HomeMy WebLinkAboutpermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/26/2021
Permit Number:
9U01�=u4GD�
V Building Permit Application
Plann-ng 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 FORWAC / Mechanical
I PROPOSED IMPROVEMENT LOCATION:
Address: 2925 NAVAJO AVE FORT PIERCE, FL 34946
Property Tax ID #: 1428-702-1265-000-4
Site Plan Name: 2925 NAVAJO AVE
Project Name: RANSFORD BLACK
DETAILED DESCRIPTION OF WORK:
Exact AC change out, no duct work
3.5 Ton, 14 Seer, 8 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: $ 9,640
Gas Piping
Sprinklers
X
Lot No.19 & 20
Block No. 57
Shutters Windows/Doors _ Pond
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: I CONTRACTOR:
Name RANSFORD BLACK Name: Dennis Zacek
Address: 2925 NAVAJO AVE
City: FORT PIERCE State: FL
Zip Code: 34946 Fax:
Company: AIRS 1 Rescue Rooter
Address: 2800 U S HWY 1
City: Vero Beach State: FL
Phone No. 772-882-2964 Zip Code: 32960 Fax:
E-Mail: Phone No 772-794-7205
Fill in fee simple Title Holder on next page (if different 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:
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 vour Notice of Commencement.
Signature of Owner/ LesseQantractor 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 day of If' __ , 21?t by T
lc
u —
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification Produced
uqt�b�__
(Signature of Notary Public- State of Florida)
Commission No. HH 045659 (Seal) �: �Y�>I:N
�. M RAN�AGILE23=,2024
.._
DVIRP.S:Sepbember
..... ,.• Raided ibu Nday PW* Ne�s
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
I r)ATF I
RECEIVED I
DATE
COMPLETED
SriT
i ! Installation Work Order Esl. start Date
' {K' (772 )567-3100 Est. LpiT1PleGon Datel_bly
�� 2800 US Highway 1, Vero Beach, FL 32960
Making it work Making it right' American Residential Services of Florida, Inc
^Y Llcen80 if CMC1249753, CACf 5f3g63 EC13008558 17
SIZE TYPE
EFFICIENCY
$
$�
SUBTOTAL $
MONTHLY EST. $
3
S
�►t��ce_$ q,qo _
�aL $ f$�FZSEo�
sua:er+LECt6t- ���
MONTHLY EST.' $ --14 n r
CUSTOMER INITIALS ICUSTOMER INITIALS
Warranty:" Paris Labor I
'W^arranty:'*
Compressor Hoat Exchanger Con
-Unless olliermse mied. all wwantie5 am from f6o r apWaGluref"
SIZE ,TYPE
n,.4�La r
SUBTOTAL $ (Sc 03
'MONTHL$— -:1--k
CUSTOMER INITIALS
Parts 0 Labor Warranty:" Parts —
Labor
1 Compressor Hoa1 Exchanger
Heat Exchanger
kweatherprocir Reconnect Drain Line [3 Dehumidifier_
Disconnect Coiling Saver Kit O Outdoor Unit Pad
Lifetime Equipment Slab (Pan 6 Float) ❑ Flue Venting
Sound Isolation Pads Ductwork Connections' Main Drain Safety Switch 1 to existing plenum
❑ Liquid Tile Conduit oat New Connections Duct Modifications
�Refrigerao
tart Kit Support Attic E4wpmen
Plenum Lve Note" for wV0 0(-OW
effigeranl LLD r uPPIY New Duct S lem
Pipe ❑ New Reconnect ❑JJVo Duct Work
❑ New .Reco^net! �Qj3 New Weconnect Return Plenum Fuc! Piping
Iefngerant Pipe Cover Electrical Wiring
�Expansion Valve Q Electronic err Cleaner � PROS Club Membership
""slat-Typelgi9�-❑Media Flterr� li' I Term (364 days)
onnect to Eris trig ❑UVOght �r
Electncal
❑ New Plywood Deck ❑ Humidifiers
❑ Home projection Guarantee
❑ C mforl Guarantee ❑ 100% Unconditional Money -Back Guarantee
[I24•Hour Service Guarantee
SELECTED OPTION. ❑ 1 2 3
SUBTOTAL $
� tf-"Ao
�rpec�0
(� ,lj h
TOTAL $ —1 14(12- w—
❑ CASH ❑ CHECKff
❑ CREDIT CARD (LAST 409)
EXP APPROVAL,
G FtNANCING-6 0�1�
'tnaru prardtd byc—ark11SAJVI,, n!` on
4pra.ed crodr Wr a I & 0 i.w. Ev".d. -41-lr
17:w: prymenfa based on 8.99�ar9044 fora APR loam.
d., ^h 0 an Wan amwrL caecrn d SeptemCar 1. 2021
Rep.r em Innis wy 1— 38 10 144 cinch IH.w lean
,, t2 ap*.Odw fnlz.,q OVWW may b arahbie.
err,cM� Dais - a\k :•nc1.Ldt4
-r��r-,a' t�1t ��- tom- T- S7c�
��son� �u *�C; 65 Me '94n20 1
low- � -Q'�wn 17/r,n ��u :fir f�4lhna P1Tt' P�r�,1
reexisting ductwork' re Terms and Conditions on the back of Ibis dD,.uinl-A for delails, r
t.r
nY Is not rospensiblo for p ` ore beg nrnnp any unforeseen Additional or extended work.
1c
n LAOSer out orua'u
ON DEFECTS ARE SUBJECT TO THE NOTICE AND U OF CHAPTER 558. FLORIDA STATUTES.
MS FORCONSTRUC71 y g cancel this • ANY CLAI TO CANCEL: This is a home solid b telegram. orlby mail, not
notice must Indicateds or lthat you do of want the9 agreement
or
. BUYER'S RIGHT erson, Y
by providing written notloe lot 0, seller
before midnight of the third business day after you sign this agreement !f you cancel
ust be delivnp+ keep all or part of any cash down payment. See the reverse s'de hereof for an explanation of this right.
services andMust
seller may agreement right n WnceI has been rxplalned to me orapy and m wfdmg• and w [hodt waving my right n cancel, i, tigrlre the performance
• I ack^o+rledpe Thal my 1g conditions set forth on the rovefso side hereol. plus any taxes upon completxxl,
of the work• Subject to all terms a rovement contract in blank You are entitled to a copy of the contract at the Sim
To owner" Do not sign his This home improvement contract may contain a mortgage or otherwise create a lien on YOUr PrOO er
Notice oar legal rig a Be ,,You understand it l rc islons of tha contract before You sign. Perly
Keep It . protect Y on If you do not Pay-
that cou be f rectos t o 1
A CATE G pEprtESENTAT
TOMER SIGNATURE tO
CUS DATE 2t 1
GUMOMER sIGNATLIRE AnS1078_FL_210210 L21021a DATE
4LC.M+s�a�`+'ed
o 2071 A ", R.Wk-td 5°�i0ea 11258
wILIl uam&
Certificate of Product Ratinas
AHRI Certified Reference Number: 9509101 Date : 10-26-2021 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) : 24ACC442A'030`
Indoor Unit Model Number (Evaporator and/or Air Handier): FB4CNP042L
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
R 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 : 39000
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 producing 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.
Rates Ihe? are sccompanied by WAS inflicato an invalkimy y fe-foie The now ou bllshod rali-iu is slim r} ala:-u wllll tho orevicur. fl. e. WAS ragna.
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 Tor,
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.ahrldirectory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and
confidential reference purposes. The contents of this Certificate may nat, in whole or in part, be reproduced; copied; disseminated; NO
entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's individual, AM
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified al www.ahridlrectory.org, click on "Verify Certificate" link we 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.
02021 Air-Conditloning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132797403110210712
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: 2925 NAVAJO AVE
Sec/Town/Range: 28- 34S/40E
Parcel ID:1428-702-1265-000-4
Jurisdiction: Saint Lucie County
Ownership
Ransford G Black
Phyllis D Black
2925 Navajo Ave
Fort Pierce, FL 34946
Legal Description
SAN LUCIE PLAZA S;D-UNIT ONE- BLK 57 N 1r2 OF LOT 19 AND ALL
LOT20 (MAP 14/28S) (OR 942-2033)
Current Values
Just/Market Value:
$113,700
Assessed Value:
S54,595
Exemptions:
$29,595
Taxable Value:
$25,000
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 Collectors Office 0
Download TRIM for this parcel: Download PDF 12
Use Type: 0100
Account #: 9963
Map ID: 14.28S
Zoning: RS4 Count
Total Areas
FinishedfUnder Air (SF): 1,880
Gross Sketched Area (SF): 2,000
Land Size (acres): 024
Land Size (SF): 10,350
Building Design Wind
Speed
Occupancy Category 1 11 III & 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.