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.