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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLEr INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED HDate: —1 ( 1 Z I Permit Number: � 1`�o O 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: 5051 N HIGHWAY AIIA 13-5 HUTCHINSON ISLAND, FL 34949 Property Tax ID#:.1 41 4-61 2 - 0 0 6 9 - 0 0 0 - 4 Site Plan Name: 5051 N HIGHWAY A1A 13-5 Project Name: DOREEN MILLER LDETAILED DESCRIPTION OF WORK: Exact AC change out, no duct work 2 TON WATER SOURCE HEAT PUMP 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: $ 6,969 _ Generator X Lot No. Block No. _ Windows/Doors Pond Sq. Ft. of First Floor: Roof Pitch Utilities: _Sewer _Septic Building Height- OWNER/LESSEE: CONTRACTOR: Name DOREEN MILLER Name: Dennis Zacek Address: 5051 N HIGHWAY Al 13-5 Company: ARS / Rescue Rooter City. HUTCHINSON ISLAND State: FIL Address: 2800 U S HWY 1 Zip Code: 34949 Fax: City: Vero Beach State: FL Phone No. 732-513-4198 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 a value or construction is z5uu or more, a RECORUEo 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 attornev before commencinlr work or recording vour Notice of Commencement- (") -qll� rl� Sign atu —WbTowner/ LesseeoUntractor as Agent for Owner C Signature of Contracto ' ense 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 X Physical Pres nce or Online Notarization X Phys-,ca' Presence or Online Notarization this L day of i 20' by this day of ��u\u 20 by DENNIS ZACEK DENNIS ZACEK 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 Produced Produced (Signature of Notary o F orj� NDAGILLIS (Signature of otary P ' �pp ti f-'is Fy: •m i.1YCOMMISSION #Hi1045659 ihAYA ''. ;ar""'`!;• MIRANDAG'LLIS Commission No. `' EXPIRES: September ?o. Commission No. +; 6lYCOMMISSION #FlF1045659 Bonded Thre Notary Prrbtic Underwrltars EXPIRES: ' +'�'�:' September 23, 2 •'�orv�q:•• p 024 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE aii MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 5/6/20 Installation Work Order Est Start Date 03-- y" w (772 07.3100 Est. Completion Date 2800 US Highway 1, veto Baoch, Fl. 32900 Making 4 WO& Making ii dght' American Residential Sarvices of Florida, Inc. License # CMC1249763, CAC1813983, EC13008560 1x1aTOUiER EMAnL �� �:i��rti ■ B r r � Nl��iiento ir'-If— - - SIZE _ TYPE SIZE TYPE - —�� SIZE TYPE _. EF1CIENCY_jq_5eer_ EFFICIENCY EFFICIENCY $ -$-+ AhLL�Eo �$ — � �4R�—$—�� $� SUBTOTAL $ 649-05, SUBTOTAL $_ $-- MOWHLY EST • $— CUSTOMER SUBTOTAL $ _ i MONTHLY EST.* $ -- INITIALS -CUSTOMER INITIALS CUSTOMER INITIALS Warrar'tY 'J�1� Parts ik- Labor I Warranty Pads Labor! Warranty:" Parts ! Labor mPressor Heat Exchanger Compressor — Heat Exchanger Compressor Heat Exchanger -•UA69e.e utherMN rrornd, a w9rnntiea aro fron the M&%r1 awn. - - - - -- •~ l ` ` • SELECTEDOPTION: 1 ❑2 ❑3� �pveef Ito Reeorxiecl Dram Line ❑ Dehumidifier SUBTOTAL ❑ Ceding Saver Kit ❑ Outdoor Unit Pad $� (Pan & Float) ❑Flue Venting $ fifjvla� Drain Safely Switch ❑ Ductwork Conrwclions' --- L►quid Trte ConduR QfSeal New Connections ❑ Correct to existing plenum 0 Start Kit ❑ Support Anic Equipment ❑ Duct Modifications 5Refrigerant LL Dryer_ ❑Supply Plenum -)bwNotesforscopaolwoo TOTAL $—Aim Refrigerant Pipe ❑ New ❑ Reconnect ❑ New Duct System ❑ New C,fRecomieci ❑ Return Plenum It No Duct Wort(Sft PAYMENT ❑ Refrigerant Pipe Cover ❑ New ❑ Reconnect ❑ Fuel Piping �! ❑ CASH ❑ CHECK# ❑ Expansion Valve ❑ Electioruc Air Cleaner ❑ Electrical Wnng fiJfe slat -TYPO �ESr ❑ Media Filter _ ❑ PROS Club Membership CREDIT CARD ILAST 4#s) !Y Connact to Existing PCO 1 Term (364 days) EXP APPROVAL Electrical allV Light S ale_ ❑ New Plywood Deck ❑ Humidifier ❑ FINANCING OUR ` �, ^ 9.ovM pmid�6 by &oB"U&l Me k* rDlG m + • - - Ei��&t app-W 04a 1m a h wd tint. EWWW eaidr Pgrty band m BAD% w 9 "% r,.ad APR Comfort GuaranteeHome Protection Guarantee bw•• gonbwava a a.ao[Am 1.292a d24-Hour Service Guarantee 100% Uncond:tional Money -Back Guarantee I r°"•° °"Y mein � � "` "g"' "� '" 'eon .,twr,+ppfy oowf.Wrrq wlae � be.,>w41e. SPtlsALL 1T 1 Z� D�CCICZK EW�mmb tsTip iNCWDM ,<arWbEL,EMEetr NOH�o�>ErJ co5-rs ir�Al x 'Company is not responsible for preexisting ductwork See Terms and Conditions on the back of this document for details. • Written customer authorization will be obtained before beginning any untlresoe'. additional or extended work. • ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBIECCTO THE NOTICEAND CURE PROVISIONS OF CHAPTER 558. FLORIDASTATUTES. • BUYER'S RIGHTTO CANCEL:This Is a home soticitation sale, and If you do notwant the goods or services, you maycencet this agreement by providing written notice to the sellar In person, by telegram, or by mall This notice muss 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. II you cancel this agreement, the seller may not keep all or part of any cash down painnerrL See the reverse side hereof for an explanation of this d0L • I aclurovdedge that my right to cancel has been explained to me orally and ui writing, and vAlhoui waning my right to cancel. I authorize the peaour rtve 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 tlme you sign. Keep It to protect your legal rights. This home improvement contract may contain a mortgage or otherwise create a Ilan on your properly that Id be foreclosed on if you do not pay. Be sure you understand all lots of the contract b�eforee you 619% NA S�L CU URE DATE COM REPRE NTA WE i -47) 559 (p0q 0ga21AnwranRpakMMidSwvcaaLLC.Al riginipmved ARS1078 FL210214 1­4111210 r)11264•T iej. rt"T 82" Certificate of Product Ratinas AHRI Certified Reference Number: 207083902 Date: 07-14-2021 Model Status: Active Old AHRI Reference Number : Product : Water -to -Air and Brine -to -Air Model Number: 56PCV024UR"NIJ3ICE Brand Name : CARRIER Rated as follows In accordance with the latest edition of ANSUAHRilASHRAEIISO 13256.1 Water -source heat pumps -- Testing and rating for performance — Part 1: Water-to-alr and Brine to -air heat pumps and subject to rating accuracy by AHRI-sponsored, Independent, third party testing: Air Flow Rate - Cooling: Air Flow Rate - Heating: WLHP (Water -Loop Heat Pumps) Cooling Capacity (Btuh) Cooling EER Rating (Btuh/watt) Cooling Fluid Flow Rate (gpm) Heating Capacity (Btuh) Heating Cop (watttwatt) Heating Fluid Flow Rate (gpm) GLHP (Ground -Loop Heat Pumps) Cooling Capacity (Btuh) Cooling EER Rating (Btuh/Watt) Cooling Fluid Flow Rate (gpm) Heating Capacity (Btuh) Heating COP (wattlwatt) Heating Fluid Flow Rate (gpm) Indoor Blower Motor Fan Type ; PSC Sold In? : USA, Canada Full Load Part Load Part Load2 Part Load3 V0 24200/24200 14.30/14.30 6.00 26900/26900 4.95/4.95 6.00 25300/25300 16.75/16.75 6.00 17800/17800 3.55/3.55 6.00 Where rating shows valueivalue. the first value is at minimum voltage, the second value is at 230v for a dual volt system. t"Active" Model Status are those that an AHRI Certification Program Particpant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced "Product on Stopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ralirnu ihaS are arromvanied by WAS indicate ar, in,rpluntarw re-ra!e. The now oublishud raiino is shown along wdh the oreviDus ii.e. WASS ratino. 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 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; A:'153 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 life 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, 07MMIr-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132707515069192398 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 5051 N HIGHWAY AIA 13-5 Sec/Tbwtt/Range: 14; 34S140E Parcel ID: 1414-612-0069-000-4 Jurisdiction: Saint Lucie County Ownership Stephen Miller Doreen Miller PO Box 543 Matawan, NJ 07747 Legal Description SEAWARD AT ATLANTIC VIEW UNIT 13-5 (OR 3147-2493) Current Values Just/Market Value: $247,400 Assessed Value: $247,400 Exemptions: s0 Taxable Value: $7.47,400 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 Collectors Office Download TRIM for this parcel: Download PDF 12 Use Type: 0400 Account #: 137647 Map ID: 14;14N Zoning: Total Areas FinishedfUnder Air (SF): Gross Sketched Area (SF): Land Size (acres): Land Size (SF): Building Design Wind Speed Occupancy Category I II III & IV Speed 140 160 160 Stmrces.links: All information is believed to be correct at this time, but is subject to change and is provided without any warranty. C- Copyright 2021 Saint Lucie County Property Appraiser, All rights reserved.