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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date Permit Number: - U • 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 �r PERMITTYPE: PROPOSED IMPROVEMENT LOCATION: Address: G U 0 T Fot--k- PteccE F 3tilct5 Property Tax ID #: (?J�Z' So3' d1 - 00o -1 Lot No. 3C05 Site Plan Name: K6++1 F �e: Ur k+MCk Block No. Project Name: DETAILED DESCRIPTION OF WORK: Exact AC changeout, no duct work, 3 ton, I LI seer, 10 KW payNE w L V I CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: Mechanical Electric _ Gas Tank Total Sq. Ft of Construction: Plumbing _ Gas Piping —Sprinklers Shutters _ Generator Sq. Ft. of First Floor: Windows/Doors Roof Pitch Cost of Construction: $ 5 9 a 8 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Ekkl Reur,,StNgs, N a m e: Den n is Zacek Address: (a ZZ d Z2yAnIC-t- Tc-,(- Company:ARS City: kxk�Pti �t'C~t✓ _ State: Address:2800 US HWY 1 Zip Code: '!Y- I9 45\ Fax: City: Vero Beach State: FI Phone No,-1-1z Zd-LIL10-1 _ 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 if vaiue of 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 COUNTY OF 91LuueCo�roy The fnreoing instrt ment was acknowledged before me this --Z.- day of 20LO by STATE OF FLORIDA COUNTY OF St Lucie Ca1My The forgoing instrument was acknowledged before me this day of 20ZO by Oer*s Zack p*A,yt Zbm k Name of person making statement. Name of person making statement. Personally Known OR Produced Identification x Type of Identification Produced Driven .ense ry Public- Statq of Florida } Commission No. r-r-340171 MELISSA CHATEAUNEUF 3mirof Florida - Notary putgic Commission # GG 340178 ay REVIEWS FROR I Z0NTN`G COUNTER I REVIEW REVIEW DATE RECEIVED DATE COMPLETED Personally Known OR Produced Identification x Type of Identification Produced Drive+L"mw I � � � rl &Mtal d S u of Notary Public. S of Florida } Commission No. GG3401?8 MELISSACHATEAUNEUF State of Florida - Notary Public Commission # GG 340178 y Commission Ess xp May 30, 2023 PLANS VEGETATION REVIEW REVIEW REVIEW REVIEW Maktng it wo rk. M,,king it right' HOMEPHONE Installation Work Order Est. Start Date iva- 3 7-62o Est. Completion Date_ 7z,)�o (772)567-3100 2800 US Highway 1, Vero Beach, FL 32960 Corporate Customer American Residential Services of Florida, Inc. License # CMC 1249753, Relations CAC 1813963, EC 13008558 (866) 803-0879 EMAIL SIZE t TYPE JIPMF SIZE EFFICIENCY 114 t'_.... _k_� EFFICIENCY I `+ $�' i — _-All $ s�Scaua3� $ Zo SUBTOTAL $a SUBTOTAL MONTHLY EST.* $ _ MONTHLY EST.' TYPE CUSTOMER INITIALS CUSTOMER INITIALS JW Enly"iParts Labor Warraniy:"i Paris Compressor r Heat Exchanger Compressor "Unless othervvise noted, all warranties are from the nanufaclurer. 'Weatherproof Disconnect .,dLifetime Equipment Slab ❑ Sound Isolation Pads ,Liquid Tile Conduit ❑ Start Kit ❑ Refrigerant LL, Dryer .RRefrigerant Pipe ❑ New [2-Reconnecl ❑ Refrigerant Pipe Cover ❑ Expansion Valve T-stal-Type [V, -:�J ,0 Connect to Existing Electrical ❑ New Plywood Deck A-1 Reconnect Drain Line ❑ Ceiling Saver Kit (Pan & Float) ❑ Main Drain Safely Sw Ich )a'Seal New Connect ons ❑ Support Attic Equipment Q'Supply Plenum ❑ New Weconnect ❑ Return Plenum ❑ New ❑ Reconnect ❑ Electronic Air Cleaner ❑ Med a Filter ❑ PCO ❑ UV L-ght ❑ Humidif or CALL SLIP i 4 19 95'! SIZE TYPE — EFFICIENCY SUBTOTAL $__ MONTHLY EST." $ CUSTOMER INITIALS — Labor Warranty:"_ Parts . Labor _Heal Exchanger — Compressor Heat Exchanger ❑ Dehumidifier ❑ Outdoor Unit Pad ❑ Flue Venting ❑ Ductwork Connections' ❑ Connect to existing plenum ❑ Duct Modifications (soe NA,tes for r,.opc, 0 wulki ❑ New Duct System ❑ No Dud Work ❑ Fuel Piping ❑ Electrical Wiring ❑ Home Service Plan - 1 Term (364 days) ❑ Comfort Guarantee ❑ Home Protection Guarantee ❑ 24-Hour Service Guarantee ❑ 100% Unconditional Money -Back Guarantee FREE SELECTED OPTION: fa-1 ❑ 2 ❑ 3 SUBTOTAL $ 7 TOTAL $ ❑ CASH ❑ CHECK# ❑ CREDIT CARD (LAST 4#s) EXP _APPROVAL fYFINANCING — r Es oK _ 'Lee is provided by En Bank USA, Mntnbcr FDIC, on approved crodi for a tended tone. Estimaled monthly payments based on 6.99% or 9.99% feed APR loa fs, dopcndorg on ban a nl, effective as of April I, 2020. Repayment forms vary from 36 to 144 monfhs. Minirnorn loan mnormis apply. Olher financing options my be avndibfo. '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 it 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 hereof for an explanation of this right. • I acknowledge that my right to cancel has been explained to me orally and in writing, and without waiving my right to cancel, I authorize the performance cf 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 contain a mortgage or otherwise create a lien on your property that y be foreclo n if you do not pay. Be sure you understand If revisions of the contract before you sign. ATU TE COMPANY REPRESENTATIVE t CUSTOMER SIGNATURE DATE DATE [7n7b Amnriean Rw>sidenl4il Rrrvic.:n 1.,1 C. A11 rinhia rnKervnd. ARS 1070 FI 70o577 1 700592 ID4s Certificate of Product Ratinas AHRI Certified Reference Number: 9520474 Date: 06-04-2020 Model Status: Active AHRI Type: RCU-A-CB Series: 14 SEER AC Outdoor Unit Brand Name: PAYNE HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : PA14NC036`0"A' Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNP036L 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 ANSI/AHRI 2.101240 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 : 33200 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 "Productian Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Retinas that are or sale. by WAS indicate awinvOuntary mate The_ new published ratina is shown along with the erevious (i.e. WAS) ratina. 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 maize life IXcuer"' 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 I CERTIFICATE NO.: 132357646964707869 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 Kettly Fleurima 6220 Spring Lake Terr Fort Pierce, FL 34951 Legal Description PORTOFINO SNORES -PHASE THREE- (PB 43AO) LOT 365 (OR 2419- 2033) Current Values Just/Market Value: $155,600 Assessed Value: S83,029 Exemptions: $50,000 Taxable Value: $33,029 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 0 Download TRIM for this parcel: Download PDF rl 6220 Spring Lake TER 1312-503-0138-000-1 155197 13i 12N 0100 Planned Un Saint Lucie County Total Areas Finished/Under Air (SF): 1,513 Gross Sketched Area (SF): 2,136 Land Size (acres): 0.14 Land Size (SF): 6,098 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.