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HomeMy WebLinkAboutScanned from a Xerox Multifunction PrinterHII RPP[I['leloEE Ilafar I41'u3 QE COMPED i� ED FOR HPPEICA P IUM e O 6e ACCEP i ED Date: 11/17/2020 Permit Number: U; 4J ° �.. T. Building Pcrmit Application manning anal ae7�i„p... c -r 3u—'eu, a,,d Code Regulation Division Commercial Resi5ential --sUu virginia Avenue, Forr rierce FL 32;yzsz Phone: (r it) zz5,c-a3Di Fax: (i 14) X64-13iS A PERMIT APPLICATION FOR:RVAC / Mechanical _l - PRuPu5ED iIVIPKuvtlVIEN I Iwc,xl lull: Aaiarc»: -10 r---,,3 Del Merle FvR Pierce, FI 34951 Property i ax ID a: sire Plan game: IU Eagos Del MmTe Projea Name: EleDOrah Bailer DE IAl[ED DESLRIPTION OF WORK: Exact AC change out, no duct work 3.0 ion, 14 seer, 10 Kvv Me= EieEtrie..l Mvxcr Second Electrical Meter LCONSTRUCilurm I IVFUR VIA I IUN: Aa6itiona1worn to 6e peRormea unser tRis perrnit-eRecR ull tM.i apply: _PCIecRanical _ Guz5 I uMR _ GQJ Piping _ Shutters _ Ele,tric _ Plernbin& _ Sprinklers i otal Sq. Ft of Construction: _ Cost. of Consrruction: $ 5,10'u Generator Sq. Ft. of First Floor: Cat No. 010ER No. Windows/Doors _ Pond Roof Pilch Utilities: _sewer _::Peptic 6uilaing Fleignt: OWN ER/LESSEE: CON I RAR_ I uR: Name Shirley Ross Name: Dennis caceR Hdflress:45c southeast Ave ?FB Comp„My: AKJ / Rauutlo Route. City: Tallnladge State: OH Address: 2800 U S HWY 1 Zip Code: 44278 Fax: C,iry: vera Iseacll state:PC Phone No. X06-301 -ii r36 lip Coac: 32960 Fa.: E -Mail: Phone No 772-794-7205 Fill in fee simple Title Holder on next page (if different E -Flail mgillis�gyars.com from Ae Owner listen a6ovej State o; County license CMC1249753 IT :oleo or eon3trattion Is 4300 or Muff' a RECORDED Notice of Commencement is required. If ._lee of HAVC i9 $7.500 or mom, a RECORDED Notice of Commencement is required. SuPPLEMEM 1 AC COIQS I Kut. I IVIG LIEN CAW IMFORMA I IU19: DESIGNER/ ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable rvame:Name: _ Commission No. H Oa Addre,s: Address: City: ataie: Zip: Phone: City: State: Zip: Phone FEE--AM1PEE I I i EE ROEDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Mame: Address: nddress: City: City: zip: PRone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Rppfication is hereby mace to ofJtain a permit to I]o the worn ant] i-.�t .dation inai. at a. I eei:tity tRat no ,F vrR or installation has commenced Prior Lo Lhe issuance of a permit. 3L. Eucie County mages no representation that is granting a permit will Qutnvri;:e tRe er...it RolBc, to Saila trite n5ject structure ..hich is in conflict with any a plicable Rome Owners Rssociation rules, uyiaws or ang covenants mat may restrict eF pronin:t ,a.R structure. Ple-;e evn:;alt ..4 you. Dome 07 ger. Association and review your deed for any reSLric.-ions which may apply. in consiaeration or [Me br,.rit:..6 yr tMi, reyue,tca permit, I ao Rere6y agree that I will, in all respects, perform the work in acro,d.rlce With the approved plans, the Florida Building Codes and 3[. Eucie County RmenUments. The following building permit applications are exempt rrom unMergoing a Tull concerrene, vv daition,, acce53ory ,tractures, swimming pools, fences, walls, signs, screen rooms and accessory uses to anotner non-resiseniiai use WARNING TO OWNER: Your failure to Record a Motice of Commencement may re„alt in payi�s twice for improvements to your property. A Notice of Commencement must be recorded in the public records of au Lucie County and posted on tree joMsite before Me first inspection. If you intend to obtain financing, consult with lender or an attorney before commencinZ work or recording our Motice of Commencement. Signature of Owner/ Lessee/CorGictor as Agent for Owner Signature of Contractor/Lice se older STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LUCIE COUNTY OF ST LUCIE Sworn to (or affirmed) and subscribed before me of Physical Presence or online Notarization this I'l day of f -36Vt A4co C 2020 by DENNIS ZACEK Name of person making statement. Personally Known X OR Produced Identification Type of Identification Produced Sworn to (or affirmed) and subscribed before me of 71- Physical Presence or Online Notarization this 11 day of 1JOVdtM,(, 2020 by DENNIS ZACK Name of person making statement. Personally Known x OR Produced Identification Type of Identification Produced (Signatur'6 of Notary Public- MIRAI+IDAOILEIS nature of Notary Publ IRANDAGILLIS Commission No. H Oa ;. '+: :*`- � HIHI C mission No. HH oasss9 WOOMMISSIONINHO46M r: EXPIRES . Septeruber �y�yp�p M �y�� EXPIRES: SWember 2$, �4 eMWTIVU"P&k' y..�► °`' BOrrOed ThN NoFarr Prrbpc tlrrderwrNon REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW BATE RECEIVED DATE COMPLETED L F/ • . - r- ht' �i»4++r41'r •—rk, rldalmgira+lf ivaerC r'rilnt �t7 TTo �ml►ritallaGarr WurK QI&-;i - (772)567-3100 .800 US High ny 1• Vcro Be. ch, FL 32960 /4n,•nrn Reyrim;w.l :-R,..- .i F�ard= lr+[ Lr rmc • 'C 144: i i� l7r_.l. rnel�l„_—.pct-..,•1.,x`,0 1 d � Q�'l01 ll EMAIL SIZE % TYF`Er T�.! EFFICIE Y i �r-r-+ 5 5 / SUBTOTAe MONTHLY E Sr. GUSTO R I.,.ITIe LS lCompres-r Hca! Ex "Un4 vl rrw a rgrrd..in xyiari= rr. [. Labvp SIZE ,.3 fAww .'PE EFFICIENCY _� ,ye✓ C• i $ 3, 9;/ SIJB.OT,.L $ S/TJU MONTHLY EST. $ CUSTOMER//INITIALS W.:naty:'_lt7r/ y�$ Labor k7(/, Compressor 109t4� at Exehangl•r I" nr=. div. fu'm Weatherproof Reconnect Drain L no �` Dreenneel CcJing S-.cr Ke; L.ifc[Imc Equepmon: Slab (p..n a. rlvoi) Sound Isolation Pad; n Dram Safety Switch L:peid Tile Condwt Se.." Ne- Cerlmeetmm+v Marr RP', SRppon, ilc Egl.pmcnl R-fngeranl L.L. Dryer Supply Plenum Refr.ger.:nl Pipe ❑ Ne- WA Reesnn�f I Lir New VRvavnri ci r ulgirn Pfe..am Rrtngepant Pipe Cover New ;XRcconne.-A E.pOnslon Valvu ❑ Elee-mrs AIr CIe.:: -. T slat -Type PS 1N4A ❑ Medi.. F.linr Cvmncvt 1. E;icting 0 PCO .. Electr.�l ❑ UV Light Nr.- PI,-.-o-d Deck M H im;uificr kr•1 ❑ Corofturt G_aranfeu ❑ 2., Hour 5cnlcn Geo:�nr+ru Q Dehumidifier _ ❑ Oeldeer Unit P._.d ❑ Fit,n V„rring OCR �1 Iw I` Cr orect to existing Of-- Deet Medif. olien� (a„- notes 117 -X"' 07 wa+a IJ New Duct System Nz Duct W -.k ❑ art Pip rig E3 Electrical .tering ❑ H. --o S.rvi .o Plan - 1 Tr.nr (364 d»y�) ❑ H.M. P-teeti-n Guarantee 0 i uwm Urce dil�uw.l Money -8..k Ge.r_ntee en,. start o..t- j' lye ESI. Compl-iun Dal -7 Corpurate CU. lum.n + R -1a: -n. '0886r 803.087 k' SIZE TYFE Err ICIENCY S m0 JG A!vf S2 0 J SUBTOTAL $ MONTHLY EST,' $ ol5STOMER INITIALS Warranty:" -s R.;rIY L..bo_ Co-p,.zz vp Heat E.ur:mfle, SELECTED OPTION: ❑ 1 V2 ❑3 SUBTOTAL $ .S -Wo r TOTAL S 1J1 D C1 CASH 17CHECKAS. ❑ CREDIT CARD iLAST -v, s) ZRIS-d-- EXP _ APPRo7,.L .., - _ LomwO^�n �n..as CjorSn Or�(1,04••tr fXe1L1 • e,.F+ • 'V— ra'!Nf ^renis b. n a`✓a+. a 977^. f.td nPR b- eer.•�l o 6— —w •n -t- ., d Arid 12070 Rn..r�+.•I !emu ,a- kv- 36 = 144 mason Mrywxn kw 'ARS .,,,01 It:pontibfe le- p.e.-Isting iia.twork. Sec Tema ,rid Condihem-.n Ihm back of this document for dctadzi, • Wri::an ce .t r-o-hotw.t--n wil be obiainr-d bet, a begimmmg . ny emf.p.seen 3wtsDmi a extendco wL-rk. • ANY CLAIMS FOR CONSTRUCTION DEFrGTS ARE 5UUJECT TO THE NGTICE AND ZURE PROVISIONS OF CHAPTER 558, FLORIDA STA. u rF S • BUYER'S RIGHT TO cs.NCEL: This is . hvino .-Ilcit_t6m sale, and If you do not w-ni tho ga5o . or serrifj; ye- my cencaf this agree• merit by providing written notice 1. tho sellar I.. person. JR telegram, or BY m.d. This notion mea indieate th t iea de ..-,et ".int rho goods or services and must be doliverad p, postm.rked befo.e midnight of the third basil. -,ass d.y .Mor yon ,ign lhim _greemront. if yoo cancel this agreemem, the seller m.y not koop -110. part of any cash down paymo..0 See the rte.;=e side hereal fe.- an of this right. • I aclnov.4, ye that my rightla =.el has been c:pbimed t_ we orany anu in wnimg, and-ittoul-aw-g my night to eget, I : of 7ren.e the perfor'W", of tr.e vrvrn1, Aubp!ct tv all lama L -rid cond.t.»na ,-1 forth em th■ reverse side hereof, plum ..,,y t0 -es apom eermploto m. Notice To 0-n-ur - Do not sign this hemi. Improvement contract in bl.nk. You ate entitled to a copy of the contract at the 111-e ywp .len. Keep it to protect y -o. ieg_I rights. This home improvement coniroct may eont.an _ mortgage or otherwise create a lien on your pavperty th .l veld ba (vraCfosed on I! yea da ..t pay. Be sure you/ nderstanu all p. 7Yuiis of the eentr_cl.before Toe sign. er7 A`l PR,,ENW E y I DAN n.., ! ' . 'r . ; .-..,,ren r.,.�.�a.,• .•. l 4 v. Ar r�i. ra.en... AnS I U!9 -L 70OS77 i 7110177 :1 ":'•9 �� � _� mSc LAIMI Cr www.aliri(Iifectory.org 'i PF Certificate of Product Ratings AMml Gertinea Reverence MumSer : a50azI,54 Date : 11-i r -z020 Mad -1 stat., : Acti:z AFRRI I ype : KCO-A-C6 (Split Sysiem: Ai -Cooled Condensing Unit, Coil will Blower) zerles : i, ;Rr- m r rw mt, Outdoor unit Grana N_r e: CARRIER Uatdoo- pnit IuloaJ Number (Condenser or &-gle Package) : 24ACC442R"v;5Z;" Inuoor Unit Mo'uel Aumuer )Evaporator anuror r it Rantilert : P6wCAFuwZE Region : 5oatNuut _0 MertR (AE, AR, 13C. DE, FE, GA, RI, KY, EA, 141D, W, RC, OR, SC, TIS, TX, VA, AR, CO, CT, ID, IL, Ips. IR, Ka, Rm. Isle, Ml, ILIA, W% ICI r, MV, ICE, RR, RJ, NT, Uri, UR, PA, RI, 5G, 01, V r, vvA, vvV, vol, VVr, 0.5. 1 err ar6u) Reyien Mate: Centr-1 uir eanditianars Nr.rlateclEr cl prior to J.na .. yy 1, 2015 Bra elivil5le to be installed in all regions until 3une uv, z7j 10. Beginning July r, .40 15 central air conditioners can only Se installed in To. -hien tncy meet the �gional crticiency rcyairama,,t. I ne m„ROT-alere, of this CARRIER proaCot is ro3poRai5Ic for tFro rating of this system combination. Role. a- Tulle~ in Qeoera.nee :iln tnc I.,tmit aitivm at ARRI 2101140 with Adaenaam 1, P.Hormance Rating of Unitary Air -Conditioning & Air --Source neat Pump Equipment an'u suCject to rating accuracy ey AMRl-sponsore'a, inaepenaent, tnira party testi :1=: Cooling Capacity (Az) - 5ingle a. r1iaR St,.=ye (aoF), Stan : s95W SEEK: 14.00 EER iFa; - Bingle or PIiyR 3taye tuvF) : i i.30 r "Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND _ellin-5 er.ff.rine fer Bel.: OR me— R,odelz that .-re being mark.;ed ba: aro riot yo; Scing prvuoceu."Ihbuoaion Stoppod° Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still -elling or vflering for cul.. Ratings ths.i sre �sGC+;mp niccl by WAS indirale an;nvoluniart- re-ra'e. The now p.ibl;sRi o raT:rkq i3 st+:awn slung w1h She previous {i.e. WAS; raii-ic. DISCLAIMER „FIM does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees as to, and ..-uw.e no rber.,nJbilltjt f.., ;he prodac;(.) 115.ed vn ;;;Is o.l'[mca;.. nRRI pressly disclaims all liability for damages of any kind arising out of the use or performance of the producirts7, or the on..ath.rized oltvr-tion of d-tW listed on this Certifi.erv. C.rdfied rang! .r..alio . my ror mva.ls w„u �vn„garaaons listen in the directory at w—.ahrldir..t.r;.=rg. TERMS AND CONDI,IvRz Thi, Certifivat...nd its eurrt.ets.re p..pdoz ry prodo. of AHRI. This eer;is`w;. aRaG only RM waw r.,r individual, personal and confidential r.f.r.n_w pvpp ee. Th. svmtwmts of thls Certifluaty rrr,.y not, In -hole .r I.-. p, rt, be roproda..d; wplvd; dleeomin.Lou; entered Into a computer database; or otherwise utilized, In any form or rn.nner =r 6y am, mweim7, .. _Pt fop the a=.'= Ind[Ads- , personal no conTrdential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION a RI!r.iuEm..ium imSTITOTe The information for the model cited on this certificate can be -erif ed .t-=.ahrldir..t.r;..rg, .11ek .e 'Verify C.rtifteot." link anu ante, the AHRI Certified Reference Number and the date on which the certificate was Issued, whl.h is lletd abw.e, aria A. Certi ,G.;e R.., wni.M is Wt.. ai Mftum rignt. '— ©2020AIr-Conditioning, Heatins, and Reffieeradon InStILU a VER i Rum E Ru.: 132501056346206488 Property IdendfiCation AN9ct Parcel IG: 10025 i zF Identatoation #: f 005/-0038950 mccount Status: Open Cocadon: iv EmGM5 DE[ Value NORTE City: aaini Ceoio l oampy Business Name: Ross, Shirley V -1s. i Business Type: 7005 - Sp Lks Dom: Ross, Shirley J CC Contact: Shirley J Ross scat C.a.: 5-1zi-190 - mo6ile Home MLLacRments Ownersnip Ross, Shirley J 452 Southeast Av R5 Tallmadge, OH 44278 Exemptions current values Market Value: $1,316.00 Exemption valve: $1,316.00 Taxable Value: X0.00 Return Received: Not Yet Received PenaltT: Ione Download TRIM PDF ur-ret E7,vmption Exemption Description Exemption Year Code iarigible Personal Value Avs i PPA PropeFExempiion X1,316.00 Asses croup anti value AN9ct vale. MPI t%wnings $54.00 Asset Value MR CarFort $216.00 Asset V -1s. MH CentralAC $320.01; 4.OT Asset Value IMPI IOlain Area $0.00 Asses value MH Patio Cover $36.00 Asset value MH Screen Rm $605.00 vinyl wiridows Asset v-lec MH Udl Rm $35.0ty Asset Value ioialAppraiseavaiaw $i,si6.00