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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10/1/2020 Permit Number: Or O Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FORWAC / Mechanical PROPOSED IMPROVEMENT LOCATION: _ Address: 25 Mediterranean Blvd Port St Lucie, FL 34953 Property Tax ID##: 3426-500-0984-000-3 Site Plan Name: 25 Mediterranean Blvd Project Name: Emerson Gallup �ETAILED DESCRIPTION OF WORK: Exact AC change out, no duct work 2.5 Ton, 14 Seer, 8 KW New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Lot No. 25 Block No. 1 & 2 1 Additional work to be performed under this permit— check all that apply: ,_.Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors ^ Pond _ Electric _ Plumbing — Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: 5q. Ft. of First Floor: _ Cost of Construction: $ 6,396 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Diarys Martinez de Osaba Name: Dennis Zacek Address: 25 Mediterranean Blvd Company: AIRS 1 Resue Rooter City: Port St Lucie State: P\ Address: 2800 US HWY 1 Zip Code: 34952 Fax: City: Vero Beach State: FL Phone No.772-281-4553 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 of construction is 25aa or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: ` Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name:_ Address: City:_ 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. Signature of Owner/ LesseEUontractor as Agent for Owner Signature ofZo-ntractor/LiceW Holder STATE OF FLORIDA COUNTY OF St Lucie Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization this day of 2020 by 11 Dennis Zacek Name of person making statement. STATE OF FLORIDA COUNTY OFstLucie Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization this 10 day of 2020 by Dennis Zacek Name of person making statement. Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature o otary Public- nature of Notary Public- S : s MR! WQAGILUS NO 56 MI881l�MiC M RgftQW3 Commission No. _. Expoft�, W 5q l 0�3E C mission No HHO 56 o '•.d" }k'�� • ieondtad ihu Notey Pstt>k � .�' EXPIRES: Sept 29 2E REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW TREVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED f fIit ZA t rk. Makin.FIght- Making ll w > Installation Work Order (772)567-3100 28CO US Highway 1, Vero Beach, FL 32960 Amel scan Residential Services of Floiida, Inc. License N CMC 12zit715+'* CAC 16 13963. EC I 30OB558 Est. Start Date�� a Est. Completion Date Corporate Customer Relations (866) 803 0879 CUSTOMER �^' , EMAIL CALL SLIP ADDRESS `-s1•r t �ti ✓� CITY/STATEIZI r ( �r, ICI ` r L HOME PI10Nf CELL PHONE �. WORK PHONE OPTION 1 OPTION 2 OPTION SI- i-7 -- TYPE l� - SIZETYPE EFFIC CY icf 1C I k EFFICIENCY f PC `�� SEZE! TYPE EFFICIENCY q a� $ �o9� `k $ 700 $ $ $ $ $ UBTOTAL $� SUBTOTAL $ G SUBTOTAL $ M - NTHLY EST.' $ MONTHLY EST.' $ MONTHLY EST. • $ CUSTOMER INITIALS CUSTOMER INITIALS CUSTOMER INITIALS Warranty:"_ Parts _ �._._ _ Labor Warranty:"-/ V Paris _9, Labor Warranty:" Paris Labor Compressor __Heal Exchanger -Compressor Hafat Exchanger —Compressor Heat Exchanger "Unless otfwrwise noted, aB warranties are from the manul{cture, SPECIFICS OF • • SELECTED OPTION: ❑ 1 02 ❑3 ❑ Weatherproof --connect Drain Line ❑ Dehumidifier $ StBTOTALng Disconnect C}CeiliSaver Kit ❑ Outdoor Unit Pad ❑ Lifetime Equipment Slab (Pan 8r Float) ❑ Flue Venting $ WSound Isolation Pads 9Main Drain Safety Switch ❑ Ductwork Connections' ❑ Liquid Tito Conduit ❑- al New Connections E3tonnecl to existing plenum $ ❑ Start Kit ETSuppori Attic Equipment ❑ Duct Modifications ❑ Refrigerant L.L. Dryer _, El Supply Plenwn Ise-- Notes Im scope of work) TOTAL $ 62 ❑ Reli iges Hilt Pie ❑ New Er econnect ❑ New Duct System ❑ New L econnecl ❑ Return Plenum IIlo Duct Work PAYMENT ❑ Refrigerant Pipe Cover ❑ New 16Fteconnecl ❑ Fuel Piping ❑ CASH ($'CHECK# ❑ Expansion Val ❑ Electronic Air Cleaner. ❑-Electrical Wiring P � ❑ CREDIT CARD (LAST 44s) E�' _ at -Type ❑ Media Filter ❑ Home Service Plan - _ OW6nnect to Existing ❑ PCO t Term (364 days) EXP APPROVAL Electrical ❑ UV Light ❑ New Plywood Deck ❑ Humidifier ❑ FINANCING • GUARANTEESQ 'L„" v F-whdcd it EwElank USA, Member FDIC, un approved ared t for a funard Imn. Estmalod monthly Paymcnls bated on 6.99% m 9.99% feed APR C fort Guarantee m oe Protecllon Guarantee bans, dr;wdinp un lov+mn %. effective as et AM 1, 2020. 4-Hour Service Guarantee ❑ 1 16�itee Repayman terms vary 1-06 to 144 m IhA Mnn+um loan amonn:sappy..oum.,imrr:.,poplonamayheaYmlado, • x ( 'ARS is riut responsible for preexisting jw lwork. See Terms and Cond lions on the b??ck of this document fot details. • Written customer authorization will be obtained before beglnn.ng 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. It you cancel this agreement, the seller may not keep all or part of any cash down payment. See the reverse side hereof for an explanation of this right. • I acknowledge that my right to cancel has been explained to me ora ly and in writing, and without waiving my right to cancel, I au-horize the pedormanr.n of the work, subject to all terms and conditions set tarlh on the reverse sid,• 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 contain a mortg r otherwise create a lien on your property that co� be foreclosed on if you do not pay. Be sure you and rstand all provisions of bract before you sign. CUSTOMER SIGNATURE DATE COMPAW REPRESENTATIVE CUSTOMER SIGNATURE DATE Dh E Zo f 2070 Anrerrean Residential Sem L.L.C. Alt rights reserved. ARS107B FL,200522 1-200522 Certificate of Product Ratinas AHRI Certified Reference Number: 9489271 Date: 09-30-2020 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) : PA14NC030*0**A* Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNP030L 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, 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 ANSIIAHRI 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 : 28600 SEER: 15.00 EER (A2) - Single or High Stage (95F) : 12.50 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 prod Liced "Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT --a still seeing or offering for sale. Rathat ara accorrpanie6 by WAS uidicalu an invol-untary re -race The new_puC'iShcd rating is shown alonq with Lhe previnus ti.e. WA51 ri lira. 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.a hrid I rectory.o rg, click on 'Verify Certificate" link we make lire 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. 02020Alr-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132459480983255154 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser --All rights reserved. Property Identification Site Address: Parcel TD_ Account #: Map ID: Use Type: Zoning. City. County: Ownership Diarys Martinez de Osaba 541 SW Feldman AVE Port St Lucie, FL 34953 Legal Description ST LUCIE GARDENS 26 36 40 THAT PART OF BLKS 1 AND 2 LYG k[_Y OF US # I AS SHOWN IN OR 2389-720 BEING LOT 25 MEDITERANNEAN BLVD NORTH (0.16 AC) Current Values Just/Market Value: $78.900 Assessed Value: $78,900 Exemptions: $78,900 Taxable Value: $0 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 25 Mediterranean BLVD 3426-500-0984-000-3 175845 34: 26N 0100 RMH-5 - Co Saint Lucie County Total Areas FinishedfUnder Air (SF): 1,433 Gross Sketched Area (SF): 2,066 Land Size (acres): 0.15 Land Size (SF): 6,719 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. 0