HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/3/2021 Permit Number:
.o
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Piece FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: HVAC / Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7 ECUADOR WAY FORT PIERCE, FL 34951
Property Tax I D #:
Site Plan Name: 7 ECUADOR WAY
Project Name: DAVE GEILING
DETAILED DESCRIPTION OF WORK:
Exact AC change out, no duct work
3,5Ton, 14 Seer, J KW PACKAGE UNIT
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
X
Lot No.
Block No.
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:
Cost of Construction: $ 10,109
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DAVE GEILING
Name: Dennis Zacek
Address: 7 ECUADOR WAY
Company: ARS / Rescue Rooter
City.. FORT PIERCE State: FL
Address: 2800 U S HWY 1
Zip Code: 34951 Fax:
City Vero Beach State: FL
Phone No. 732-644-3348
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: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
city:
Zip: .- Phone:
City:
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 bui'sd 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 wilt, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Luce 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 commencinE work or recordine vour Notice of Commencement.
Signature of caner/ Lessee/ContAiAor as Agent for Owner
Signature of Contractor/Licen older
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 for affirmed) and subscribed before me of
Physical Presence or Online Notarization
Y Physical Presence or Online Notarization
this -A-1 day of ( ip gg.C4 , 20ZI by
this _nday of Q%prLoc,-c a 20Z I 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
Produc d
Produced
(Sig natu otary Public nature of Notary Pu i
�at MIRANDAGILLIS y
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:?' •" IS
Commission No. H1045659 •: ;� MY COMMISSION #HH04 9 MMISSION# N
C mission No.HHoassss�" I�fYCOMMISSION#HH045659 A EXPIRES: September 23, 20 4 ?..
Bonded lhm No*"q Public U : EXPIRES: September 23, 2024
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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.
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Installation Work Order
(772L�67-3100
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SIZE`` TYPE
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EFFTGIENCY_1��eeL�,
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SUBTOTAL $—ry+�—
SUBTOTAL $ ;
SUBTOTAL $
MONTHLYEST.- $�
MONTHLY $
MONTHLY EST.` $
CUSTOMER INITIALS
CUSTIO R INITIALS
CUSTOMER INITIALS
Warranty." L Parts O2 .+ Labor
Wa nly:" Parts bw
Warranty-" —Parts _ . _ Labor
4—Compresaor Heat Exchanger
TCompressor Heat Exchanger
IamudWumr.
Compressor -Beat Exchanger
•'Miss otherwee reed all wom mbn are kom the
SPECIFICS OF • •
SELECTED OPTION: 1 ❑2 ❑3
JdWeafherproof J21fReconnect Drain Line ❑ Dehumidifier
SUBTOTAL $
Disconnect ❑ Ceiling Saver Kit ❑ Outdoor Unit Pad
gLifetime Equipment Slab (Pan d Hoot) ❑ Flue Venting
$ _
Sound Isolation Pads J3 Main Drain Safety Switch ❑ Ductwork Connecloone
OrLiquid Tile Conduit RrSeA New Connections ❑ Correct to casting pfenurn
❑Stara Kit ❑ Support Attic Equipment ❑ Duct Moddicawns
D
O Refrigerant ILL. Dryer — ❑ Supply Plenum Gee Noes kr WWV d vrarkl
TOTAL $ 0
FRefrigerant Pipe El New ❑ Reconnect JZI New Duct System
❑ New PfReoonnecl ❑ Return Plenum ❑ No Duct Work
❑ Refrigerant Pipe Cover ❑ New ❑ Reconnect ❑ Fuel Piping
❑ CASH ❑ CHECK#
❑ Expansion Valve 0 Ekm;tron� Air Cleaner _ ❑ Electrical Wiring
)fT stat -Type dESr— — ❑ Mede Filter ❑ Home Service Plan -
0 CREDIT CARD (LAST 4#a)
RrConnecl to Exwting ❑ PCO 1 Term (364 days)
EXP APPROVAL
Electrical ❑W Light
_
p
FINANCING H D Le_
❑ New Plywood Deck ❑ Humidifier
OUR GUARANTEES1.qn•;
I I•dbrEne6"USkMrroerRX1%M
�OYed tllf11 rO/ a fnNatl fi10. E6tm•red 11101Yr1�
pwrmrs bed an 5.99% or 9.90% reed APR
Jr�Comlort Guarantee jaHome Protection Guarantee
j�24 Hour Service Guarantee jrtooga Uncond.tional MoneyBack Guarantee
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NOTES
AN�"c�ZE L�ucYwoak Za M,o •[. t �Resr
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e.\ a 1*1M, NO "%bbV4 Costs
'ARS is not responsible for preemstmng ductwork See Terms and Cenditens on the back of this document for delais
• Writlen customer auftm len will be obtained before begnnng any unforeseen additional or extended work
• ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER M RDR11DA STATUTES.
• BUYER'S RIGHT TO CANCEL This Is a home solicitation sale, and if you do not want the goods or servlM you may cancel this agree•
meet by providing written notice to the seNerin person, by telegram, or by maiL This notice must indicate that you do not want the goods
or services and must be dellvered or postmarked before midnight of the third business day after you sign this agreement. if you eaaoef
this agreemertt, the setter may not keep aA or pad of any cash down paymeaL Seethe memo side hereof for an explanation of this right.
- I ackwhadge that my right to cancel has been explained to me orally and in wnhng, and wlhout wwaT my right to Gvncal. I aukme the performance of
the work, subject to at terms and conditions sel forth on the reverse srda hareof, plus any taxes upon completion.
MUce To Owner • Do not sign this home Improvement contrad In blank You we olltlded to a copy of the contract at the time you sign.
Keep It to protect your legal rights, This home Improvement contract may conWat a mortgage of otherwise create a Ilan on your property
that Cal id ca
be foreclosed an If you do not pay. Bean you understand%AS&rA0A.W
ons of the contract before you sign.
- 3 obs-(
CUSTOMERMMATURE DATE COM REMESEMfATIVE
. SS9
CUSTOMENSIG WURE DATE L ! DATE
a 292oMm m Rosi*MW Setvk4s L LC. AN AR55D7a_FL_2M22 L2WS22 $no
Certificate of Product Ratin
AHRI Certified Reference Number: 7490506 Date: 02-03-2021 Model Status: Active
AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled)
Series: R410A AC SPP
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : 50ZPCO42— 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 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
8r Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, Independent, third party testing:
Cooling Capacity I
SEER: 14.50
EER (A2) - Single
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 being
marketed but are not yet being produced.'Productlon Stopped' Model Status are those that an AHRI Certification Program Participant Is no longer producing BUT is still
sailing or offering for sale.
RUE.,, that dr6 aflGirJrl➢enied by WAS Intl IG9t@.�111.�rIv01u ntary ro-rato. The now ➢►I bll¢hed retina is khown 41ong with the 6Yevious tl.o. WAS) rating.
DISCLAIMER
AHRI does not endorse the product(s) Wed on this CertiAoote and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
the product(s) hated on thls Certlticats. AHRI expressly dlsdalms all liability for damages of any kind arising out of the use or performance of the product(s), or the
unauthorized alteration of data hated on this Certificate. Certified ratings are valid only for models and configurations Iisted In the
directory at www.ahrid]rectory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for indlvldual, personal and ILM
confidential raterense 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, AL
personal and confidential reference. AIR-COztorrtoNINo, HEATING,
CERTIFICATE VERIFICATION rs REFRIGERATION INSTITUTE
The Information for the model cited on this oerttficate Can be verified at www.shrldireatory.org. dick an 'Verify Certificate' link we make life better -
and enter the AHRI Certifled 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 Alr-Conditioning, Heating, and Refrigeration Institute ! CERTIFICATE NO.: 132568476951687887
Property Identification
Parcel ID: 1007201
Identification #: 700520108340
Account Status: Open
Location: 7 ECUADOR WAY
City: Saint Lucie County
Business Name: Casey,
Adelaide
Business Type: 7005 - Sp Lks
DBA: Casey, Adelaide
CC
Contact:
State Code: 814190 - Mobile
Home Attachments
Ownership
Current Values
Adelaide Casey
Market Value:
7 Ecuador Way
$828.00
Fort Pierce, FL
Exemption Value:
34951
$828.00
Taxable Value:
$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 $828.00
Asset Group and Value
Asset
Value
MH Awnings
$126.00
Asset
Value
MH Carport
$158.00
Asset
Value
MH CentralAC
$320.00
4.OT
Asset
Value
MH Main Area $0.00
Asset Value
MH Patio Cover $22.00
Asset
Value
MH Screen
$134.00
Roam
Asset
Value
MH Util Rm
$68.00
Asset
Value
TotalAppraisedValue
$828.00