HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/5/2021 Permit Number:
91ro [LUCC
- o Ll ,.
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
I PROPOSED IMPROVEMENT LOCATION:
Address: 3903 Promenade Way Fort Pierce, FL 34982
PropertyTaxlD#: 24 33-502-0038-000-2
Site Plan Name: 3903 Promenade Way
Project Name: Stuart Shipe
DETAILED DESCRIPTION OF WORK:
Exact AC change out, -Complete Duct work
4 Ton, 15 seer, 10 KW (2 systems)
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 38 & 39
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters T� Windows/Doors _ Pond
Electric _Plumbing _Sprinklers —Generator Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 25,150
Sq. Ft. of First Floor:
Utilities: —Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Stuart Shipe
Name: Dennis Zacek
Company:.._. ARS / Rescue Rooter
Address: 3903 Promenade Way
City: Fort Pierce State: FL
Address: 2800 U s HWY 1
Zip Code: 34982 Fax:
City: Vero Beach ti State: FL
Phone No.772-201-0688
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
it value of construction is Z500 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:
Zip: Phone._.... -__
__State:
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 install atLon has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit w;ll 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 recordinfyour Notice of Commencement.
��y rC1Y•.�
Signature of Owner/ Lessee/Co ra for as Agent for Owner Signature'tIf Contractor/ ice se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
S�+orn to (or affirmed) and subscribed before me of
1� Physical Presence or Online Notarization
this --5— day of %t" , 202+ by
DENNIS ZACEK
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced , ,
S orn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this � day of FGi�c,ur(� _ 20ZL by
DENNIS_ZACK _
Name of person making statement.
Personally Known x OR Produced Identification _
Type of Identification
Produced
(Signature oF'Notary Publi
on a
.,, IRANDAG[LLIS
ignature of Notary Publi
My COMMISSION AHH045659
MIRANDAGILLIS
Commission No. rl 5 59
:,� EXPIRES: September23.20u mmission No. HH 045659 : MY COMMISSION# HH 045659
'• �4rg ?*: BWXIed Thu Notary PuW U
� '� � EXPIRES: September 23, 2024
Bonded Ttnu Notay RMUnkmft
REVIEWS FRONT
ZONING SUPERVISOR
PLANS VEGETATION
SEATURTLE MANGROVE
COUNTER
REVIEW REVIEW
REVIEW REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
MawZAK-"
I�As� i1 tuot�
Installation Work Order Est, Start Date
(772)567-3100 Est. Completion Date
2800 US Highway 1, Vero Bear* FL 32960 Corporate Customer
Arnericen Residential Services of Rulers hrc L.kense i CMC1240rrM Relations
CAC 181396a EC 1300&5W .� .T y �.f ,� (866) 803-0879
SIZE TYPE S&jn�?
SIZE-4-Mg TYPE&Cnir _
SIZE TYPE
EFFICIENCY _
EFFICIENCY
EFFICIENCY,
$
$
$
$
sirs Q� r-C laccmw
$tt,,d�d�
$
$
SUBTOTAL $-Z1A44 -
SUBTOTAL $C�
SUBTOTAL $ g`
MONTHLY EST. • $
MONTHLY EST. • $
MONTHLY EST. e $
CUSTOMER INITIALS
CUSTOMER INITIALS
CUSTOMER INITIALS
Warranty:" LParts rLebor
Warranty-.'1Q1([Par,s`6QX—VVr-Labor
Warranty:" Parts Labor
[Compressor }teal Exchanger
D r Compressor Heat Exchanger
Compressor Heat Exchanger
••thew otherwise nWed,ail warranties are from the mamtlaUaa
• • •
SELECTED OPTION: 1 3
kWeatherprool Reconnect Drain Line ❑ Dehumidifier
SUBTOTAL $ ti
Disconnect p Ceiling Saver Kit ❑ Outdoor Ural Pad
Lifetime Equipment Slab (Pan 8 Float) P Flue Venting
Sound Isolation Pads Main Drain Safety Switch jWuctwork Connecfiond'
teal
$ y 4
❑ Liquid rile Conduit New Connections ❑ Conned to exlstng plantar
❑ Start Kit ❑ Support Atlic Equipment ALDuct Modilneterns
L.L. Dr 4{ Supply Plenum bee rotes kw scope W wake
$
TOTAL
efrigerant
refrigera t Pipe t� Iew ❑ Reconnect Q New Duct System
❑ No Duct Work
$
❑ New Reconnect l�Return Plenum
kRefrigerant Pipe Cover " U New ❑ Reconnect ❑ Fuel Piping
❑ CASH O CHECKII
JTipansion Valve ❑ Electronic Air Cleaner . — ❑ Eleclrrcal Wiring
r ❑Media Filer❑ Home Service Plan -
slat -Type
❑ CREDIT CARD (LAST 0s)
Connect to Existing ❑ PCO 1 Term 064 days}
EXP APPROVAL
Electrical ❑ UV Light ^
❑ FINANCING
New Plywood Deck ❑ Humidifier
UWo-� rsas.r ursnure�ber core.°^
•
r4pvled vide 1w a Irked We. EsW a ed wce"
MA9 PAYMM bread on &49'le at OLM rued APR
❑ Comfort Guarantee ❑ Home Protection Guarantee
ba ckptoc "a vn%w &r K ek. b'• fta Ap j 7=
W"jmonr rem wy 4an 76 to 144 made IJer m bin
❑ 24•Hour Service Guarantee ❑ 1OD% Unconditional Money -Back Guarantee
ama.+saptij oa.ee lr&VnCj*" -" be ndibta
•
'ARS is not responsible for preexisting ductwork. See Terms and Conditions on ft frock of Ws document for detects.
• Written customer authorization will be obtained before beginning any unforeseen additional or extended work.
• ANY CLAMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAR ER 558, FLORIDA STATtJ[E
• BUYER'S RIGHT TO CANCEL This Is a home solicitation sale, and If you do not want the goods or serv}txs, you may cancel this agrt
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 goc
or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement, It you tan
this agreement, the seller may not creep all or part of any cash down payment. See the reverse side boreal lot an explanation of this rif
the work, subject tomy allterms) and conditions o cancel s set f oen wn the reverse d to me side hereol, and in tplus any taxng. and es upon ut p i� t to cancel, l authorize lire pedeMAt
Notice To Owner - De not sign this home improvement contract In blank. You are entitledto copy of the cotrtrdtt at the time you V10
Keep it to protect your legal rights. This home Improvement contract may G ntain a mortgage ar atberWlse create a lien on ynut prop
chat could be: for osed on If you do not pay. Be sure you understand all rev sloes a1 the coMrad before you sign,
b
GU TORE WE com ESENMJW � � O
�` 0 -di I ICu wiLI i �dl �Ia(
Certificate of Product Ratings
AHRI Certified Reference Number: 203043872 Date: 02-05-2021 Model Status: Active
AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Series: COMFORT 14 AC
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : 24ACC448A*030*
Indoor Unit Model Number (Evaporator andlor Air Handler) : CNPV*4824AL*
Furnace Model Number: 58S(B,C)*A090E24**20
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 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
& 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 : 43500
SEER: 15.00
EER (A2) - Single or High Stage (95F) : 12.20
t"Active" Model Status are those that an AHRI Certification Program Participant is currently produ a ng AND sel' ng or offering for sale; OR new models that are being
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 still
selI
ing or offering for sale.
e at
r m anied by AS ind: to an inv I riles w-ra new publiehoo rating is sh a!on w Ih tho reviour, Ii.a WAS 5 ra4n
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. ARRI 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.shridIrectory.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, AM
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTRUTE
The Information for the model cited on this certificate can be verified at www.ohrldirectory.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.
02021 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132570156697687642
Certificate of Product Ratinas
AHRI Certified Reference Number: 203043872 Date : 02-05-2021 Model Status: Active
AHRI Type: RCU A -CB (Split System: Air -Cooled Condensing Unit, Coll with Blower)
Series: COMFORT 14 AC
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : 24ACC448A"030"
Indoor Unit Model Number (Evaporator and/or Air Handler) : CNPV'4824AL'
Furnace Model Number: 58S(B.C)'AO9OE24""20
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, Rl, 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 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
& 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 : 43500
SEER: 15.00
EER (A2) - Single or High Stage (95F) : 12.20
tmActive' Model Status are those that a-, AHRI Certificar on Program Participant Is currently produ dng AND selling or offering for sale; OR new models that are being
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 still
fling or offering for salu.
47 k r ni d h AS ind icatu an i w l n -rate. The now Dublis"d mtirin ir 5bownwith th ipys i-o. WA ratinz
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 IkW on this Certificate. CertMed 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 individualr personal and
confidential reference purposes The contents of this Certificate may not, In whole or In pent, be reproduced; copied; dhsaminated;
entered Into a computer database; or otherwise utilized, In any forth or manner or by any means, except for the user's Individual,
personal and confidential reference. AIR-CONDMONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified at www.shridirectory.org, click on' fy Certificate' link we make life better -
and enter the AHRI Certified Reference Number and the date on which the certificate was Issued,
which Is hated above, and the Certificate No., which Is fisted at bottom right — —
02021 Air -Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: 132670156697687642
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser --All rights reserved.
Property identification
Site Address: 3903 PROMENADE WAY
Sec/Town/Range: 33?355/40E
Parcel ID: 2433-502-0038-000-2
Jurisdiction: Saint Lucie County
Ownership
Stuart S Shipe
Sandra J Shipe
3903 Promenade Way
Fort Pierce, FL 34982
Legal Description
ESTATES OF LONGWOOD LOTS 38 AND 39 (0.99 AC) (OR 1550-2134)
Current Values
Just/Market Value:
$364,500
Assessed Value:
$316,616
Exemptions:
$50,000
Taxable Value:
$266,616
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
Download TRIM for this parcel: Download PDF
Use Type: 0100
Account 0: 127063
Map ID: 24/33N
Zoning: RS-3 - Cou
Total Areas
Finished/Under Air (SF): 4,431
Gross Sketched Area (SF): 7,276
Land Size (acres): 0.99
Land Size (SF): 43,124
Building Design Wind
Speed
Occupancy Category 1 11 I1I & IV
Speed 140 160 160
Sourcestlinks:
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
® Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved.