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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 07/19/2021 Permit Number: 21To [LUCQFS O 34 40 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 FORWAC / Mechanical PROPOSED IMPROVEMENT LOCATION: X Address: 36 MONTOYA FORT PIERCE, FL 34951 Property Tax ID #: SPANISH LAKES MOBILE HOME PARK Lot No. Site Plan Name: 36 MONTOYA Block No. Project Name: SHIRLEY DONEY I DETAILED DESCRIPTION OF WORK: I Exact AC change out, no duct work 3 Ton, 14 Seer,10 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 _ Windows/Doors _ Pond Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 8,938 Utilities: —Sewer _Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name SHIRLEY DONEY Name: Dennis Zacek Address: 36 MONTOYA Company: AIRS / Rescue Rooter City: FORT PIERCE State: FL Address: 2800 U S HWY 1 Zip Code: 34951 Fax: City: Vero Beach State: FL Phone No. 772-464-4261 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 7500 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 attorneybefore commencing work or recording your Notice of Commencement. } Signature of Owner/ Les /Contractor as Agent for Owner Signature of Contract icense Holder STATE OF FLORIDA COUNTY OF ST LUCIE Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization this Ift_ day of 20 by DENNIS ZACEK Name of person making statement. Personally Known X OR Produced Identification Type of Identification �AFAIFAI WE OVA NWo MY COMMISSION # HH 045659 Commission No. ","VI -W EXPIRES: September 23,2024 `'"*?;t° Bonded Thru Notary Pubiic Underwriters STATE OF FLORIDA COUNTY OF ST LUCIE Sworn to (or affirmed) and subscribed before me of X Physical Presence r Online Notarization this 114� day c. _ J_ J— , 20 by DENNIS ZACEK Name of person making statement. Personally Known X Type of Identification Produced (Signature of Notary Commission No. OR Produced Identification MIRANDAGILLIS My COMMISSION a HH 045659 EXPIRES: September 23, 2024 Bonded Thru Notay Public Under vrile± REVIEWS ANGRO COUNTER R�VIEW S REVIEWPERVISOR REVIEW VREV EWEGETATION 5 REV EWEATURTLE MREV EWVE RECEIVED DATE COMPLETED kev. ,-- --... Certificate of Product Ratinas AHRI Certified Reference Number: 202717626 Date: 07-19-2021 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) : 50ZPDO36"`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 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 : 35000 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 safe; 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 selling or offering for safe. RaCnE15 that I!'e I'mmoaptlid_12Y-W" indiwto an iryvvlu-itary re -role, The new Pr.bli5hed rating is shown aloro with the oravoua fi.a WASI ralino. 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 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; on 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 %re make Iite herTer" 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 -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13271181370174638a SIZE 7MA_TYPE EFFICIENCY 14 sir SUBTOTAL $ MONTHLY EST.- 14 �-y� CUSTOMER INR7AL. Fi. Warranty:"_ pis Installation Work Order Eel. Start Date 09-14 , (772 )567-3100 Est. Complohon Dated- -=J 2800 US H-ghway 1, Veto Boach, FL 32900 American Residential Services of Florida, Inc. L'cense d CMC1249763, CAC1813963, EC13008558 Labor SUBTOTAL MONTHLY, LQ-Vt_ Compressor QlL_Heat Exchanger j&-( "UNeea aherwiee noted 31 wanenlln we Iran dm muwradu . Tt!:ASIZE TYPE iEFFICIENCY l$-- $ $ SUBTOTAL $ $MONTHLY L1*t'J EST.` $! 'IALCUSTOMER INITIALS _ Parts A,% Labor Warranty " Pails Labor or 10+Ir He Exchanger _Corpressor Heat Exchanger 69 Weatherproof QfReconnect Drain Line ❑ Dehumidifier Disconnect 61 Lifetime Equipment Slab ❑ Carling Saver Kit _ ❑ Outdoor Unit Pad Q( Sound Isolation Pads d (Pan & Float) d Man Dr- Salety Switch ❑ Flue Venting ❑ Ductwork Connections' Liquid Tile Conduit ❑ Start Kit GiSeal New Connections ❑ Connect 10 existing plenlrn G9 Refrigerant LLD Dryer__ ❑ �Pa1 Attic Equipment ❑ Duct Modifications GJPipe 13 New ❑ New EdReconnect ❑Supply Plenum O New ❑ Reconnect (Sm Molex la wope d wv.4) / New Duct SysterrK GI ❑ Ref ngerant Pipe Cover ❑ Retum Plenum ❑ New ❑ Reconnect C) No DUCA W" Rlv ❑ Fuel Piping ❑ Expansion Valve g'T-slat -Typo Ulli ❑ Fjectrpan Air Clean ❑ Electrical Wiring t , G�Connect to Existing ❑ Media Filter ❑ pC0 ❑ PROS Club Membership Electncal — ❑ UV Light 1 Term (364 days) O New Plywood Deck _ ❑ Humidifier GIIComfort Guarantee Home Protection Guarantee G124-Hour Service Guarantee 100%Unconditional Money -Back Guarantee iN ITI ZE, VIEW l S RTz\f-atae, g-rttAps •Lt tit Ir 1? eTVV pi box R L_t_ veak-AtTLs) C�'io to r t ernt.- SHROUD SELECTED OPTION: m 1 ❑ 2 ❑ 3 SUBTOTAL $ _ $ Q TOTAL $ y,q 38 E3 CASH [9 CHECK# ❑ CREDIT CARD {LAST 4#9) EXP APPROVAL O FINANCING kQCL ($I13g) Lucas Wr Jed by Fn 8w* USA, Maubw")1r. on +wmw d ded4 1w a a+r0ed r ea. Eahnrmed moritliy i7+.. Nymwae bard en 6499► « e.9D]Y reed APR lows. deaen6M m rmn wnwK efkcwe ke CO Api 1. 2020. Mre.w reins vary 4om 3e b 144 .worker. LS, ben .Mgft wpy. Omer kw -v 00.or4 rrrr 4r 8-aLNe. %-Je16IW Rl+Si' k" OR fft F�Qp rAPLY tt,sl- CC 'Company is not responsible for preexisting ductwork. See Terms and Co-Aiilions on the back of this document for details. • %Olen customer authorization will be obtained before beginning any unforeseen additional or extended work, • ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558. FLORIDASTATUTES. • BUYER'S RIGHT TO CANCEL: This is a homesolidta[lon sale, and It you do notwant the goods or services, you may cancel this agreement by providing written notice to the seller In person, by telegram, or by malt. This notice must indicate that you do not want the goods or services and must be delivered of postmarked before midnight of the third business day after you sign this agreement. a you cancel this agreement, the seller may not keep all or part of any cash dowm paymenL $ee the reverse side hereof for an Teem nL iitiOn of this right of h work subiect to ge that sll�e ins ancancel co d�llo s t fOAnoo tome averse he rrgp ' fund without warvmg my right to cancel, I aulho a the perta,n,y,� P any taws upon complelion. 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 proled your legal rights. This home Improvement contract may contain a mortgage or otherwise Create a Ilen an that could be foreclosed on If you do not pay. Be sure you understand all visions of the contract before your properly � you sign. ,cTOMER Sx : URE DATE PAW REPRESEMATryE z} 551441 oa_, 0 2021 Amenwn Rnede IW S&r"CU LLC. Ar rig% to -veil. ARSI OM FL 210210 L210210 'D, aer # n�tia a�yc1EQ Michelle Franklin CFA Saint Lucie County Property Appraiser Tangible Personal Property (TPP) Account Information Account Information Mailing Address Account Number. 1004940 Doney, Shirley Business Name: Doney, Shirley 36 Montoya DBA: Doney, Warren Fort Pierce, FL 34951 Location: 36 MONTOYA UNITED STATES Jurisdiction: Saint Lucie County NAILS: 814190 Mobile Home Attachments Return Filing Information Tax Year. 2021 Return Received: No Extension Received: No Assessment and Value History Tax Year 2020 2019 2018 Just/Market Value $1,383 $1,383 $1,383 Assessed Value $1,383 $1,383 $1,383 Exemption $1,383 $1,383 $1,383 Taxable Value $0 $0 $0 All information is believed to be correct at this time, but is subject to change and is provided without warranty. © Copyright 2021 Saint Lucie County Property Appraiser All r.ghts reserved. July 19, 2021 km