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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.