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HomeMy WebLinkAboutapplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r Date: Permit Number: SIT. WeDI C 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 X PERMIT APPLICATION FOR: HVAC / Mechanical PROPOSED IMPROVEMENT LOCATION: l Address: 5� c 1, .r�1 .3 Property Tax lD #: oZ y a _ 0 Z:1 -00l q ' Lot No. +;P(o -LC Site Plan Name: Block No. Project Name:QCAr A n DETAILED DESCRIPTION OF WORK: Exact AC change out, no duct work Ton, Jt{ Seer, 5KW New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: I 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: $ SRO Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: Dennis Zacek Address: 3 S S t'ee Company: ARS / Rescue Rooter City:'Fori'Pi P,C'(_ State: F- I Address: 2800 U S HWY 1 Zip Code: �>4996A Fax: City: Vero Beach State: FL Phone No. 1 a " (01 0k - R 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 2500 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 wlin lentaer or an aiiorney DeTore commencing worK or recording your Notice of Commencement. Signature of Owner/ Lessdegontractor as Agent for Owner Signature of Contractor ' . nse Ho'der STATE OF FLORIDA COUNTY OF ST LUCIE Sworn to (or affirmed) and subscribed before me of X f!hysicY Presnce or Online Notarization this �� da of _ U IL4 20ZI by DENNIS ZACEK Name of person making statement. Personally Known X OR Produced Identification Type of Identification Produced _ (Signature of No r 0k 'c'c,; State OWWdjk 6ILLIS MY COMMISSION # HH 045659 Commission No. EXPIRES: September23, 2024 Bonded Thru Notary Public Under writers REVIEWS I FRONT I ZONING COUNTER l REVIEW DATE RECEIVED COMPLETED STATE OF FLORIDA COUNTY OF ST LUCIE Sworn to (or affirmed) and subscribed before me of X Physica' Pre nce or Online Notarization this day of 20ZJ by DENNIS ZACEK Name of person making statement. Personally Known X OR Produced Identifcat on Type of Identification Produced (Signature of No#ary ubllrite of F o OAGILLIS a. MY COMMISSION # HH 045659 Commission No. -`;r. ` = EXPIRES: September23, 2024 RF r`•' Bonded T1uu Notary public Underwriters SUPERVISEGETATIEATURTANGRO REVIIEWOR I REVIEW PLANSVREVEWON ! S REVEWLE I MREV EWVE M SLUEOTER Installation Work Order (772 )567-3100 2800 US Highway 1, Vero Beach, FL 32960 American Rewdentral Services of Florida, Inc. License # CMC1249753. CAC1813963. EC13008558 Eat. Start Date Est. Completion Data tX151OMER �� CALL SUP'ADDRESS j.' c"mu -op r MOME PHONE CELL PHONE WORK PHONE SIZE 'TYPE Cc rA./ SIZE TYPE SIZE TYPE _ EFFICIENCY tbt1 EFFICIENCY EFFICIENCY s _$ $ $ $ $ $ $ $ $ SUBTOTAL $_in SUBTOTAL $ SUBTOTAL $ MONTHLY EST.- $_ MONTHLY EST.' $ MONTHLY EST.* $-- CUSTOMER INITIALS _._. CUSTOMER INITIALS CUSTOMER INITIALS _ Warranty:",LL"L Parts 0+ !, Labor Warranty:" Parts Labor Warranty:" Parts _ Labor —Q-COmPn=Or _ CaHeat Exchanger `Compressor Heat Exchanger Compressor Heat Exchanger "Urh- oalsewiae noted, A wartailties are hom the rnwdwhirm. • + • SELECTEDOPTION: Q0 ❑2 ❑3 SUBTOTAL $ Weatherproof econnect Dram Line ❑ Dehumidifier Disconnect �.ng Saver tit &outdoor Und Pad .— 1iletime Equipment Slab (Pan & FloaO ❑Flue Venting $ Sound Isolation Pads lain Drain Safety Switch ❑ Ductwork Connections' uid Tte Conduit Weal New Connections ❑ Connect to exisbV plenum $ I.tpport Attic Equipment Dryer_. Mupply Plenum Egmnl ❑ Duct ModificationsL.L fne Notesnor wope dwoikj TOTAL $ 6 9gv Pipe ❑ New CKReconnect ❑ New Duct System ❑ New Reconnect �ietum PI num PI ❑ No Duct Work ' []CASH ❑CHECK# ❑ Refrigerant Pipe Cover ❑ New ❑ Fuel Piping M,q>snsion Valve ��� ❑ ❑ Bactnorf� Air Cleaner _ O.T--stet -Type PMedia Filter ❑ Electrical Wiring 13 PROS Club Membership ❑ CREDIT' CARD (LAST 4#s) oConnecl to Existing ❑ PCO 1 Term (364 days) EXP APPROVAL — Electrical ❑ UV Light INANCING ❑New Plywood Deck ❑ Humidifier f nx..whEnaerkUSA r w bvFWQm sppraad craft b ■ WAd Sm Ea6 id mm" dw�oe �m.easec or�id MR PApWm '" •UR GUARANTEES fort Guarantee ome Protection Guarantee �009b �'44 Hour Service Guarantee Unconditional Money -Bads Guarantee am«rbeppy0dwlioppdot 3 'Company is not responsible for preexiating dKtwork. See Terms and Conditions on the badcof this document lot,'-" " • Written customer authorization w'1 be obtained before beginning any unforeseen additional or extended work • ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE Sll BJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES. • BUYER'S RIGHT TO CANCEL: Thts Is a home solitdtallon sate, and If you do not want the goods or wWces, you may canoe) dill agreement by pmW hV written notice to the seller in parson, by telegram, or by mall. This notice must Indicate that you do not want the goods or saftes and must be delhrared or postmarked before midnight of the third buslness day after you sign this agmemerrL H you cancel this agreamen% as seller may not keep all or pert of any cash down payment. See the reverse side hereof for an eTxplanstien of this right • I acknowledge that rry right to cancel has been explained to me orally and in writing, and without waiving my right to cancel, i authorize the performance of the work, subject to all terms and conditions sat forth on the reverse side hereof, plus any taxes upon completion. Notice To Owner • lb not sign this home Improvement contract In blank. You am 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 otlbrwlse erode a lien on your property thalcould be hiredosed on if you do not pay. Be sure you understand all rrs of the wnbasct before you sign. CUT iMERaG TORE DATE REPRESENTATIVE 0 2021 Amwkw Rerdr,N Swvim LLQ AM 600 rn.,*d, ARSi o78j1j,0210 L210210 8256 Certificate of Product Ratings AHRI Certified Reference Number: 9193675 Date: 07-27-2021 Model Status : Active AHRI Type: RCU-A-C6 (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series; 14 SEER AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA14NA036'0"A' Indoor Unit Model Number (Evaporator and/or Air Handier): FB4CNP036L 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 2101240 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 : 33200 SEER: 14.00 EER (A2) - Single or High Stage (95F) :12.00 t'Active' Model Status are those that an AHRI Certlflcatii�n Program Participant is currently producing AND selling or offering for sale; 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 sale. Ratings tna`. are accomnpnipd by WA5 inCiote an involinlary 's rare. The nsw Gobi snosl rating is shown along wi'h Ilia oreviot,a fi e. L4AS7 raii.nn 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($) 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 NW03 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, & is 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 we make life hetter^ and enter the AHRI Certified Reference Number and the date an 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.: 132718727362871474 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 3114 S 23rd ST Sec/TownfRange: 28- 35S.:40E Parcel ID: 2428-602-0019-000-4 Jurisdiction: Saint Lucie County Ownership Camell Plowden 3114 S 23rd ST Fort Pierce, FL 34982 Legal Description COL H D GOFORTH S/D BLK 1 LOTS 19 AND 20 (0.45 AC) (OR 1127-618) Current Values Just/Market Value: $136.200 Assessed Value: $67,397 Exemptions: $42,397 Taxable Value: $25,000 Property taxes are subject to change upon change of ownership. • Past taxes are not a reliable projection of future taxes. • The sate 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 #: 32397 Map ID: 24,28N Zoning: RS4 Count Total Areas Finished[Under Air (SF): 1,480 Gross Sketched Area (SF): 2.496 Land Size (acres): 0.45 Land Size (SF): 39,602 Building Design Wind Speed Occupancy Category I II III & IV Speed 140 150 160 Sources/links: All information is believed to he 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.