r Signature of Owner/ Le a/Contractor as Agent for Owner Signature of Contractor/L nse Holder STATE OF FLORIDA COUNTY OF stLucie Sworn to for affirmed) and subscribed before me of x Physical Presence or Online Notarization this Z2 day of _� k _ , 2020 by Dennis Zacek Name of person making statement. Personally Known _ Type of Id ntification Prod r?iVdri11 E;(' ignature of Notary P Commission No, Gc340179 OR Produced Id REVIEWS I FRONT COUNTER DATE RECEIVED COMPLETED STATE OF FLORIDA COUNTY OFS«ude Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization this ZLt day of 2020 by Dennis Zacek N Name of person making statement. 0 N O Personally Known x o a Type of Identification 2 Produced ��( •cam OR Produced Identificati N 0 N o T U� of Florida) (Sigr�e of Notary Public- State o Florid _ (Seal)Commission No. cc3ao,7s(Seal)WZONING 16 E W SPLANS VEGETATION SEA TURTLE I MA REVIEW REVIEW REVIEW REVIEW REVIEW Installation Work Order Est. Start Date. 4-2420 , slog, {772}5f37-3100Est. Completion Dato 'S1a-tea 2B00 US Highway 1, Vera Beach, FL 32900 Corporate Customer �t,king it 60Amretrar ResUlrirpal Smims of P1ca Idu Ire: Memo A CMC124t1IS3, Relations .jog it wo+k CAC ti13WA EC 13O0MW (066) 803.0879 c usTrxuR EMA CML SUP AVORM C"ISTATE12 P neo►sE PHONE cEss Pt+ore ZOO - 148 L;?01 WORK WON OPTION 1 OPTION 2 OPTION SIZE TYPE DBypiS!Z • TYPE RZt SIZE y TYPE ✓ 7 EFFICIE EFFIGI CY EFFICIENCY 1 LI See r $ $ Z 3 $- M:�; ;I:.4k,ar 1Discotla+s apmjo.,Ak A4L AeplidA $ SUBTOTAL $ SUBTOTAL $ SUBTOTAL $ MONTH LY ST.$ MONTH LYE .' $ gS MONTHLYEST.` $" CU ER INITIALS CUSTO INITIALS CUSTOMER INITIALS Warranty:" _ —Parts—Labor Parts Labor Warranty:' P`a^ds MV-Labor Compressor Heat Exchanger :W�jy--�___ Compressor Heat Exchanger Compressor LQ„LF teal Exchanger "Uriess orhrywise noNd, ax warranrias are Dorn the rrsrnrfaeruer. twig]A If ;ELECTED OPTION: ❑ 1 ❑ 2 03 O Weatherproof $Reconnect train Line ❑ Dehumidifier SUBTOTAL $ Disconnect 13 Ceiling Saver Kit O Outdoor Unit Pad _ A Lifetune Equipment Slab (Par, & Float) El Flue Venting $ Mound Isolation Pads fd Main Drain Safety Switch ❑ Ductwork Connections' 10 Liquid Tide Conduit RSeal New Connections 11 Comcct to existing plenum _ $ 0 Start Kit 0 Support Attic Equipment E] Refrigerant L.L. Dryer^ 0 Supply Plenum ❑ Duct Modifications iwe Wei qr wopeof waW TOTAL $ _ ce� o G1 0 Refrigerant Pipe O New © Reconnect p New Duct System ❑ New ❑ Reconnect 0 Retum Plenum ❑ No Duct Work ❑ Refrigerant Pipe Cover p New l] Reconnect 0 Fuel Piping p CASH p CHECK# p EXpani;vn Vafvo p E)e*onic Arr Cleaner _ ❑ Electrical Wiring Ja; slat Type 4-31_ p Media Fitter 13 Home Service Plan - ❑ CREDIT CARD (LAST 4#s) J1 Connect to E xislmg p PCO 1 Term (364 days) EXP APPROVAL Electrical f] UV Light fifFINANCING HD CC New Plywood Deck p HumidiTrer _ • i&-dbrEarBaobUS&IheberFMGm t.3 'Loosp •pp•Kd c e& tar a +ndad lima Fsfnalsd aonedr M pgmerds besed en &90% a 9aft rood APR ^• "" � �.necbn a+d A9rr r• 20M p Comfort Guarantee ❑Home Protection Guarantee p 24-Hour Service Guarantee ❑ 1009b Umondillonal Money -Back Guarantee �ol1 4wwk o�nw7 boa, .. km • SAr3%T1Zt L�trt;7ts Zy MO t-r/ .mTrILEST tt TARS is not responsible for preenslmg duclwak See Terms and Condtiars on the back of this docrmhenl for detais. • Vftten customer authorization will be obtairred before begirming 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 V 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. It you cancel this agreement, the seller may not keep al or part of any cash down payment. See the reverse side hereof for an explanation of this right. • I admowledge that my right to cancel has been explained to me orally and in writing. and without wammg my dart to cancel l authorize the performance of the work, subjecl to al Ism is and conditions set torch on the reverse ads hereof, plus any taxes upon completion. Notice To Owner • Do not sign this home Improvement contract In blank. You are entitted to a copy of the contract at the time you sign. Keep it to prated your legal right& This home Improvement contract may contain a mortgage or otherwise create a lien on your property that could be foreclosed on If you do not pay. Be sure you understand all provisions of the contract before you sign. It r nL,6 MM MRATURE nAIE PAW REPRESENTATIVE g- lto-2a2-0 CUSTOMER SKRAKFURE ow — DATE 0 2020 hnwkw %0dW d Swocm LLG N Wit reserved. AR$ iMJk200622 L.200522 8266 Certificate of Product Ratinas AHRI Certified Reference Number: 9563381 Date: 08-27-2020 Model Status: Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: 14 SEER AC Outdoor Unit Brand Name: PAYNE HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : PA14NC042'0"A' Indoor Unit Model Number (Evaporator and/or Air Handier): F84CNP042L Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, INC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, 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 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 PAYNE HEATING AND COOLING 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 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 . 39000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 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. Ratlnos lhatoru axompan ed by WAS i--dicale an involunrery re-rad.u. Ttic new oublisned rating is shaxq a;onc with Lne r1Mviuos fi.c. WAS3 ,,gdna 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, 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 `Verify Certificate' link we make life hetter- 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-Condition ing, Heating, and Refrigeration Institute CERTIFICATE NO.: 132430049040600796 Property Identification Parcel ID: 1021888 Identification #: 021908 Account Status: Open Location: 6732 SINSONTE CT City: Saint Lucie County Business Name: Cubby, Mary Business Type: 7195 - Sp Lks DBA: Konde, Rosemary Fairways Contact: Mary Cubby State Code: 814190 - Mobile Home Attachments Ownership Konde, Rosemary 14 Hickory Ln Waldwick, NJ 07463 Exemptions Current Values Market Value: $365.00 Exemption Value: $365.00 Taxable Value: $0.00 Return Received: Not Yet Received Penalty: None Download TRIM PDF Grant Exemption Exemption Description Year Code Tangible Personal 2008 TPPX Property Exemption Asset Group and Value Asset Value MH Carport $165.00 Asset Value MH CentralAC $200.00 2.5T Asset Value TotalAppraisedValue $365.00 Exemption Value $365.00