HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/21/2020 Permit Number:
O '
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 FORWAC / Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 9970 Perfect Dr Part St Lucie, FL 34986
PropertyTaxlD#:.3327-702- 0003- 000-9 Lot No.
Site Plan Name: 9970 Perfect Dr Block No.
Project Name: Clint Swanson
DETAILED DESCRIPTION OF WORK:
Exact AC change out, no duct work
2 Ton, 16 Seer, 5 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,$ 8,147 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Clinton Swanson Name: Dennis Zacek
Address:2969 Balaton Ave Company: ARS/Rescue Rooter
City: Redding State:CA Address: 2800 U S HWY 1
Zip Code: 96001 Fax: City: Vero Beach State:FL
Phone No. 530-941-9134 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 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.
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_ 1_-4� — 13 ixsete._ !2�
Signature of Owner/LesseEQC tractor as Agent for Owner Signature of Contractor/Li Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
A Physical Pre ence or Online Notarization X Physical Presence or Online Notarization
this ZI day of U Cr� ,2020 by this Z1 day of beC -tot tir 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
Produce Produced _
(Signature of Notary PubliFlorida pANDAGILUS ignature of Notary Pub l Old IItANDAGILLIS
:.: W C0 MIMI3SW 0 NN 0456" ; My COAIAIISSION N 1 W
Commission No. o4 5 ,�_ O epte
RES:Smber23,202A mmission No.HH oassss `" 045659
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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.
2800 US Highway 1,Vero Beach,FL 32960 V fi tt nQhl Corporate Cu¢tomer ^
;1 Work.Nla 9 American Residential Services of Florida Inc License t Cs+C124. 53, Relation5
m&ng CAC 1813963,EC13008558
CUSTOMER l MUL (866)803-0879
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SIZE TYPF�r,Ma_ SIZE ea4 . TYPE r SIZE TYPE
EFFiCIENCY'(� � _ EFFICIENCY If-_ SR_ SN..A_41 EFFICIENCY
/�� l,�Q. $ (3 --7 $uS� $ :
SUBTOTA $ - !SUBTOTAL $vq-7 SUBTOTAL $_
MONT Y EST' $ MONTHLY EST• $ MONTHLY EST' $
CUSTOMER INITIALS CUSTOMER INITIALS'�_- CUSTOMER INITIALS--
Warranty
" T l7,_Paris I Labor .Warranty" �Parts f Labor Warranty:" _Par% __ -_ Labor
Compressor .:Heat Exchanger _ Compressor Host Exchanger Compressor _ ..Heat Excharr.ger
"Unless alhervnsn noted,all warmntios are from the manplacheer.
-�`/ • ' • SELECTED OPTION: (]t ❑2 p 3
❑Weatherproof Reconnect Drain L Inv ❑Dehumidifier_. _
Disconnect SUBTOTAL $ �Y7
' ❑Ceiling Saver Kit OVuldoor Unit Pad
❑Lifelime Equipment Slab (Pan&Float) ❑Flue Venting $
L�Sound Isolation pads ,
f3AFain Dram Safety Switch ❑�Du.cCtwork Connections
❑Liquid rite Conduit &Meal New Connections 0 L_.Onnect to existing plenum $ r
❑Start Ket ❑Support Attic Equipment ❑Duct Modifications r
❑Refrigerant L.L.Dryer ❑Supply Plenum !see Noles fur scope olwork} TOTAL $
❑Refvgeranntt/Pipe ❑New 13leconnect ❑New Duct System '
0 New VReconnect 13 Return Plenum CrNo Duct Work •• �
t` ❑Refrigerant Pipe Cover ❑New 13'Reconnect ❑Fuel Piping ❑CASH ❑CHECK#
g ❑ pansion Valve ❑Electronic Air Cleaner 215lectrical Wiring
ar Q T stat-Type��_ ❑Media Filter ❑Home Service Plan- JCREDIT CARD(LAST 4#s�` S
CYConnect to Existing ❑PCO �..._. t Term(364 days) EXP APPROVAL '
6 Efectrfcal ❑UV Light
9 E>•- ❑New Plywood Deck ❑Humidifier ❑FINANCING
frh. •UR GUARANTEES 'Loans prowled byEnerBank USA,Mefterfor,ort . r
i {J appoved oredd for a I+mled tine.Est"ed manly
Ci1,oYii paymmds based an 6,N%or 9.99%food APR + '
""rp"rrN C mfort Guarantee ome Protection Guarantee bwva.de {i
fl"ID"Si Repayment I afy from 36 o 14 month&M,rwnum ban
8fr0RF 4(", "
; 4•Hour Service Guarantee ack arno ww appfr Ofl-fi
nanaa9 options may be avaiia4le. ;
�-- l rr NOTES
L�LJC�!' f h2�. .00FW
The foreRorr
Syr(Printed
As:
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OPPrsona!!y
'ARS rs not responsible for prefixisfing ductwork.See Terms and Conditions on the back of this document for details.
fd`I 5i$^41 •Written customer authorization wiii 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.
p rated '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 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. It you cancel
this agreement,the seller may not keep all or part of any cash down payment See the reverse side hereof fof an explanation of this right,
•I acknowledge that my right to cancel has been expla ned to rile orally and in writing,and without waiving my fight to cancel,I authorize the performance of
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 mor#gage rwise create a lien on your property
that co foreclosed on if you do not pay.Be sure you understand all provisions o tract before you sign,
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NATUR DATEI EPRESENTATIVE
This combination qualifies for a Federal Energy Efficiency Tax Credit when
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placed in service between 1/1/2015 and 12/31/2020.
CERTIFIE
Certificate of Product Ratings
AHRI Certified Reference Number:201763981 Date:12-21-2020 Model Status:Active
AHRI Type:RCU-A-CB(Split System:Air-Cooled Condensing Unit,Coil with Blower)
Series;PERFORMANCE 16 AC
Outdoor Unit Brand Name:CARRIER
Outdoor Unit Model Number (Condenser or Single Package):24APB624A6030'
Indoor Unit Model Number(Evaporator and/or Air Handier):FV4CNF002L
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 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 CARRIER product Is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of AHRI 2101240 with Addendum 1,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:23400i,� i ''i ri r. 'r
SEER:16.00
EER(A2)-Single or High Stage(95F) : 13.00
www. ahridirectory. org
t"Active"Model Status are those that an AHRI Certification Program Participant Is currently prodreing 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 stilt
selling or offering for sale.
Rptina ALM 0 ro i9xmijaniedWAS indicat w Junta rc- tu. The w Lib.'irhed ratin is with tho j3nrV-uus fi.e. AS ratan -
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 dlselalms 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.ahfidirectory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRL This Certificate&hall only be used for Indhrfdual,personal and 1i
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.shridirectory.org,click on*Verify Certificate'link we make Irfe be-tcr-
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 H&L
02020A1r-Conditioning, Heating,and Refrigeration Institute i CERTIFICATE NO.: 132530392523292960
):'1L1; 9 4I91151 OR BOOK 4522 PAGE 1375, Recorded 12/11/2020 11 :28:46 AM Doc
Tax: $1217 .30
This Instrument Prepared by and Return to:
Charles F.Posess,Esq.
Patch Reef Title Company, Inc.
9702 Reserve Boulevard
Port St. Lucie,FL 34986
Our File No. 920769MW
Property Appraisers Parcel Identification(Folio)Number;3327-702-0003-000.9
Space above this line for Recording Data
l 7 All.i\ Nor Y IJEE
THIS WARRANTY DEED,made this < f� day of December,2020 by Keith R.Brown and Ada M.Brown,
husband and wife, whose post office address is 1602 Westwood Dr, Marshalltown, IA 50159, herein called the
Grantors,to Clinton Paul Swanson and Elizabeth Mary Swanson,husband and wife,whose post office address is
2969 Balaton Avenue,Redding,CA 96001,licreinaher called the Grantees:
(Wherever used herein the terms "Grantor" and "Grantee" include all tire parties to this instrument and the hems. legal
representatives and assigns of individuals.and the successes and assigns of enrparations)
W 1 T N E S S E T H: That the Grantors,for and in consideration of the sum of TEN AND 00/100'S(S10.00)Dollars
and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens,
remises, releases,conveys and confirins unto the Grantee all that certain land situate in ST. LUCIE County,State of
Florida,viz.:
Unit No.3 of GOLF VILLAS,a Condominium,according to The Declaration of Condominium recorded
in O. R. Book 1011, Page 1522, and all exhibits and amendments thereof, Public Records of St. Lucie
County, Florida.
Subject to casements,restrictions and reservations of record and taxes for the year 2021 and thereafter,
and the Declaration of Condominium described above, Including any amendments or attachments
thereto which the Grantee herein agrees to observe and perform and including but not limited to the
payment of assessments for the operation of said condominium.
TOGETHER,with all the tenements,hereditanients and appurtenances thereto belonging or in anywise appertaining.
TO HAVE AND TO HOLD,the same in fee simple forever.
AND,the Grantors hereby covenant with said Grantees that the:Grantors are lawfully seized of said land in fee simple;
that the Grantors have good right and lawful authority to sell and convey said land,and hereby warrant the title to said
land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all
encumbrances,except taxes accruing subsequent to December 31,2020.