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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 09/27/2021 Permit Number: O 4- Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR:HVAC / Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 5715 HICKORY DR FORT PIERCE, FL 34982 PropertyTaxlD#: 3402-609-0428-000-8 Site Plan Name: 5715 HICKORY DR Project Name: JAMIE DOUGLAS DETAILED DESCRIPTION OF WORK: Exact AC change out, no duct work 3 Ton, 14 Seer, (0 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: $ 5,000 —Gas Piping _ Sprinklers X Lot No. 30 Block No. 63 _ Shutters _ Windows/Doors _ Pond _ Generator ^_ Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: Name JAMIE DOUGLAS Address: 5715 HICKORY DR City: FORT PIERCE State: FL Zip Code: 34982 Fax: Phone No. 772-579-7469 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) CONTRACTOR: Name: Dennis Zacek Company: AIRS 1 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: 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: 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Homeowners 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 attorney before commencing work or recording your Notice of Commencement. 0t"VV:— %ei:k Signature of Owner/ Le a/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF St Lucie Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization this ,Z1 day of !;LVA9-�( 20 Z 11 by Name of person making statement. Personally Known X OR Produced Identification Type of Identification Produced re of Notary Public- State of Florida) Commission No. HH 045659 (seal) REVIEWS RECEIVED DATE COMPLETED FRONT I ZONING COUNTER REVIEW myON/M04M & Swbnba2S.20�1 nded!MftyPdkundWoon SUPERVISOR PLANS VEGETATION I SEATURTLE I MANGROVE REVIEW I REVIEW I REVIEW REVIEW REVIEW �I Installation Work Order Ent (772 )567.3100 Ent. 0,1r,rilnhen Dal', 1Z7 * •• r * 2800 US Highway I, Voro B#wt;li, FL 32g00 k Makmil I r' Amerrcan RosidonUul Servir.oa of Florida, Inc. Nlakrti9 il'""" License N CMC 1249753, CAC I a 13903, EC I3008GG0 'a q rU9IOMER + ^1A� L EIMfr AfIDRE53 _�- JI LjJ .pr I r.IIYM.ifAFr�. u ;3.�/yy`1y� SZLs �� Frrl. lir ! 1r Wr/l{N IMlfl 11 f HC»AE PHONE nth 12 r -7 Ul Q SIZE _ TYPE EFFICIENCY SUBTOTAL $� MONTHLY EST, $ -- CUSTOMER INITIALS SIZE 3 " r4 TYPE fi ifI cwn& EFFICIENCY 61Vle. 46 -/y Isce $ 10,0g1 Ibiscoul D$� SUB OTAL $ I�pp MONTHLY EST ` $ CUSTOMER INITIALS _ SIZE .. -. - - TYPE EFFICIENCY ww_ Pc$10.i - SUBTOTAL $ MONIHLYEST' $— CUSTOMER INITIALS Warranty:" Paris __ „ - Labor Warranty," tOlf, Patin 6 lr Lahnr I Warranty;" Parin _ _,- Latrnr _.. Compressor . _. Heal Exchangfrr 110LE- Compreosor�i�Y.t.3flrat Exrrmngnr Compresnor Heal Ercflrmgnr -Unl,:s+i olhnr la rind, rA warrant+m nrn brim Ilm manulsu.lwr . 1 Weatherproofconnect Drain Lino 9Cmhng Disconnect Disconnect Saver KitL letlme Equipment Stab Isolation Padsllsl-i (Pan 6 Floal► ut Drain Safely Switch ❑ Liquid Tito Conduit New Connortions Start Kit Support Alhc Equipment ofngeranl LL Dryer .. Supply Plonum Refrigerant Pipe New 0-conneel ❑ New �CR9cannocl KRelurn enum )❑ Rcfrigeranl Pipe Cover Cl Noweconnect Expansion Valve ❑ Electronic Air Cleaner •slat - TYPO N66-r— ❑Media Filter — Connect to Existing Cl PCO _.. Electrical �tdew plywood Deck ❑ UV Light . _ — ❑ Humidifier ❑ Dehumlddiur ❑ Outdoor Unit Pad ❑ Flue Venting Duclworlt Connecfronaf Crxtrie 1 to oxlnting plrx - ❑ Ducl Mmiificalinnn WM rkAm Nr vx4m (AwcAl ❑ New punt Sysirxn Duct Work ❑ No: Piping ❑ Electrwrif Wiring ❑ PROS Guh Membership 1 Term (364 dayn) ❑ Comforl Guarantee ❑ Homo Protection Guarantee ❑ 24•Hour Service Guarantee ❑ 100% Uncondilional Monrj.Back Guarantee Fl usi, 0M cmf s SELECTED OPTION; ❑ 1 M 2 ❑3 SUBTOTAL TOTAL $ E000 ❑CASH ❑CHECK# ❑ CREDIT CARD (LAST 4On) EXP APPROVAL61W6Ak ❑ FINANCING 3Lf5(0 t y(o 3 r—' 'L, prw4,i tr/ L-4i:6 Ir';A, ki.w4_ ( LW,.,,, ff171rI 1 .W —r ". iw iw a imr..l 0—E r"W.1 mr.r+r (Ay—A-l.hwrl I,Wh n 4 e". f•„r1 Arif Mrs. rYSN.3r(! r/, iM urr.M wfl,vfr,w rw rr �/ihrlw•I I ]r/rr ►�.r,..�.r MnM rrr Ir•n, igYr IRS �.,w� IAn+r.r, Lwn �mrr�n, y�Ir finer rw•..q.�,.+. •r+r r. •,.tr,� T- 5TAT 3 rims u-. ir�u.��. , 1? K J C D—P O riot respor NO far ! 0iiehng d ucfrrrA. • Tr;rrnq aril G.nd4x nn fM1 tlrr i,v,1 of f h a rlar, Ulr r:nt Ire dyf.� f� Qa Ion be a nN n t r rl,r r mS1 arrl unfrdr ri.r n iulrl.l um,d r r r;rf r.rirltr) wort , ANY CLAIMS FOR CONSTRUC'TIOU DEFECTS ARE SUBJECT To fit E NOTICE Al1b GURE fT+QnS Of 6 OF 0IAPT E Ir 55e. FLnFdDA SfANf I E l BUYER'S RIGHT TO CANCEL: Thislsahome solicitation sale, and It you donolwant the goods ofSMIcea YOU mayancolthlsagrsement 7Y Pro+dding wrltkn It011ce to the seller In person, by telegram, or by mail. This notice must Ind kato lhal you do not want the poems or rervices and must be er delivered � all Of Part Of Any ashy n�of the third business day after you sip" this agreement, it you cancel this WMCA ent, the seller m not I ace lhat m r i41a caincrrl payment See the reverse side hereof lof An explanation of this ►IghL 1 'Si has 6M;n r;rTAalrrrl fn frwr reaQl and yr rnA rrl, and .,rtM,u1 a irnng my nghl kl canrw 1. I airthorua the yr rfnrnrylr rj �I IM wort. rub,M I In all lama and candAlens vd forth on the rMrhrA 5fdr h� rrvf phi¢ and IB,nr IlFirfrl vAriptftt rxl Notice To Owner. Bo not sign this home Improvement contract In blank. You are entfued to a Keep It to protect your legal rights Thb home Imprwemetrt contras may contain a Cam of ft CC!"t &d at the f3rrle you �pr4 that could be foredosed on if you do fie! pay, Be wrYFY7; rid air 0> or ° wsate A Ifan on Your propertyOf the contras before you sign,�A . 772 .Y�3 -.0Z3V rill/ rrr Ytr[^.rlrtnrrr - ws+ouEneiaNAr,mE --- � pA,E 1 c]D]iAw..�,R+urwtilr&. w"LLGAL"y'+firr.r ArriN:R8r4]tMIA L]freln E l OL;dl 11 1UU WILT I l ramS( Certificate of Product Ratinas AHRI Certified Reference Number: 9549117 Date: 09-27-2021 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) : 24ACC460A"030" Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNP060L 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, Ml, 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 : 56000 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 produ:.ng AND selling or offering for sale; OR new models that are being marketed but are nct yet be ng produced "Production Stopped" Model Status are those that an AHRI Certification Program Participant ;s nq Ienger produring BUT is sti selling or offering for sale. Ratings Thar are a=mpanied by WAS n&7 a* an monlunrary rr�.-raie Tre new out)lishatl rat n4 iS S sown alona with thv u,vyic.as 4 .o. WAS) ra5na. DISCLAIMER AHRI does not endorse the products) listed on this Certificate and makes no representat;ons, 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 This Certfflcate and Its contents are proprietary products of AHRI. This Certificate shalt only be used for ;ndividual, 8R] andAs M 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.ahridirectory.org, click on "Verify Certificate' link ,re make life better" 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.: 1327724769C�7750641 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 5715 HICKORY DR Sec/Town/Range: 11 : 36SF40E Parcel ID:3402-609-0428-000-8 Jurisdiction: Saint Lucie County Ownership Jamie W Douglas 5715 Hickory DR Fort Pierce, FL 34982 Legal Description INDIAN RIVER ESTATES -UNIT 08- BLK 63 LOT 30 (MAP 34. 11N) Current Values Just/Market Value: $143,800 Assessed Value: $143,800 Exemptions: $50,000 Taxable Value: $93.800 Property taxes are subject to change upon change of ownership. • Past taxes are not a reliable projection or 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 12 Download TRIM for this parcel: Download PDF 12 Use Type: 0100 Account #: 37945 Map ID: 34, 1IN Zoning: RS-4 Count Total Areas Finished[Under Air (SF): 1,280 Gross Sketched Area (SF); 1,886 Land Size (acres): 023 Land Size (SF): 10,000 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.