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HomeMy WebLinkAboutBuilding PermitAll HPPl!ICmBCE IMPU ITIOaS i 6E COMPEE i ED FOR APPEICA1 IOA TO BE ACCEPTED
Date: rermit Mumner:
Building Permit APPlicativn
Planning and Aevelopmenr Services j
suhaingant? CoaenegatQr:o,.u:4;,;0.. Commercial Residential
2300 Virginia Avenue, Forr rierce FL 34n -oz
Prone: (//L)SOL-1]73 rax: (//L)z;bL-15/a
PERI011 I APPEICA I lulu FOR: HVAC / MecMandal
PROPOSED IMPROVEMENT LOCAI IUM:
A00ress: _i r /a zmamy&ook Dr Fort Pierce, Fl- 34945
Property i ax 10;F: _ _ EOL MO.�
Site Plan Name: 1775 Stonybrook Dr _ 61ocR Mo.
Project Name: Anthony Dejulius
DEIAIEED DESCRIPTION OF WORK:
Exact AC change out, no dUci worn
3.5 Ton, 14 Seer, 10 KW Package 'unit
ivy.. Electrical Meter Second Electrical Meter
LC3145 I RUL I IuM I IQFURIVIAT€ON:
r,dditional work Eo Me peRormea uniaer dfiz permit– check all that apply.
IGlechanical
Electric
Gas Tank
_ rlumbing
oral --�q. Ft or Constrar-tion: _
Cost of Construction: $ 5,0750
_ Gas Piping
-)prinRlers
Shutters _
_ venerator
Sq. Ft. of First Floor:
windows/Doors
Roof
Qtilidez:—.-,e..er !Septic Building Heieht:
UVVMER/EE55EE: I COIN I RAC 1-0R:
Dame Lee Holden
Address: 1775 SLonybrooR Or
C;tr: Fort Pierce SLaLe:
_
cip Code: 3 F!dZ* Fax:
Phone No. 443-604-2163
E -Mail:
Fill in fee simple Tile Holder on next page ( if different
Tram tRe Owrner listed abovel
Name: Dennis cacek
Pona
Pitch
t,nnmp.my: ARS / Rescue Rooter
Address: 2800 U 5 ilvv Y I
City: Vero Beach SLaLe: FIL
cip Code: 3La'n0 Fa,.:
Phone No 772-794-7205
E -Flail mgillis%pars.com
State or County License CMC1LzFy(53
If value of conSLruCtion is z3750 or more, a RECUROED Notice or Commencement i3 rcquireZ9.
If value of RwvC is $x,300 or more_ a RECORDED Nati.. vi Commcncernent is required.
SOPPEEf0l N IAC C:ONsi-RUCTION EIEN LAW INFORMATION:
DESIGNER/ENGINEER: W Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
BONDING COMPANY: Not Applicable
FEE SIMPLE TITLE HOLDER: _ 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 our Notice of Commencement.
Qtr~ I
Signature of Owner/ Less Contractor as Agent for Owner Signature o Contractor/L se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OFS+Lucie
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization x Ph sical Presence or Online Notarization
this 14 day of t3L4rb 2020 by this 1day of MC MSU 2020 by
Dennis Zacek Dennis Zacek
Name of person making statement. 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
:y
(Signature of Notary Publi-$ Signature of Notary Public- S
i wcomM �,N !�a��MIRANDAGILUS
Commission No. 11 p ommission No. ° COM MOMONWIH
i'�q ga bloesli s?# '` EXPOM Sepbmbu 23,
lor
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Te -V-7576720— -
it ;j,,z Matting it righl.
Ma�Ag
wrflorREn
X—E D* /W3
Insf`alrat v.. GDbrK Or�T
VY10567-3100
Eat. St -A D -Id
Io 2-
Est. Corrr'latren Date 1.072-
2800
2800 US Hrgh=..y I, Vere MUa FL 32960 Corpor..ta C=v.oMer
Amercm Residential Sem-of Fbd, tm L+r�- i CMCINT/53, Relations
;. ,
16667603.0879
wrflorREn
--- am r
. fir•' a o—al]r
�Vr
.s P
Y`
�OMEPHONE
cE[
,rvure]S OnE
OPTION
i
OPTION 2
OPTION
SIZE TYPE
SEEN
_Qe
SIZE -b-7.__ V
t L L4
SIZE TYPE _
EFFICIENCY
EF ICIENCY
EFrICII!MC. _
3
..- .. $�_
$
$
AltG�r�renf-p�j;
4
SUBTOTAL 5.
SUBTOTA6Aj6- $_,Z),000
3USTvi'AL $
MONTHLY EST. $
1910NTHLYEST.` $_
MONTHLY ESV $....:,.v ....-_,_ ......
CUbMNIER INITIAES
CUSTOMER INITIALS
C0SMMER INITIALS
W.+r.n,r:" - is
Labor:
W ant-ty- ) IiCParrrraO�yCLabor
W.rr.nty:. P 1. Labor
l.ornpraz.,ar
Hea, Exchanger
t T=,ompressoXby-cul st Exchanger
Conl,raooer He.t Exeh.nger
'•or.RRR .,Ilm"W rooK dl wartanlw— tram the man d..ie
SPECIFICS
OF •UR INSTALLATION
SELEcTED OPTION: ❑ 1 X2 ❑ 3
IRI Wa.lherproor
15 R..enneet Dr -i.. Eine ❑ Dehomidif;a
SUBTOTAL $ �QD
Disconnect
13 Ceiling S.,ur Kir ❑ Outdoor Un4 P0T
FVatiea Egelp... a..; 51.5
(ran & Floa►) 12 Flue Vent ng
Ti
Pound Isolation Pads
i.. D..;m S.fety S=1ch twork Conrreetised
❑ Liquid Tite Cendaa
INSeall New Cao"naehona lWorinect :o mating plan=
$
❑ St -rt Kit
At4c "u:pment ❑ Duct Modifications
❑ ..eyrigerant LL Dryer _._Pleeem
(see Nol— W .1 Work)
�u7
TOTAL ;
13 Refege_....t Pi,e
Roaan..aat 17 Nerr Deet System
rDQD T
❑ Nan ❑ RawnnocP
%newrn rte++om KNo Duct Worn
❑ Refrigerant Pipe Cover
15 New VReconnect 15 Fuel Piping
❑ CASH ❑ CHECK#
0 Ex, Haien V 1.r
�T....,-Type��
❑ Elactronle Air BCCI— El Eleeteeal W..ng
❑Media Ester ❑ H.,ma 5a,.icc Pla++ -
D CREDIT CARD (Q15T 4fia)
Connect to Exi g
p FV5 e 1 Term (364 days)
EXP APPROV
Eleatea-1
❑ UV Light
D
_FINANCING
❑ New Plywood Deck
❑ Humidir er
OUR GUARANTEES
�1�`r tswlro,d,dbiFnaDanteatieaneeroleon
r — — W. ora.. Pie. can- Mw"
❑Comfor, Gr.n.
❑ H.a Pmtacl'a.. G-.wvv
r'P"mvwtaale —1�4 AM
u 24 -Hour Service uuarentee 15 I0096'uRtURpitionat Money Back Guarantee
....,..,..�.- Isnq vary Rvm ue le I,..ar•ha M..rrle Ippr+
(��Mz?- w�� ,-6 �k lj �
Ls1 �"od
`AR5 is not . r _. pie Ter preexisting 8'Zio rwork .wee T mw and U& dlions ant tie 6aU of thaocu�in I f., da
• vwmen customer authorization coil 9 Mlained befe.s bagiiwing arty and m=m awitienal ar exl.r&d work
•rarTi a,aMS rGrt_N37or-07,ON DEPE�T3 AIDE SUWECT TO THE Nur K.& AND CORE PR04f.410N5 OF UF11FTER 558, FLORIDA o1A1 vI ES.
• avTERS I1113eer av wca1
m.. 1 As S a Rome soll0tauon sale, and If you 110 not want ure g3M or sef9ices, yon m.y ea, -,Sal Ihw agree-
fReR! by proridl+,g written notice to um sailer In person, By teiegram, or E9 mail. This nouns must indicate that you ds nil :.nt the guvua
oe swdoes ink r�,ast be deRvered or pwwunwllt�e before nuwrignt yr we third business day after you sign this agreement. It you cancel
tlasgramnent, the sellae may notrWp ill or pare of any cash ;;M-, payment. aw the reverse side hereof for an explannuon of thla flghL
• 1 admoYRledge Gmi.-r right b cancel even explained to meoraly and in W.—.% and without waning my 1- I to,X� I aull a uta poi imao nee of
mewrx+a, au 'act to IN terms an cooditwo w. foAh on the Iemree Q -v hersot; plus uq- ---. upon completion.
IlaorlLa ry owner- W IRRalgel Oris Roma Imll)— ....et eannd In WanX Yaw -r-- e. -,.titled to. copy of 9i. coetrad .t the time you sign.
rwW utb pRof W tm rtgRtt. This home L..provement aordrad .—.-, Surital.-.. mertg.ge ae omaiwlse areae;; Ron an your propen9
RMurGiMld 04 A you not Be oIn o adepfand .11 ... at thin -ntrnd Veefora you Sian.
VA
GtraFDalEawr�1+91YR¢+. � �..�..J orae oxr�I['�
xti.tlo9or.-rte llJl#nwra•d AR4.are, t.7 � B7re
DUC11 11 ICU W I L1 1
amS(
Certificate of Product Ratinas
AHRI Certified r.eserence Iaumiler : r zivWuo 13ote : 1 V-14=zoZU IOl.,del Status : Active
AFIRI I ype : 5P -A (Sinyle-P_vr(aeo Air-Conaitioner, Air -Cooled)
Series : R4 IDA AC SPP
Outdoor Unit eranu Marne: CmRRIER
vutt7oor unit MoZI-I Neprl6er (Coma -riser or Sinyle Package) : 50ZPCO42—,u"'
K-gien : All (AK, AL, P%R, rte, Cm, C; ;. t, r, DC, GF, FE. un, RI, 117, IL, IA, IN, R5, KY, ISL, MA, MD, ME, Mi, MN, ILIO, MS,
IQI i. Mt;, N17, NE, NF1, NJ, NM. Nv, NY, OR, OR, OR, PA, RI, SC, SQ, i M. IA, 01, VA, v r, vvA' vvv, vol, vvy, 13.5.
Territories
Region Note : Central air con'uitioners manuracturet7 prior to zrarluo.—, 1, z015 ..re eligible to lie inztaliea in all regions
arltil ,lane :70, 2016. Beginning July 1, 2016 central air con'uilioners can only be installed in region(s) rep
wlliell they meet the regional emciency requirem.m.
The manufacturer os this CARRIER proauct is responsible ror tfte F,.tiny or Ink; aystern oornbinati.,n.
Rat -a as follows in accordance witR the latest e'uition of AMSirmMRI zlwz4v with Aaaendu 1 ..ria Z, Porlo.rtraneo Rating of Unitary
,Kir-Con'aitioning N Air-SaRrco Re".t Y".ITIp E.,eipmont and ab;ect to rating accuracy By mMFU-sponsoreC, inaepentlent, tniro party tewting:
Caelinf, C:at.acity (A2) - Single or High otaye �vuF), Btun : 41'000
SEER: i4.5u
EER (A2) - Single e. Ri,M Stage (9aF) : 11.50
t"A`ftu" Model Status art Musa tflar an AHRI Certification Program Participant is cupmmtl; ppvdevi.,g AND-ellir,g or offering for sale; OR nen moaels urat are Being
Prarketed bet re vt yet being prodaeed!ProaoG-o4n .a&rppeu" Model Status are those that an AHRI Certification PmSp6m Parlijpant i= no lenge, producing BUT is still
selling or offering for =ale.
€iali s Thai e e ar rrymnic i by WAS indica; rl invtal'rnta re -rata. Tne new outlishcc rali,.q is shown a nn. will he urrovious °i a 'SNA$ rel n1j.
DISCLAIMem
AHRI dues not endorse .he prvaac.ks, listed on this Certificate and makes no representations, wappaetleo er geor� ntvcz as to, and assumes no responsll illy ror,
the ppoda_tjo)11-ted or. this Certif r.w. AHRI osprtssly uiscl..lms all liability for damages of any kind arising out of the tic■ ■p pwrf.rProne. of the predact(s), or;he
unauthorized alteration _f d..ta 11 --ted on thl= Cartifloate. Cordflad r.drigo are :alio on.y iur morels and configurations listed In the
directory at www.ahridirectory.org.
TERMS AND CONDITIONS
This Certlflcate and its—ntwms .Pr propriet, ry prode.w of AHRI. ThEs Cer.i;l. Qic shall only be used for individual, personal and
confidential reference purposes. The contents .f thia Certifleate Pray not, in -holo or hi p.rr, b. rvpraoaoea; a upied; dlsseminated; MO
��
onv ;crei,nzv a—n—ipuler database; or otherwise utilized, In any form or Pr",RRer.c BY any Pre.-ezo, o�ept f.; -;hu user's ino.aaa..I,
p.men".I and—eflden;lal ieftwreace. AIR-CONDITIONING, HEATIRG,
CERTIFICATE VERIFICATION dr REFRIGERATION INSTITUTE
Thein,v,nrauan .or the model cited on this certificate can be verified at =-.ahrldlravtery.vrg, olLk an "Verify Corafii;.w' fnR we make life h -it -m'
and enter th. AHRI Ce.—.ifl� ,.oieran..a number and the date on which the certificate was isso.d,
whi.h to Ilvt.d .bo-.-, _Td the Certiflaote No., Rhicn Is iiYeu at 0 rn rlgnt.
©AZOAlfziluonditioning, Heatins, and Refriaeradon InSLIXULe uER>I IFILATE NO.: ..,—. ;50005142116
Property Identification
value
Parcel 1D.- 1013190
ItlendTicadon#: 1015040cOffI30
Account Status: Open
Location: 1775 STONYBROOK
MH CentralAC
OR
City: Saint Lucie County
Business [game: Rol0en, Eee
Business Type: 7060 - Gulden
00m: Holden, Lee
voRds
Contact: Holden, Lee
state Cotte: $ 1z 190 - IMo6ile
value
Home AttachmenLS
vwnersllip
Holden, Lee
1775 Stonybrook
Or
Foy � Pierce, FL
34945
ExempLions
Gr.uRt E;;eTpt;vm
Year Code
'Z005 IFR&
Asset Group anti value
Current values
Market Value:
$1,6zi8.00
Exemptlon value:
$1,348.00
Taxable Value:
$0.00
Return Receiveti:
Not Yet Received
Pe.. -It,: Ione
Download TRIM
PDF
Azsct
value
IMM Uarport
$z8a.00
Asset
value
MH CentralAC
$280.00
3.� I
msset
value
MH Main Area
$0.00
A3stst
value
Exemption Description
Tangible Personal
rroperry t=xemption
Exemption
Value
$1,348.00
NIDI ra[io Cope. $66.00
tssell
v..lea
MH Screen Rm
$624.0
vi.,rl windows
Asse.
value
IGIR Util Rm
$95.00
Hssei
volae
7otalAppraiseuvalue
$i,3zF8.UU