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HomeMy WebLinkAboutScanned from a Xerox Multifunction PrinterAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 05/19/2021 Permit Number: O U11 Building Permit Application Planning and Development5ervices 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: 5609 SEAGRAPE DR FORT PIERCE, FL 34982 PropertyTaxlD#: 3402-609-0058-000-3 Site Plan Name. 5609 SEAGRAPE DR Project Name: DEBORAH BERGANDI DETAILED DESCRIPTION OF WORK: Exact AC change out, no duct work 3 Ton, 15 Seer, 10 KW New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: Lot No.45 _. Block No. 23 _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: $ 8,726 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name DEBORAH BERGANDI Name: Dennis Zacek Address: 5609 SEAGRAPE DR Company: ARS / Rescue Rooter City: FORT PIERCE State: FL Address: 2800 U S HWY 1 Zip Code: 34982 Fax: City: Vero Beach State: FL Phone No. 772-577-2102 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 Z5W 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. Signature of Owner/ Less a ontractor as Agent for Owner STATE OF FLORIDA COUNTY OFSTLUCIE Sworn to (or affirmed) and subscribed before me of Physical Pres rice or Online Notarization this � day of 2020 by DENNIS ZACEK Name of person making statement. Personally Known x Type of Identification Produced . (Signature of ' Commi inn No ' H OR Produced Identification REVIEWS FRONT COUNTER DATE RECEIVED ' DAft COMPLETED e of FhRR4iD)IGILLIS MY COMMISSION # HH 045659 EXPIRES: I>)ber 23.2024 Tided TAru Notary public Underwriters Signature of Contractor nse Holder STATE OF FLORIDA COUNTY OFSTLUCIE Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this 61� day of [ _ , 2020 by DENNIS ZACEK Name of person making statement. Personally Known x OR Produced Identification Type of Identification Produced r (Signature of Notary P Ii-i f of F on NDAGILLIS - ., rl MY COMMISS�I�QN # HH 045659 Commission No- li[tnir" :� oc EXPiR .#eWmber23,2024 of Flo.. Bonded Thru No tary Pubtic UndetwrHers ZONING I SUPERVISOR , PLANS VEGETATION SEA TURTLE MANGROVE REVIEW l REVIEW REVIEW REVIEW REVIEW I REVIEW 'fT o- g° Installation Work Order art Date �/ (772 )567-3100 Est. Complet an Date y yl f� `L`tr 2000 US Highway 1, Vera Beach, FL 32960 Making it w01k. Making fl right: American Residential Services of Florida, Inc. 01rLicense If CMC 1249753. CAC 1813963. EC13008558 /,2 7ye, oG 53-� _ . T 1y� 1 _ EMAIL I CAI I S.:P Ais-iiass lr'Ok1E PHOME 'V �O(—L 1c/'(— 'Tr-. 5 ics 3�9&a L/ ffLl NOME �NORKPHONE SIZE ,3-fV,Pt J TYPE SIZE, TYPE, EF tENCY �0r71'a . � EF ICIENCYeOrn�r - Ac_ v1 Icd�h �',' c $ t ark $, SUBTOTAL a r,3,., SUBTOTAL $, MONTHLY L• MONTHLY EST' $ INITIALS N '(Paris In6_I UbG sorCD,E aHeat EYeh e nMrvl, a4 wananLasarc tram iha �qrylCr SIZE TYPE EFFICIENCY 1 ;r«ry — lit 7so� ���, o— �' $ ID — SUBTOTAL $ �y MONTHLY EST.* $ CUSTOMER INfif_ CUSTOMER INITIALS Warranty" 0 r Parts 99ne-YrLabor Warranty:" _— Parts . Labor PWoatherprool Disc onnecl econnect Dram Line ❑ Ceiling Saver Kit ❑ Dehumidifier —. ❑ Outdoor Unit Pad Lifetime Equipment Slab ound isolation PadsFlue ❑ Liquid T'to (Pan d Floal) Dram Salely Switch Von Venting Ductwork Conneclions' Conduit naE New Connections ftart Kit of erant L.L. 04AX �uPply Attic Equipment uPPTY num tact )ocean existing plenum Duct Modifications Refi-gera t Pipe �13 Now Reconnect LRefrlgeranl Pipe Cover ❑ New Reconnect WRelurn enum fare Notes ra scopes of work) (w7 New Duct System j�r4`("iu^' Duct Work ❑New Expansion o ! •slat -Typo ��>�L Connect to E71is connect ❑ Eleetron`cAu Cleaner _ _ Q Media Filter �� ❑ uel Piping 13 Electrical Waring till aROS Club Membership g ❑ PCO j Electrical ❑ UV Light 1 Term (364 days) Ow Plywood Deck ❑ Humhyier ❑ Comfort Guarantee Home Protection Guarantee ❑ 24-Hour Service Guarantee Unconditronal Money -Back Guarantee Wt9,5L►. _TE,S'r Alt Ltik,�j No 0 Compressor Heal Exchanger SELECTED OPTION: ❑ t 2 ❑3 SUBTOTAL $--9,7Q_� �$ TOT � $ ©CASH ❑CHECK# . ❑ CREDIT CARD (LAST 40s) EXP . _ . APPROVALa ❑ FINANCING by , � USA, i roIQ an 699% a e99% R-P Y^ fke.er„pq, eAeefre n of 7020. tq apr, ynwp�ehwn 3mon 6 le 144 ths A � " Ipti, •e9 "'— may ifs ersuprs_,m :-ZE1- (tY i V+"Or% br VGJm 'Company is not responsible for preexisting ductwork . I Terms and Conditinns nn the back of This document for details, "ure he.Qmning any unfonnsppn additional or eftended work. • ANY CLAIMS FOR CONSTRUCtION DEFECTS ARE SUBJECT TO [HE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES. • BUYER'S RIGHTTO CANCEL: This is a home solicitation sale, and if you do nolwant the goods or sorvlces by providing written notice re the seller in person, re telegram, or he mall. This notice must Indicate that you you may cancel walrtt this agreement services and must be delivered or postmarked before midnight of the Third business day after you to this agreement, a goods or agreement, the seller may not keep all or part of any rash down payment. See the reverse side hereof for an explanation of this h� of he work, sub ect o alle that my ght to cLricol has been terms and conditions set lorth ono me the rev ilsi•. side hr eeland In wril . Plus any lakout es waiving nlyom right to : ancpl, I authon7e the performance 1 P Y pnn complulwn. 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 mortgage or otherwise create a lien on your ro that could be foreclosed on if you do not pay. Be sure yo and island all provisions of the contract before you sign, p Perth CUSTOMER SIGNATURE OAIE Co r ESE WAVE O 2021 AmpnCeri ResWenid Serriters 4LC. AN rphis rerened AR5107e FE 3147 i0 1_7 i42 r0 0l:dl II ICu W I ll I "Cot il'1S( Certificate of Product Ratings AHRI Certified Reference Number: 9543522 Date: 05-19-2021 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) : 24ACC436A'030' Indoor Unit Model Number (Evaporator and/or Air Handier): FV4CN(B,F)003L 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 A Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, thins party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 33800 SEER: 15.00 EER (A2) - Single or High Stage (95F) : 13.00 t"Active" Model Status are those that an AHRI Certification Program Participant is currently produdrig AND selling or offering for sale; OR new moders that are being marketed but are not yet being produced'Produchon Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering tar sale. Ratinas that ere acco'n 3anie9 t)y WAS indi w 0n nvolVntary re -rate. The new vuk`Ilrih$�l rail n4 is shown )Iona with trio L"4Y.uus ri a. WAS) ratina. 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 products} 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 AL Hn 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, 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.ahridirectory.org, click on 'Verify Certificate" link „ e make lore hetter'- 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. ©2021 Air-Conditloning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1326592704196785M Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 5609 SEAGRAPE DR SecrrownfRange: 11::36S..40E Parcel ID: 3402-609-0058-000-3 Jurisdiction: Saint Lucie County Ownership Deborah L Bergandi 5609 Seagrape Dr Fort Pierce, FL 34982 Legal Description INDIAN RIVER ESTATES-1.'%IT-08 BLK 23 LOT 45 (MAP 34.11 N) (OR 555-2445) Current Values Jus Market Value: Assessed Value: Exemptions: Taxable Value: $148,600 $69,749 $45,249 $24.500 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 12 Download TRIM for this parcel: Download PDF 12 Use Type: 0100 Account #. 37626 Map ID: 34. I IN Zoning: RS-4 Count Total Areas FinishedZ.?nderAir (SF): 1,424 Gross Sketched Area (SF): 3,304 Land Size (acres): 0.3 Land Size (SF): :3,125 Building Design Wind Speed Occupancy Category I 11 III & IV Speed 140 160 170 Sources/links: 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.