HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/26/2021
Planning and Development Services
Permit Number:
Building Permit Application
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: 5036 REGINA DR FORT PIERCE, FL 34982
Property Tax ID#: 3 4 0 3 - 8 0 2 - 0 107-000-8
Site Plan Name: ANNE IRWIN
Project Name: 5036 REGINA DR
DETAILED DESCRIPTION OF WORK:
Exact AC change out, no duct work
2 Ton, 14 Seer, KW
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 6,698
Gas Piping
_ Sprinklers
X
Lot No. 5
Block No. 9
Shutters _ Windows/Doors _ Pond
Generator
Sq. Ft. of First Floor:
Roof Pitch
Utilities: _ Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name ANNE IRWIN
Name: Dennis Zacek
Address: 5036 REGINA 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) 360-7456
Zip Code: 32960 Fax:
E-Mail:
Phone No 772-794-7205
i Fill in fee simple Title Holder on next page (if different
I 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: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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, 1 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Commencement.
_ Signature of 0 er/ Lessee/Agent Signature of Contra r license Holder
STATE OF FLORIDA
COUNTY OF $tLuae
The fing Instr ment was acknowledged before me
thisday of 20 Eby
Dennis Zacek
(flame of person acknowledging )
(Signature of Notary Public- State of Florida )
STATE OF FLORIDA
COUNTY OF Si Lucie
The forgoing instrument was acknowledged before me
this _?_,(P day of 20 Z1 by
Denrus Zacek
(Name of person acknowledging }
(Signature of Notary Public- State of Florida }
Personally Known x OR Produced Identification Personalty Known x OR Produced Identification
Type of Identification Produced I Type of Identification Produced
Commission No.
Revised 0711
I REVIEWS
DATE
COMPLETE
INITIALS
MIRANDA GILLIS
MY COMMISSION # HH 045659
EXPIRES: September 23, 2024
Bonded Thm Notary Public Underwriters
FRONT I ZONING
COUNTER I REVIEW
Commission No.
MIRANDAGILLIS
EXPIRES: September 23, 2024
Bonded TMi Notary Public Undewlters
I SUPERVISOR PLANS I VEGETATION I SEA TURTLE I MAN(.;RnVF I
I REVIEW REVIEW REVIEW REVIEW I REVIEW I
. l
i ~ .6a
Making il work. Mak" a
Installation Work Order Ext. Start Date
(772 )567-3100 Est. Completion Dale
2800 US Highway 1, Vero Beach, FL 32960 k\& l W
American Residential Services of Fonda, Inc. * OF A rh -11
Licensa # CMC1249753, CAC1813ge3, EC13008558 /Ir„ icrrruer,,f,
ff,�nL v W)
_ E(7 (A I
SIZE-1;300 TYPE RY t.W
EFFICIENCY, 52_
oil
$
\A eA $ ,
SUBTOTAL
MONTHLY EST.'
1 \laTO
SIZE
EFFICIENCY
"'
—TYPE SIZE
EFFICIENCY
SUBTOTAL $.
MONTHLY EST • $,
CUSTOMER INITIALS ICUSTOMER INITIALS
Warranty:'-,1C)vJi,_ Paris AtrA&@_ Labor Warranly:" Parts
1CJ&_Compres9orkQ+% Hunt Exchanger _Compressor
"Unleas otherw4w noted al vanantioe are km pro manutothX& —
d Weatherproof
GfReconnect Drain Line
D;ti unnect
❑ Ceiling Saver K-1
Lifetime Equipment Slab
(Pan & Float)
and Isolation Pads
n Drain Safety Switch
Ci Liquid Tits Conduit
IlSeal New Connections
❑ Start Kit
E;Suppod Atirc Equipment
Refrigerant L.L. Dryer _
gRefrigerant/Pipe
M Supply Plenum
❑ New Reeortnect
NewEIReconnect
(7 Return Plenum
Refrigerant Pipe Cover
❑ Now ❑ Reconnect
pansion Valve
❑ Electronic Air Cleaner
T stat -Type
❑ Media Filter
12 Canned to :xis mg
❑ PCO
rElectrical
❑ UV Light
I New Plywood Deck
❑ Humidifier
TYPE
$
$
$
SUBTOTAL $
MONTHLY EST.' $
CUSTOMER INITIALS
Labor Warranty:" Parts Labor
Heat Exchanger Compressor Heat Exchanger
SELECTED OPTION_ 1 ❑2 ❑3
❑ Deh; midifier
SUBTOTAL $,
❑ Outdoor Unil Pad
❑ Flue Venting
At,����$
❑ Ductwork Connections'
Pro*r'O�� ►�
❑ Conned to ends" plenum
r $
❑ Duct Modifications
U- C Qp4
(see Notoo lot stoned work)
}
TOTAL ;
Now Duct System
No Duct V
❑ Fuel Piping
C] CASH 8 CHECK
❑ Electrical Wr ng
❑ PROS Club Membersh p
❑
1 Term (364 days)
EXP APPROVAL
Comfort Guarantee GHome Protect *n Guarantee
24-Hour Service Guarantee 10 100% Unconditional MonapBack Guarantee
15PO t7Y_.3J C[k30Rt-
1r�V2C�v�Nrc. 5�5
Rv__ F. cz -�vczN L'�ypyc
❑ FINANCING
WIN WendedI aIr ed U511 Offer FDIC,en
Ir�-�� I aPpord raadr la a ie.rd r.ns. F�einglsd manVir
peynrres hexed an 6-90% m 9.99% rod APR
bare, dapwxirq car kor, rd, anacWe os o(Agr 1, nn
RapalnwM brine wry tarn a8 >d I Ica rroerds iirirasn ben
�� waNoawr t:.r� q opYorr mey k».air61..
STD MTr.GL W t �- P rot' 10 GV L.tr W 1
CH EL-K- AT 1 SSSTTA I-L
* No �Ak 1-1 COSTS "--'
0 PM 1T1[ r.1 A t -T-ay two s
'f4'I�C 05T�"T' pL�F.LTCv,�it-K * �4QW \t4W)MA- Ot3CW09-vtJ1TS
AT INSTALL Aug. t-rMLLPMtoN
�s TL-S uSZ$�.
'Company is not responsible for preexisting ductwork. See Terms and Conditions on the back of Ihm document [or details.
• Written customer authorization will b-a obi aincd before beginning any unforeseen additional or extended work.
• ANY CLAIMS FOR CONSTRUCTION D, FECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES.
• BUYER'S RIGHTTO CANCEL: Tick is a home solicitation sale, and if you do notwant the goods or serAces,you may cancel this agreement
by providing written notice to the seller In person, by telegram, or by mail This notice must 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 If you cancel dit
agreement, the seller may not keep an or part of any cash down payment. See the reverse side hereof for on explanation of this right.
• I acknowledge Ihat my right to cancel has been explained to me orally and in writing, and without waning my right to cancel, I authorize the performance
of the work, subject to all terms and conds ions set forth on the reverao side hereof, p us 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 tlmeyou sign.
Keep it to protect your legal rights. This home improvement contract may contain a mortgage or otherwise create a lien on your property
that could be foreclosed on If you do not pay. Be sure you undesatand all provisions of the contract before you sign.
CUSTOMER SIGNATURE OATE COW112M REPR "'
02021AR.w wReilwid6erv=@LL.C.Airpd5reawma ARS107gPt 20210 1_210210 01rEcT
Certificate of Product Ratinas
AHRI Certified Reference Number: 9764468 Date: 08-26-2021 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) : 24ACC424A*030*
Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNF024L
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
& 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 : 22800
SEER : 14.00
EER (A2) - Single or High Stage (95F) - 11.50
t'Active" Model Status are those that an AHRI Certiflcatian Program participant is currently praWud-g 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.
Ratinas that a •a acwmcanied by WAS 'ndiame an invclun'.a ry re -rate. The raw nublished raNra is shnwr, alnna wish 1h.a ornvinus 41 is VdAS S rahiria
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 produclis)- 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 indiy,dual, personal and
Confidential reference purposes. The contents of this Certificate may not, do 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, Am am*
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.ahrldirectory.org, click on 'Verify Certificate' link we make life better"
and enter the AHRI Certified Reference Number and the date on wh ch the certificate was Issued,
which Is listed above, and the Certificate No., which Is listed at bottom right.
02021 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 13274453898786M6
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property identification
Site Address: 5036 REGINA DR
S ec/Town/Range: 03 r 36S140E
Parcel ID:3403-802-0107-000-8
Jurisdiction: Saint Lucie County
Ownership
Anne S Irwin
Eugene D Irwin
5036 Regina Dr
Fort Pierce, FL 34982
Legal Description
REPLAT OF PALM GARDENS BLK 9 LOT5 (0.18 AC) (OR 595-85: 850-
1055)
Current Values
Just/Market Value:
S"5,100
Assessed Value:
$22,146
Exemptions:
$22,146
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 Collector's Office 0
Download TRIM for this parcel: Download PDF
Use Type: 0100
Account k: 39489
Map ID- 34.03S
Zoning: RS-4 Count
Total Areas
Finished/Under Air (SF): 1,080
Gross Sketched Area (SF): 1,656
Land Size (acres): 0.18
Land Size (SF): 7.840.8
Building Design Wind
Speed
Occupancy Category 1 II 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.