HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/2/2020 Permit Number:
971 aUcEL
g a 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 FOR:HVAC / Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 6732 LILA CT FORT PIERCE, FL 34951
Property Tax 1D#: _ Lot No.
Site Plan Name: 6732 LILA CT FORT PIERCE, FL 34951 Block Nc_
Project Name: ANTHONY TORIBIO
DETAILED DESCRIPTION OF WORK:
Exact AC change out,no duct work
4 Ton, 14 Seer, 10 KW
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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: Sq. Ft. of First Floor:
Cost of Construction: $ 5,100 Utilities: _Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
NameANTHONY TORIBIO Name: Dennis Zacek
Address:6732 LILA CT Company: AIRS 1 Rescue Rooter
City: FORT PIERCE State: FL Address: 2800 U S HWY 1
Zip Code: 34951 Fax: City: Vero Beach State:FL
Phone No.484-661-6505 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 value of construction is 2500 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 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 Nome 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.
JC)%W"6r
Signature of Owner/Less / ontractor as Agent for Owner Signature of Contractor/LiCepilse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
Sworn to(or affirmed)and subscribed before me of Sw rn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
t is day of jAdf� , 2020 by t is�day o w[ , 2020 by
DENNIS ZACEK DENNIS ZACK
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 f 4 Produced
(Signature of Notary Public,•St' MIRANDAGlLLiS nature o Notary Publi
WCCMMISSIOM0HH i�`� MIRIWDAGILLIS
Commission No.HH a g €:i "t E = MYCOMMIS m#HH04M
�' C mission No.HH 445659 •: *°
XPIRES. r 29.2M n EXPIRES:September a 2M
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
.FF, '6 Tray Iz y zc�
Est.Start Oat
Installation Work Order Est Completion Date I u
(772)567-3100 FL 329fi0 Corporalo Customer
a' 2800 US Highway 1,Vero Beach. Relations
f� �k 001: A„ri„k A Rosdrs+tj�SerAces of Florid.,.Inc License I CMC 1249753 (8gig)803 0879
let tkmg,l work M• CAC 18139M EC 13f)08556 CALL SUP
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SIZE TYPE
SIZE `�Tb± TYPE �rtr SIZE TYPE —
E FICIENCY })�� 4 L�^'�' EFFICIENCY
EFFICIENCY y $
$ �itlf^✓
$ $
SUBTOTAL $ SUBTOTAL tJ $ SUBTOTAL $
�
MONTHLY EST.` $ MONTHLY EST.' $ MONTHLY EST* $
CUSTOMER INITIALS- —_ -—
CUSTOMER INITIALS CUSTOMER INITIALS
Warranty" parts Labor Warranty:" f Parts OAx-y+r Labor Warcanly:'�Parts
Labor
_ Compressor Heat Exchanger ccompressor(b Ki.teal Exchanger t;omprossor Heal Exchanger
•'Unless Ml+ervnsP nosed,all wanamies are from She rrwn 040wa.
• • • SELECTED OPTION: ❑1 2 ❑3
Weathcrprool 0 Reconnect Drain L ne ❑Dehum differ SUBTOTAL $ •S./�O
Disconnect ❑Coiling Saver Kit ❑Outdoor Unit Pad
ifotime Equipment Slab (Pan&Rost) ❑Flue Venting $
Sound Isolation Pads ❑Main Drain Safety Switch [3 Ductwork Connections'
Liquid Tite Conduit ❑Seal New Connections ❑Connect to existing plenum $
❑Start Kt 0 Support Attic Equipment ❑Duct Modifications / O
O Refrigerant LLDryer _ Supply Plenum (see Holes kw scope orworkl TOTAL $
❑Refrigerant Pipe ❑New Reconnect ❑New Duct System •'
YMENT
❑New ❑Reconnect Return lenum ❑No Diet Work
0 Refrigerant Pipe Cover ❑Now Reconnect ❑Fuel Piping ❑CASH ❑GHECK# _
�ETxpanslon Valve ❑Elect Air Cleaner_ ❑Electrica;Wring CREDfT CARD(LAST Offs)
Y' scat-Type El Media Filter ❑Home Service Plan- }�
❑Connect to Ex ❑n PCO 1 Term(364 days) EXP _ _APPROVAL
Electrical ❑UV Light_T 0 FINANCING f
❑New Plywood Deck ❑Humidifier 'Lo— tnEnaaw&USA,M-*.For.w
OUR apprond oed4 for a rin Win.Eaa*ur.d marble
tT. par"Wo based on 6.99%at 9.M raid APR
ba &pendng an ban a.wLick etimma mot Aor4 1 2020.
❑Comfort Guarantee ❑Home Protection Guarantee it RepWT-1 Ow-vwy Moa 96 ro 144.0L NU—L a kwn
0 24-Hour Service Guarantee El 100%Unconditional Money-Back Guarantee ~is ap*Other Inmc,ny aphww ,.I in araAabla.
RS is not iesponsr?6la for preex-si ng ductw-rk ee Terms and Condit-rms on the back of th s document for details-
au Ior¢ am before beginning any unforer.-an addition'or extended work
ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOT-CE 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 tollegram,or by mall.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 11 you cancel
this agreement,the seller may not keep all or part of any cash down payment.Soo the reverse side hereof for an explanation of this right.
•I ackwMedge that my right to can"I has been explained to nw orally and in wiling,and w thout waiving my right to carnet,I authorize 1he performance of
the work,subject to 0 lerms 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 tegal rlgh Is home Improvement contract may contain a mortgage or otherwise create a Ilea on your property
that w be foreclosed on if Rot p Y.Be sure yo understand all pro ions of the contract before you sign.
lyy 7,• 73' �Z
USTOMrERSIGNATURE DATE coin E SENTATNE
CUMNIER SIGNATURE — - — DATE y�i �/�,� l f 19"'�1'�,
,S 2010 Amrer Rw..�.•N c—----r . . J d I f I C u Y• I l . d• ' ' t
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Certificate of Product Ratings
AHRI Certified Reference Number:7490504 Date: 12-02-2020 Model Status:Active
AHRI Type:SP-A(S!ngle-Package Air-Conditioner,Air-Cooled)
Series:R410A AC SPP
Outdoor Unit Brand Name:CARRIER
Outdoor Unit Mode! Number (Condenser or Single Package):50ZPC048-30"
Region: All(AK,AL,AR,AZ,CA,CO,CT,DC DE,FL,GA,HI,ID,IL, IA, IN,KS,KY,LA,MA,MD,ME,MI,MN, MO,MS,
MT,NC,ND,NE,NH,NJ,NM,NV,NY,OH. OK. OR, PA,RI,SC,SD,TN,TX,UT,VA,VT,WA,WV,WI,WY, U.S.
Territories)
Region Nate Central air conditioners manufactured prior to January 1,2015 are eligible to be installed in all regions
unt-1 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 CARRIER product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1,Performance Rating of Unitary Air-Conditioning
&A r-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:47000
SEER: 14.00
EER(A2)-Single or High Stage(95F) :11.50
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 be ng
marketed but are not yet being produced"Production Stopped"Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is W I
selling or offering for sale.
faun s that are axom aniec b WAS in icato ari irivolunla ro-rate. The new cLklistted rat-DA is show'i Wurisj with the previDus fie WAS rshnt
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 R
This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for Individual,personal and
2-1
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, An
1A
personal and confidential reference. AIR-CONDITIONING,HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTrTUTE
The Information for the model cited on this certificate can be verified at www.ahridIrectory.org,click on'Verify Certificate"link we make life 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.
02020 Air-Condition ing, Heating,and Refrigeration Institute CERTIFICATE NO.: 1325141099"726391
Property Identification
Parcel ID: 1016005 identification#: 719520362624
Account Status: Open Location: 6732 LILA CT
City: Saint Lucie County Business Name:Wynne
Building Corp
Business Type: 7195-Sp Liss DBA: Mobile Home
Fairways Contact:
State Code: 814190- Mobile
Home Attachments
Ownership Current Values
Wynne Building Market Value:
Corp $1,421.00
8000 S US Hwy 1 Exemption Value:
#402 $1,421,00
Port St Lucie, FL Taxable Value:
34952 $0.00
Return Received:
Not Yet Received
Penalty: None
Download TRIM
PDF
Exemptions
Grant Exemption Exemption Description Exemption
Year Code Tangible Personal Value
2008 TPPX Property Exemption $1,421.00
Asset Group and Value
Asset Value
MH Carport $241.00
Asset Value
MH CentralAC $320.00
4.0T
Asset Value
MH Main Area $0.00
Asset Value
MH Patio Cover $236.00
Asset Value
MH Screen Rm $437.00
Vinyl Windows
Asset Value
MH Util Rm 4 $187.00
Sides
Asset Value
TotalAppraisedValue $1,421.00