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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/14/2021 Permit Number: � O UTI #� Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: HVAC / Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 119 ONIDA WAY FORT PIERCE, FL 34946 X Property Tax ID#: MOBILE HOME PARK Lot No. Site Plan Name: 119 ONIDA WAY Block No. Project Name: ENID MATOS I DETAILED DESCRIPTION OF WORK: I Exact AC change out, no duct work 2.5 Ton, 14 Seer, 5 KW PACKAGE UNIT 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 _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 8,317 Generator Sq. Ft. of First Floor: Windows/Doors Pond Roof Pitch Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ENID MATOS Name: Dennis Zacek Address: 119 ONIDA WAY Company: ARS I Rescue Rooter City: FORT PIERCE State: FL Address: 2800 U S HWY 1 Zip Code: 34946 Fax: City: Vero Beach State: FL Phone No. 407-459-3812 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 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 Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: _ 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 recordinp, your Notice of Commencement. ()l�' R�r�]�k Signature of Owner/ Lesse ontractor as Agent for Owner Signature of Contractor/Lic se Holder STATE OF FLORIDA COUNTY OF sc Woe Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization this I j_ day of PT , 20Z1 by Dennis Zacek Name of person making statement. Personally Known x OR Produced Identification Type of Identification Produced, (Signature of Notary P li Commission No. REVIEWS FRONT COUNTER DATE RECEIVED DATE COMPLETED STATE OF FLORIDA COUNTY OFSILucie Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization this 14 day of �•\ _ , 207-1 by Dennis Zacek Name of person making statement. Personally Known x OR Produced Identification Type of Identification a of FloriEWNDAGILLIS {Signature of Notary Publi ,= MY COMMISSION # HH 045659 " EXPIRES: September 23,2024 Commission No. Bonded Thru Notary Public Underwrilers ZONING SUPERVISOR PLANS VEGETATION REVIEW REVIEW REVIEW REVIEW Florida IWIRANDAGILLIS MY COMMISSION # HH 045659 �qo •' EXPIRES: September 23, 2024 ' Bonded Thor Notary Public Underwriters SEA TURTLE I MANGROVE REVIEW REVIEW mo Installation Work Order Esl. Start Date (772 )567-3100 Est Completion Oat ' 2800 US Highway 1, Vero Beach, FL 32960 American Residential Services of Florida. Inc. License # CMC1240753, CAC1813963. EC130OBB58 SIZE TYPE —CARB'SIZE 2T&,tLTYPE CAIRRIM SIZE TYPE EFFICfEN _ILA EFFICIENCY —1._G1CrPp _ . EFFICIENCY $ $ — $ S SUBTOTAL $ $_} SUBTOTAL 3 SUBTOTAL $ MONTH EST.` $ MONTHLY EST,' MONTHLY EST.* $ CU5 MER INITIALS CUSTOMER INITIALS CUSTOMER INITIALS _ _ .. Paris _ r Warrant: —MY, Parts j2"r—lsbor Warranty:" Parts Labor Compressor Heat Exchanger /a —Compressor 4LHeat Exchanger Compressor _Heat Exchanger "Untaaa dhenwae noted, aI warranties are km the meradachww • • • .= SELECTED OPTION. L71 Q12 ©3 Weatherproof Disconnect J61-rfetime Equipment Slab j�Sound Isolation Pads (,7 Liquid Tito Conduit b Start Kit ❑ Refngerant L.L Dryer _ ❑ Refrigerant Pipe ❑ New O Reconnect ❑ Refrigerant Pips Cover ❑ Expansion Valve OT-stat—TyPeD rUL VJ Connect to Exisu Electrical ❑ New Plywood Deck ❑ Reconnect Dram Line ❑ Ceiling Saver Kit (Pan & Float) ❑ Main Drain Safety Switch Seal New Connections ❑ Support Attic Equipment ❑ Supply Plenum ❑ New ❑ Reconnect ❑ Return Plenum ❑ Now ❑ Reconnect ❑ Efeclromo Air Cleaner ❑ Media Filter _ ❑ PCO — _ ❑ UV Light ❑ Humidifier ❑ Dehumidifier _ ❑ Outdoor Un I Pad ❑ Flue Venting ❑ Ductwork ConnectioW ❑ Corned to exiting plemirn ❑ Duel Modifications flee mares 10 scope of wank) ❑ New Duel System PU Duct Work ❑ Fuel Piping ❑ Electrical Wining ❑ PROS Club Membership 1 Term (354 days) Guarantee .Home Protection Guarantee Service Guarantee 1A 100% Unconditional Money -Bade Guarantee SUBTOTAL $ $ TOTAL $� ❑ CASH ❑ CHECK# 4 ❑ CREDIT CARD (LAST 4#9) EXP APPROVAL 00'FINANCI _670A S475 %0iiim pad by rsei9w& USA Mainem FOI-_ on .pwa..d a.d- ar a 1m led lima. EMmimed mw"* Pay w bawd on &n% w 1i."% 1"d APR ran+ an kw wnar4. Jl-*m to of AM 1, solo. PAP&jw n k"t Wry Min Sa to 144 mantra M� I.. apply. orb. W—*V epee• Mw be wahh4 GA -nN m- C)ve,rv.6t2,6L- mpe r (>Jarwol2"- 1J\X DW /Vent., Tti+CAf--0 5-ir AT 00 L-IILME411l COBS CUSto*-+ rl1g�6r Jr N Arc, OCAAAf rS 11V "" .CoMpaff is no, responSible for preexisting ductwork See Terms and Conditions on the back of this document for details. Written customer authorization ""t be obtained before beginning any unforeseen additional or extended work .• ANY en cus S FOR CONSTRUCT! DEFECTS ARE SUBJECTTO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES. • BUYER'S RIGHT TO CANCEL: This is a home solicitation sale, and it you do not want the goods or services, you may cancel this agreement pr din9 wrttten natico to the sefier fa person, by telegram, or by mall. This notice must trldleate that you do not want the goods or sby ervt� and must be delivered or postmarked before midnight of the third business day after you sign this agreement, If you cancel this agreements the softer may not keep oil or part of any cash down payment. See the reverse side hereof for an explanation of this right • I acknowledge that my right la cancel has been erplaned to me orally and in writing, a9d without waiving my right to cancel. I authorize the performance of the work. subject to all lerme and conditions set forth on the rovers& s de hereof, plus any taxes upon completion. Noika To Owner . Do rut sign this home ImFrovemrent Contract In blank. You ate andided to a copy of the contract at the time yom sign. Keep It to protect y= legal rights. This home Improvement contract they Contain a mortgage or otherwise Creole a Alen on your property that It to on if you do not pay. Be sure you understand all provislons of the contract before you sfgn. v dr,/ , r1— GNAJIkIJFr_l �a�._. id DATE COMPAW REPRE ENTATNE - � �a� 57o (o bqq -r -zP21 - o.. MnW S km 11G AN rghu weaned ARa 1o7e-"i o210 L2102 t e 8250 Certificate of Product Ratinas AHRI Certified Reference Number: 202717625 Date: 04-14-2021 Model Status : Active AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 50ZPD030"'3"" 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 Alr-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), bluh : 28600 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 bung marketed but are not yet being produced "Production Stopped' Model Status are those that an AHRI Certification Program Participant is no longer produe ng BUT is still pTng or offering for sale. artas tha, a,e aaomc aniad by WAS i,9diewe a n inaolu Vary m-ra'o Thv now yu plished raii no is 5hown a ng with ;he oroviou s 0.1u. WAS} raVn4. DISCLAIMER AHRI does not endorse the productls) 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 This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personae 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, &915H 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.ahrldirectory.org, click on 'Verify Certificate" link we make life better" and enter the AHRI Cartiffed Reference Number and the date on which the certiNcate was Issued, which is listed above, and the Certificate No., which Is listed at bottom right. 02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132628771484580402 ��4tiyclec% Michelle Franklin CFA y` Saint Lucie County Property Appraiser Tangible Personal Property JPP) Account Information Account Information Account Number. 1008718 Business Name: Tall Pines Mobile Home Park DBA: Tall Pines Mobile Home Park Location: 314 S ERIF DR Jurisdiction: Saint Lucie County NAICS:453930 Ma-lufactured (Mobile) Home Dea Return Filing Information Tax Year: 2021 Return Received: No Extension Received: No Assessment and Value History Mailing Address Tall Pines Mobile Home Park 314 S Erie Dr Fort Pierce, FL 34946 UNITED STATES Tax Year 2020 2019 2018 Just/Market Value $2,932 $2,932 $2,932 Assessed Value $2,932 $2,932 $2,932 Exemption $2,932 $2,932 $2,932 Taxable Value $0 $o $0 All information is believed to be correct at this time, but is subject to change and is provided without warranty. 4 Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved. April 14, 2021 LM