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HomeMy WebLinkAboutScanned from a Xerox Multifunction PrinterAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 Permit Number: Or. War,- 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 X PERMIT APPLICATION FOR:HVAC / Mechanical I I PROPOSED IMPROVEMENT LOCATION: Address: 1 CIJ 1 _hhTK I 1` O!"T VAnM.V., r X .., .,Qn_`' *21 _ Property Tax ID #: •+ v� Lot No.� Site Plan Name - i_, Block No. Project Name: rG1Ar1 �V Wt S DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: 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 t R(A O Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name RIM W, Name: Dennis Zacek Address: 100 1 ?n-s-i0rid Company: ARS / Rescue Rooter City N Qr'! T; eme - State: F1 Address: 2800 U S HWY 1 Zip Code: 71Fax: rr -- City: Vero Beach State:FL Phone No.y 0U-�to Zip Code: 32950 Fax: E-Mail: Phone No 772-794-7205 I Fill in fee simple Title Bolder on next page (if different E-Mail mgillis@ars.com from the Owner listed above) I 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 recordiniz vour Notice of Commencement. 0 MMANMGWS Signature of Owner/ Les a ontractor as Agent for Owner : Q, NIy= WCBSIO #M845= .? EXPIRES: September 23.2024 STATE OF FLORIDA .. Boom 11wu Nowy Pdk*WW* s COUNTY OF -St Lucie Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization this —I-- day of OG{0 S C , 20Z% by Name of person making statement. Personally Known X OR Produced Identification Type of Identification Produced 40�_f — (Signatu of Notary Public- State of Florid MotANDAGILUS Commission No. HH 045659 (Seal) .; :_ MYCOWMSSMOHH045M EXPIRES: Seplember 23, 2024 ......•••' BonewlhuMaWyP�bfieunawwtMr. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW I IIATF I RECEIVED I DATE installation Work Order Est. Start Date w (772 )567-3100 Est. Completion Date '' • 2800 US Highway 1, Vero Beach, FL 32960 Making it lighC American Residential Services of Florida, Inc. Making' work. License # CMC1249753, CAC1813963, EC13008558 c s �.+� t EMlr) r r @ ��Ycn. �� f:AU, SLIP AD —Yo—i IP Q YVWQRKFMONE HOMEPyq/ CELL PHONE SIZE e2 • M TYPE UJ OW SIZE TYPE SIZE TYPE EFFICIENCY EFFICIENCY EFFICIENCY W $ $�_ $ $ $ $ SUBTOTAL $ SUBTOTAL $ _ _ SUBTOTAL $ MONTHLY EST.' $ t�. 00 MONTHLY EST.- $ MONTHLY EST.` $ CUSTOMER INMALS 10W CUSTOMER INITIALS CUSTOMER INITIALS Warranty:" Parts Labor Warranty:" Parts _ _ .. _ Labor Warranty.- Parts Labor Compressor Heat Exchanger Compressor Heat Exchanger Compressor Heat Exchanger -Urdm otherwise noled all warranties are from the manufacturer. SPECIFICS OF • • SELECTED OPTION: 1 ❑ 2 ❑ 3 SUBTOTAL $ ❑ Weatherproof ❑ Reconnect Drain Line ❑ Dehum;differ T Disconnect ❑ Ceiling Saver Kit ❑ Outdoor Unit Pad ❑ Lifetime Equipment Slab (Pan 8 Roat) ❑� Fyll a Venting �$ ❑ Sound Isolation Pads ❑ Main Drain Safety Switch C3 Quctwork Contractions' ❑ Liquid Tile Conduit ❑ Seal New Connections O Connect to existing pienrn _ $ ❑ Start Kit ❑ Support Attic Equ:pment ❑ Duct Mod'rt'ications �q ❑RefrigerantLLDryer_ _ ❑Supply Plenum t eNotesfor scopeofworm TOTAL $ lJ ❑ Refrigerant Pipe ❑ New ❑ Reconnect Lw Duct System ❑ New ❑ Rewnnect ❑ Return Plenum ❑ No Duct Work PAYMENT ❑ Refrigerant Pipe Cover ❑ New ❑ Reconnect ❑ Fuel Piping ❑ CASH 9rCHECK# /77,Q - ❑ Expansion Valve ❑ Electronic Air Cleaner— ❑ Electrical Wiring ❑ CREDIT CARD (LAST 4#s) ❑ T-stat -Type. ❑ Media Filter _ _ _.. ❑ PROS Club Membership ❑ Connect to Existing ❑ PCO _ 1 Term (364 days) EXP APPROVAL ._ Electrical ❑ UV Light ___ ❑ FINANCING ❑ New Plywood Deck ❑ Humidifier _ /\ 'Loam pmiddd bl Fiereadr USA, Manta f*n m • GUARANTEE'S l = f dpprwd crsdl far el dlsd iniw EatirrmiW mashy III= paryw a bwd m amft or 0.0ak find APR mfort Guarantee t24.HourServiceGuarantee jtome Protection Guarantee MonerBackGuarantee t "'• a''�n "" NFeC° "4 0r ' �0 Repeat Nnterra try iom 3@ b N4 �a Mnrmmnban floe. { 1009bunconditional ,mar.e,ap*Oiwrrn' prarrd;rwbe& • 'Company is not responsible for preexisting ductwork. See Terms and Conditions on the back of this document for details. • Written customer authorization will be obtained before beginning any unforeseen additional or extended work. ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SU BJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES. • BUYER'S RIGHT TO CANCEL: This Is a home solicitation sale, and If you do not went the goods or services, you may cancel this agreement by providing written notice to the sailer in person, by telegram, or by mail. This notice must Indicate that you do not want the goods or services and must be delhrered or postmarked before midnight of the third business day after you sign this agreement If you cancel this agreement, the sager may not keep all or part of any cash down payment See the reverse side hereof for an explanation of this right • I acknowledge that my right to cancel has been explained to me orally and in writing, and without waiving my right to cancel, I authorize the performartce of the work, subject to all farms and conditions set forth on the reverse side hereof plus 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 time you sl. Keep it to protect your legal rights. This home improvement contract may contain a mortgage or o ise create a lien on yourproperty th Id be Mrsclose�on If You do not Pay. Be sure 131.21 understand all provisio red you sign. CU$TOMER51aNAT'URE,I,j�T(,,,Ca,J[�.t-CDA7E 3 COMPANY A1N8 0 2021 Arnerkw Residential eeelkes LLC. AN Aghie reserrad ARS1078}L 210210 L240210 0256 7-1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 7001 BAYARD RD Sec/TownfRange: 01 34Sr 39E Parcel ID: 1301-612-0259-000-6 Jurisdiction: Saint Lucie County Ownership Pamela W Willis 7001 Bayard RD Fort Pierce, FL 34951 Legal Description LAKEWOOD PARK -UNIT 10- BLK 129 LOT 11 (MAP 13101S) (OR 583- 2642 Current Values Just/Market Value: $134,900 Assessed Value: S49,607 Exemptions: S25,000 Taxable Value: S24,607 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 12 Download TRIM for this parcel. Download PDF p Use Type: 0100 Account #: 2981 Map ID: 13:01S Zoning: RS-4 Count Total Areas Finished/Under Air (SF): 1,112 Gross Sketched Area (SF): 1,515 Land Size (acres): 0.24 Land Size (SF): 10.480 Building Design Wind Speed Occupancy Category I II [1[ & 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.