HomeMy WebLinkAboutScanned from a Xerox Multifunction Printermil mPPOMBEE INFO I4103 i BE COMPEE i ED FOn wPPEICtA i ION 10 BE ACCEP i ED
Date: 10/1/2020 vermis Mumber:
d
Building Permit Application
Planning and Aevelopmem Services
nubuing anZ7 Coae Kegularion u:v.'s:o.. CummerCidl
2300 Virginia Avenue, ro, t Tierce rz 3z;yae
Phone: (rrc) Fax: (iic)
PERMIT APPLICATION FOR: HVAC 1 Mechancial
PROPOSED IMPROVEMENT LOCATION: _
Ntltlress: u5u0 BrooRline H';v Fort Pierce, FL 34951
Property iaxlD?;:-1 s0.�-50o-0146-000-9
Site Plan Name: 8600 Brookline Ave
Project Name: Michael Johnson
DEIAl[ED DESCRIPTION OF WORK:
Exact AC change out, no duct work 4 Ton, 16 Seer, to rnvv
Mcw Elect, ical Meter Second Electrical Meter
I CONS I RU[. I IUM I ISIFORMA 11014:
Residential X
Lot No. 11 & 12
Block no. 99
wddidonal work to be performed untaer -Mis permit - cRecR all inat apply:
_Mecrian:cal r Gas Tank — Gas Piping Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers — Generator goof Pitcll
i oral _-�q. Ft or Construction: Sq. Ft. of First Floor:
COSL of Construction: $ 9,967 Otilides: _sewer _peptic
Building Reigns:
uvvWER/CE55EE:
wl91 RAL 10R:
(game Michael Johnson
Name: Dennis Zacek
Address: 8600 Brookline Ave
Company: MR5 i Rescue Rooter
City: Fork Pierce State:
Address: 2800 US HWY 1
City: vero Seacli State:FL
rip Code: zmV Fax:
Phone No. 706-442-6409
Zip Code: 82960 Fax:
E -Mail:
Pnone lqD 772-794-7205
Fill in fee simple Title Holder on nett page ( if different
E -Mail mgillis@ars.com
from elle Owner listed -Bw e)
State or County License CMC1249753
it value of constru«lon is Z500 or more, a RCa.vREFEp Kosice of Commencement is requlrea.
If value of Ravi, is $,r,i0u or more, a RECORDED Notice of Commencement is requlrea.
5UPPCEMtN I AC CURIS I RUCTION CIEN IOW 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:
Name:
Address:
City:
Zip: Phone:_
Not Applicable
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 efore commencing work or recording our Notice of Commencement.
QMH2n4::' C��' ';k�
Signature of Owner/ Less Contractor as Agent for Owner Signature -oTContractor/LUhse Holder
STATE OF FLORIDA
COUNTY OF St Lucie
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this _j_ day of 00aa%i6V , 2020 by
Dennis Zacek
Name of person making statement.
Personally Known x
Type of identification
(SignatuFe
Commission No.
OR Produced Identification
REVIEWS I FRONT
COUNTER
UAIt
RECEIVED
UAIt
COMPLETED
STATE OF FLORIDA
COUNTY 0FsiLucie
Sworn to (or affirmed) and subscrilsed before me of
x Physical Presence or Online Notarization
this 1 day of oGkbbEf 2020 by
Dennis Zacek
Name of person making statement.
Personally Known x _ _ OR Produced Identification
Type of Identification
U+ :
M RANDA{31LLIS
nature of Notary Public
o�ida ).MMDAGILLIS
•=
MY COMMISSION S FH 0468
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This comffinalion qualities ror a Fetleral Energy Emcienc, I aT, Credit when
o placed in s-vrvice between 1/1/2015 and 1213112020.
AN! 13L ICERTIFIED
. ry. .
Certificate of Product Ratings
ARRI Cert,he8 RetePe„co Number: 201776150 Date : r0-u r-zuzv mo0el status : Active
RRRI i ype : RZZ-m-7_19 rsplit system: Air-Foole5 �;ontiensing unit, Cail -itli slo-er)
5eries : PERFORMARCE 15 AC
Uatdao, Unit Brand Name : CARRIER
Uut'uoor Unit Mo'ael Aumtier jConvenser or 5ingle PacRage) : z>FA�6�sw`Os0`
Intloor unit IClollel NeRmoer (E;aPorator -Refer Air hlaneler) : J-V4CN(H,F)005C
Ruv6ri : All (AK, AL, AR, AZ, CA, CO, v I. CC., EII•, RE, GA, MI, 0, IE, rA, In, !r, RT, EA, 1171m, 19111, 141E, 1411, MM, MU, 1915,
1911, MC, NQ, NE, NR, NJ, NPI, Nv, NY, OR, OR, OR, PA, RI, SC. SO, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S.
Territories)
R.yion Note - Central air conuitioners manuiacture'u prior to aanuary 1, zQ 15 are eligible to lye installea :n all Penl.m_
Entil Jane s0, ZUT6. Beginning Jely 1, 2016 oentr.l air oonditi.., r. can only be installed in reyion(s) for
whicR tt',ey meet the regional eiiciency requirement.
The manufacturer of TRIS CmRR;CR pro'uuct is responsible ror tRe rating or MIS system comoinatlee.
Rated as follows in accordance wKR the latest e'aitlon of iKM3I. MMKI z i 0lzwu witri mtlaaentla r anti z, Performance RatiRe at
Air-uonaitioning S AiFsee ee Rv..t PMRIp Ezinipmarrt _Rd meb)oet to Porting accara ry by AR RI-sponsored, independent, thir'u pasty testing:
Coding Capacity (A2) - Single or Hiyh Stage (95F), btuh : 400
SI•eR : rU.VV
EER (Az) - single or KUM slay (y5r) : is.00
T"Acdv■" Modal Stataz; ore the--o that o AHRI Certifioall.n Pregr-m P.rUJpart I. currently prods, Ing _R119 sc;Iing or<a-,.erng ror sale; OR new models that are being
marketed but are not yet being produced."Productiaa Stepped" M.dot Stals- .orb th...a th-t a- AHRI Ccrtificution Program P.rtioip.n; ii no longer prouazing MUT is 36,1
selling ,.ng for a-
satieef
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or i by YVA&10kc*wThe newi r ': 1 s��uwn als�n wi7h kh rc:i€us ii.e. WASror ir.
DISCLAIMER
AHRI does not endorse the pr_d_.t{_,} Ilated on thl, Certificate and m.kcz no rbpre.cm.dons, o"..rales.r ga.r.ntces .9 w, .nu assumes no responsibility for,
the producttst listed on this Certificate. AHRI expressl; dlsolalmc -11 Ii-bility for drm-g..- of -my kind ..,-icing out of tho a, - or performance of ;he prodacrfsr, or ;no
on.W.rt ct..hcration of data listed on this Certificate. Certified ratings are valid only for models and=erAignratl.ec II_.ted In the
directory..: a—.ahrldir.c;.ry..rg.
TERMS AND CONDITIONS
I.Iis txmncate and its contents are proprietary products of AHRI. This Certificate shall only be used f.. indl-Ideals person ol ..nd
&49WI
confldon.1.1 ref.rc;-,ce parpo-5. n,o wn-rats — this Certificate may not, In whole or in part, be reproduced; copied; dissernlnated;
.7;t.red into ..e-pets d„ t.b»mc; .r.th.rwls. uJil cl, in .ny form or marl, r Vr IJP any Iuc.ns, except for the user's Individual,
personal and confidential referen_■. AIR-COReITIoNiNw, ROCIRe,
CERTIFICATE VERIFICJ,'IVR & REFRIGERATION INSTITUTE
The inform-tin for the model cited .n.his cer;If _;e c.n be Irl-,.a .; a wwainriulru,tcry.V rg, click on 'Verify Certificate” link -V- „- k Lf h tr■.-0°
and enterthe AHRI Certified R.for.eve Number..nd the date on :high the ccrtlfico;. n— Issued,
which is listed above, and the Certificate No., which is listed at bottom rignt.
132460405065641144
"v�cGcO�liili,oneldoning, Rearing, antiRerrlgerarlon Ina>il[at:>r CERTIFICATE NO.:
Michelle Franklin, CFA -- Saint [ucie County Property Appraiser -- All riuM5 resvrved.
Ovvnership
M:ahxl D
Marckdaline Johnson
8600 '. ookline A. E
Fort N -Fee, FL 34951
[egal Description
LAKEWOOD : t-1NIT 8- BLK 99 LOTS 11, 12 AND W 60 FT OF LvT
13 (MAP I � 02N)
Currem values
susthv,arket value: $195,600
P=VC Uva Vwlwc: 31y5,600
Exemptions: $50,000
ia.aeie v-1ne: 314500
Property Taxes are suajecc to A .rise upon
change of ownership.
• Pr;t t"ce «re not;-. .mAimbl, projc,do;. of fui-am taansa.
• The sale of a property will pp --.—..pt the rb-s--I of all
CAS .J)G.,,-.s, uacssmcn, caps, and special classifications.
,axes for tats parcel SLC T-- Cwllw.tor'.- Ott:ee
I KIM p .rccl: Download PDF
Total Areas
FinishedfUnder Air (SF): 1,778
Uloss 3Ketenea Ar --a (Sr)• 2.855
Land S.ze (acres): 0.63
Lani1 size (3r): 27,300
All information is believed to be correct at this time, but is suuject to change ant! is provi'ueu witnout any warranty.
a I Copyright zUw saint Lucie County rroperty Appraiser. An ridnis lace-etl.
Pruperiiy luendficadan
Skc Aildre'ss:
8600 BROOKLINE AVE
rarcei ru:
1301 600-0?46-000-9
Accoe-,t #:
2213
map 1U:
17 U2N
llao l�Ye_
0100
Zoning.
RS -4 Count
I.LtT+l.ve :CT:
Sal .t Las- Cv= .ty
Ovvnership
M:ahxl D
Marckdaline Johnson
8600 '. ookline A. E
Fort N -Fee, FL 34951
[egal Description
LAKEWOOD : t-1NIT 8- BLK 99 LOTS 11, 12 AND W 60 FT OF LvT
13 (MAP I � 02N)
Currem values
susthv,arket value: $195,600
P=VC Uva Vwlwc: 31y5,600
Exemptions: $50,000
ia.aeie v-1ne: 314500
Property Taxes are suajecc to A .rise upon
change of ownership.
• Pr;t t"ce «re not;-. .mAimbl, projc,do;. of fui-am taansa.
• The sale of a property will pp --.—..pt the rb-s--I of all
CAS .J)G.,,-.s, uacssmcn, caps, and special classifications.
,axes for tats parcel SLC T-- Cwllw.tor'.- Ott:ee
I KIM p .rccl: Download PDF
Total Areas
FinishedfUnder Air (SF): 1,778
Uloss 3Ketenea Ar --a (Sr)• 2.855
Land S.ze (acres): 0.63
Lani1 size (3r): 27,300
All information is believed to be correct at this time, but is suuject to change ant! is provi'ueu witnout any warranty.
a I Copyright zUw saint Lucie County rroperty Appraiser. An ridnis lace-etl.