Loading...
HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date. I Permit Number: Y. s p 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: X Address: , . ,(ceJ .F-1 . 3 �J Property Tax ID M. 15ot " (00?-Cm o "off. _ Lot No. Site Plan Name: Block No. Project Name: k r sne-f ck DETAILED DESCRIPTION OF WORK: Exact AC change out, no duct work Ton, I Seer, r r�r■ 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: Cost of Construction: $ 5,rnxoln OWNERAESSEE: Sq. Ft. of First Floor: Utilities: —Sewer _ Septic Building Height: Name — Address:e(po t LCw CSC s wo City Stater Zip Code: 51496 1 Fax: Phone No. a� ^��p�p �qUill E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Dennis Zacek Company. ARS / Rescue Rooter Address: 2800 U S HWY 1 City: Vero Beach State- FL Zip Code: 32960 Fax: Phone No 772-794-7205 E-Mail mgillis@ars.com 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 Name: MORTGAGE COMPANY: Not Applicable 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 financine. consult warn tenser or an attorney before commencing work or recording our Notice of Commencement. q" — 1"L — - Signature of Owner/ Less Contractor as Agent for Owner Signature of Contractor ' ense Holder STATE OF FLORIDA COUNTY OF ST LUCIE Sworn to (or affirmed) and subscribed before me of Ph sitsI Pres cggor Online Notarization this _M day of Q% 20z` by DENNIS ZACEK Name of person making statement. Personally Known X OR Produced identification Type of Identification Produced (Signature oYNotar a e o AGlLLIS MY COMMISSION # HH 045659 Commission No. EXPIRES: September23, 2024 • Bonded Thru Notary Public Underwriters REVIEWS I FRONT I ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED STATE OF FLORIDA COUNTY OF ST LUCIE Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization this day of S&2N2fiSt by DENNIS ZACEK Name of person making statement. Personally Known X OR Produced Identification _ Type of Identification Produced (Signature of NotaLlz'�Ir jte of FlOrtfit�llIDAGILLIS MY COMMISSION # HH 045659 Commission No.EXPIRES: September23,2024 ` Bonded Thar Notary Public Underwriters SUPERVISOR I PLANS REVIEW I VEGETATION REVEWSEA REVIEW MANGROVE Ewa/53, .. r Olk Inc. k �EMAnL �C18139r33 EC13008558Installation Wor' - • • ' � (772)567-310ok rder Fes P 280o US Highway1, art Dale 30 2• j Making it work. Making it right' Ameri Vero Beach. FL 32960 Can Residential Services of Florida, Inc. Est Completion Data/ CUSTpE,tER,.-, # CMC1249753, Cp, AboRESs c,,0.a�- �SAn�Ucense EMAIL Of Florida ECi300855t3 SIZE -` TYPE EFFICIENCY ' ' • SIZE 3�Or.! TYPE rt%C • ' • EFFICIENCY 3l l flC SIZE__— _- TYPE EFFICIENCY �� $ SUBTOTAL ~$t t`!� LQ$ gfk�G,�CtC� $ MONTHLY EST. $ SU BTOTALSerl c, $ SUBTOTAL CUSTOMER INITIALS • MONTHLY EST. $ �� $, =- MONTHLY EST.- $" Warranty:' parts CUSTOMER INITIALS �� CUSTOMER INITIALS Compressor Labor Warranty:- Parts Heal Exchanger 1o'-- Labor Warranty:" Parts LCompressor o1 o Heat Exchanger "UtJcx;s Othc+wiao noted, as wartantires arc Trom the �erraClurCr, Coin ~ Labe pressor Heat Exchanger Weatherproof Disconnect Reconnect Drain Line ❑Dehumidifier SELEOPTION: ❑ 1 CTED ❑2 03 Lifetime Equipment q pment Slab Sound oiling Saver Kit ❑ Outdoor Unit Pad (Pan & Flaal) Flue Venting SUBTOTAL Isolation Pads ❑ Liquid Tile Conduit Main Drain Safely Switch Ductwork Connections, p� -� El Start Kit LL Dryer Seal New Connections ConnectionsM t to ela tt g ❑Duct Modif cations gRefngerdnl Suppl Plenu�uipment Refrigerant Pipe —� New (v"Notes kwscope a„,ON ❑ New IEt Reconnect ❑ New Duct System ❑ New p TOTAL CD S�� Refr geran! Pipe Cover nt Pip Cove ❑ Expansion Valve. etum m fl fP No Duct Work ❑ New ❑ Reconnect Fuel Piping PAYMENT T slat -T a r- I d { yp �Mng Connect ❑ Electronic Air Cleaner ❑ Electrical VIring ❑Media Filler_ ❑ pR05 Club Membership ❑ CASH ❑ CHECK# , ❑ CREDIT to Exi>:ling C1 PGO CARD (LAST 4#s) Electrical �pN O New Plywo I Term {364 days} ❑ UV Light _ — - EXP APPROVAL ❑ Humidifier Cl FINANCING A.Aj�- 11 Comfort Guarantee • Cl Home Protection Guarantee r=rn°"` byI:nrraW*use ii ter: IPPIQ�d�•dl ra a rrtilN I+M. Eat F.,.py�, r I"""° tom— on &clam a • s1v� rb ❑ 24•Hour Service Guarantee ❑ 100% Unconditional MOneyBack Guarantee a APR q e a AM 1,?on t'W " y imm 9e to Ira mun!+s xxr.�,.,, is 'cqF Oew 1.. cpriera mey banCe a arat+k. • ��•;.-k;u��-c�l,,�a�tc - SEE +S i�rpnt;_ ell S 03 - -5 "i I W0?"t •'Foe- eo iu Frail 'Company is not responsible for preexisting ductwork. 0 Terms and Conditions on the back of this document [or decals e beginning any unforeseen additional or extended work. • ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OFCHAPTER 558, FLORIDA STATUTES •BUYER'S RIGHT TO CANCEL: This is a home solicitation sale, and It You do not want the goods orservices,youma p by providing written notice to the seller In person, by telegram, or by mail. This notice must Indicate that you do not want the services and must be delivered or postmarked before midnight of the third business day after you sign this agreement. y noel this agreement agreement, the seller may not keep all or part of any cash down payment See the reverse side hereof for an If o1 this de lt or • I acknowledge that my right to cancel has been explained to me orally and in writing, and without watvin m 9 cement If you cancel this of the work subject to all terms and conditions set forth on the reverse side hereof, plus any taxes open completion. t 9 Y right to cancel, I authorize the performance Notice To Owner - Do not sign this home improvement contract In blank. You are entitled to a co Keep It to protect your legal rig This home improvement contract may contain a Mortgage or otherwisContract ntran at the time you sign. C1lh1&bef.aFedosedO f yo do not pay. Be sure understand alf visions of te ontractbefore yoyas�g� ltaaton your properly,ERStGNATURE _ 01iE CO EPRIESENTAT E 2021 MnrKm Rftft rw id Sarncee LLC. M ripple reelrved JI.:dIIIICI.I ►► fffI yam& Certificate of Product Ratinas AHRI Certified Reference Number: 9193675 Date: 07-29-2021 Model Status: Active AHRI Type: RCU-A-CB (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 Handler) : 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 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), btuh : 33200 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.00 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 being marketed but are not yet being produced "Producton Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. FRatina* that a'e aGGUmyanled by WAS indicate an i rivaluntary re -race. The n@w oublished ratino is shown alono Yoi% 1ho orayicv s ii.e. WAS) rab na. 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.ahridirectory.org. TERMS AND CONDITIONS Am MR] 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.ahridlreetory.org, click on'Verify Certificate" fink %%e make lite better" and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, which Is fisted above, and the Certificate No., which Is listed at bottom right. — 02021 Air -Conditioning, Heating, and Refrigeration Institute : CERTIFICATE NO.: 132720561941462%0 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 8001 LAKESIDE WAY Sec/Town/Range: 11+34S/39E Parcel ID: 1301-603-0143-000-2 Jurisdiction: Saint Lucie County Ownership Elaine L Sandall 8001 Lakeside Way Fort Pierce, FL 34951 Legal Description LAKEWOOD PARK -UNIT 3- BLK 21 LOT27 (MAP 13.1IS) (OR 651-2525; 3169-741:3480-1529) Current Values lustlMarket Value: $145,000 Assessed Value: $69.454 Exemptions: $69,454 Taxable Value: $0 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 0 Use Type: 0100 Account #: 125492 Map ID: 13 IIS Zoning: RS-4 Count Total Areas Finished/Under Air (SF): 1.478 Gross Sketched Area (SF): 2,922 Land Size (acres): 0.28 Land Size (SF): 12,000 Building Design Wind Speed Occupancy Category I 11 III & IV Speed 140 150 160 Sourcestlmks: 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. Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 8001 LAKESIDE WAY Sec/Town/Range: 1 I: 34S.,39E Parcel ID:1301-603-0143-000-2 Jurisdiction: Saint Lucie County Ownership Elaine L Sandall 8001 Lakeside Way Fort Pierce, FL 34951 Legal Description LAKEWOOD PARK -UNIT 3 BLK 21 LOT27 (MAP 13. I IS) (OR 651-2525; 3169-741: 3480-1529) Current Values Just/Market Value: $145,000 Assessed Value: $69,454 Exemptions: $69,454 Taxable Value: so 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 Download TRIM for this parcel: Download PDF 12 Use Type: 0100 Account #: 125492 Map ID: 13. 11S Zoning: RS-4 Count Total Areas FinishecL-T, nder Air (SF): 1,478 Gross Sketched Area (SF): 2,922 Land Size (acres): 0.28 Land Size (SF): 12,000 Building Design Wind Speed Occupancy Category I 11 III & IV Speed 140 150 160 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.