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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/23/2022 Permit Number:
Sir. a
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Building Permit Application
Planning and Development Services
building and Code Regulation Division Commercial_ Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462.1579
PERMIT APPLICATION FOR:HVAC / Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address:4999 MARGRET ANN LN , FORT PIERCE , FL , 34946
Property Tax ID#;1430-700-0004-000-1 Lot No. 4
Site Plan Name: 4999 MARGRET ANN LN Block No. 1
Project Name: FRANK POLI
DETAILED DESCRIPTION OF WORK:
Exact AC change out,no duct work
3 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 _Gas Tank _Gas Piping _Shutters _Windows/Doors Pond
_Electric —Plumbing —Sprinklers _Generator _Roof Pitch
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$9,352 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameFRANK POLI Name: Dennis Zacak
Address:4999 MARGRET ANN LN Company: ARS/Rescue Rooter
City:FORT PIERCE State:FL Address: 2800 U S HWY 1
Zip Code:34946 Fax: City: Vero Beach State:FL
Phone No330-883-4748 zip code: 32960 Fax:
E-Mail: Phone No 772-794-7205
Fill In fee simple Title Holder on next page(if different E-Mall mgillis®ars,com
from the Owner Ested above) State or County License CMC1249753
If value of construction Is 2SW at more,a RECORDED Notice of Commencement b required.
If value of HAVC Is$7,SOO 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 ranting a permit will authorize the permit holder to build the subject structure
which conflicts with an 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 our Notice of Commencement.
Signature of Owner/L e/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF St Lucie
Sworn to(or affirmed and subscribed be( me of X Physical Presence or Onl'ne Notarization
this,2l day of FE9RUARY 2i:be(
k G)C%wo-1, Za C.0, lit—
Name of person making statement.
Personally Known X OR Produced Identification
Type of Ide till t' n Produced
(Signature of Notary Public-State of Florida)
Commission No. HH 045659 (Seal) MRMR4"GLUS
4
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
nATF
RECEIVEDDATE
I I I l I
l COMPLETED I I I
ttev 5/ZU/71.
_ rD ,
Installation Work Order Eat.Start Dal -�g'
(772)567.3100 Est.Completion Dalna-ac,
G s •�� 2800 US H-ghway 1,Vern Beach,FL 32060
a vi�,�jt.rtw7 1 r 7ht' Amen-an Recrdential Services of Flandn,Inc.
hUL�d License 0 C161C1249753,CACIa13063,EC13008558
CCSTLWER r ,h�1 [liAq ML SLIP
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[7 �til lyirLx„�'""Tr7�� Q—, WORT ONE �Y1
OP71ONOPTION 2 OPTION
E�T6[R TYPE SIZE 1a,, TYPE • rn i-r SIZE TYPE
EFFI IENCY`LiSAAX NO"`W�_ EFFICIENCY\ St�,r U_+ tk EFFICIENCY
$ -I J._ $
$ $
SUBTOTAL _ SUBTOTAL $-1 SUBTOTAL $
MONTHLY ES $_ MONTHLY EST.' $ MONTHLY EST.' $
CUSTOM INITIALS.— .. CUSTOMER INITIALS—. ___.. CUSTOMER INITIALS
Warra Pads _ _ boo Warranty:"= Paris -yie.Labor Warranty.' Paris Labor
Compressor Heat Exchan r I_{Q Compressor_l'9 Hoal Exchanger Compressor—Heal Exchanger
"Unrosa�rhnw,re noted.d wananrrs are rrom the maWactirrar
SPECIFICS OF YOUR INSTALLATION SELECTED OPTION, ❑1 W2 ❑3
@,Weatherproof '%qReconnecl Dra n Line QflehurnkirFier ..__—_ SUBTOTAL $
Disconnect ❑6eding So" At [3Cnldom Unit Pad
IPand Flea0- $
19 Sound Isolation Pads va Main Dram Safely Swdch VDuclwork Connections'
10 L qwd Tde Conduit QSeal New Connections IM Carrieet to existing plorttim $ I
Q&led Kit ©Duc"Audltftatim- a
a Supply Plenum t TOTAL sCt ' l
O-Re4jew3M-R" ❑New %Reconnect I3Ne+w t System
'Return Plenum 13NaBuc1W6ik'
' ❑New WReconnecl DEusl-Fpin,y-- ❑CASH ❑CHECKA �+
rt e,_ , w..rio-
IQExp52hsitm Valve ,.,-ouC.r^"^ . .+=_V Electrical W i Ong
'JLT--slat-Typed ' a• B.AAedi +4Iee- CLeROS•61ab-M mrbershrp- ❑CREDIT CARD(LAST 4Ns) I
Connect to Existing E3PCZ0-- _1Jerm4a64-4ay4. E%P_. _APPROVAL
Eiecincal C111St1+gb►
[Hiumidif ec O FINANCING
• ^ lei..P-WM 6r E-1).�r uSR Limb.rnrC„m ,
UR GUARANTEESEtc f wP.0406dr rm.wwlea b. EPW-W�mrrda
P"*11 Iw.I on e.ila%,.0.90%hi1 APR bw
Comfort Guarar:lee Home Protection Guarantee ft-+drg-k-.mw•+.dr.ca voserl.&_r.aoil
1624•Hour Service Guara+itea 100%Uncondilional Money-Back Gumnloo ■, *R ON' �"'3610 u4 n erA�+mait o \ln.,,an ern
warp r b n..r.Lrw
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.Company is not rosponsiblo for preecomng ducl"L Soo Terms mxl Conditions an the brick of Itae documrint for dolad,l
,Wrdlen cuOomel autliortralion will be oMurrwd hello beginning any unlornenen ndddinnni(ir tntandod work.
•ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUIS)ECr TO Tl lC NOTICE AND CURE PROVISIONS OF CHAPTER 55R FLORIDA STATUTES.
-BUYER'S RIGHT TO CANCEL,This is a home so8cilation sale,and It you do not want the goods of Services,you may cancel this spreemonl
by providing written notice to the sever In person,by telegram,or by mail. This notice must Indicate that you do not wool the goods of
services and must be delivered or postmarked before midnight of the third business day oiler you sign this agreement it you cancel this
agreemen%the se8er may not keep all of part o1 any cash down payment See the ravers aide hereof for an explanation of this rlphl,
•I atinowtedge that my right to carw.nl tQ13 lx+:n nrpUww4 in Inrr orally and in wrding.ami wdhoul wa"mq my i%m to cancel,1 AuttXXV6 the pedormwico
of the wadi,wbf rl to all I&"and coodd,onc col lorlh on the roraiso We 1110111.101.Plu6 any tn1106 uptln CarnpdoiM
Notice To Owner•Do not sign this home Improvement contract in blank.You are entitled to a can of the contract at the time you sign.
Keep It to protect your legal Aphis.This home Improvement contract may contain a mortgage or otherwise create a I"on your property
that could be foreclosed If not Ve sure you understand on provisions of the contract before you sign.
_
TUR[ OAK
CUSToggASIGNA r-(fYi'ANT IrItA ML
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WSrOYER siGRAT/Ai alit DATE
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CERTIFIED
www.ihridirectY-Ory
Certificate of Product Ratings
AHRI Certified Reference Number:7490504 Date:02-23-2022 Model Status:Active
AHRI Type:SP-A(Single-Package Air-Conditioner,Air-Cooled)
Series:R410A AC SPP
Outdoor Unit Brand Name:CARRIER
Outdoor Unit Model Number (Condenser or Single Package):50ZPC048---30"
Region: All(AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA,HI,ID_IL, IA,IN,KS,KY,LA,MA,MD,ME,MI,MN,MO,MS,
MT,NC,ND,NE,NH,NJ,NM,NV,NY,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,VT,WA,WV,WI,WY,U.S.
Territor es)
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 210l240-2017 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:47000
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.
tin ri 'WAS in-dirale an i I n ho n DlisheJ ralirin is 0ownn with the i3revious f i.e.WA ratinn
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 product(s),or the
unauthorized alteration of data listed on this Certlfleate.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 individual,personal and
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, X291 1
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 which the certificate was issued,
which Is listed above,and the Certificate No.,which Is listed at bottom right.©2022Air-Conditioning,Heating,and Refrigeration Institute FC RTIFICATE NO.: 132901121574438521
Michelle Franklin, CFA-- Saint Lucie County Property Appraiser—All rights reserved.
Property Identification
Site Address:4999 MARGARETANN LN Use Type:0200
Sec/Town./Range:30/34S/40E Account#:10214
Parcel ID: 1430-700-0004-000-1 Map ID: 14/30S
Jurisdiction:Saint Lucie County Zoning:RMH-5-Co
Ownership
Frank Polt +,
Patricia Livingston
4193 N Park AVE
Warren,OH 44483
Legal Description
GREEN ACRES S/D BLK l LOT 4(OR 4089-1562) {
Current Values
Just/Market Value: $35,500
Assessed Value: $33,660 �
Exemptions: so
Taxable Value: 133,660
Total Areas
Property taxes are subject to change upon Finished/Under Air(SF)- 768
change of ownership. Gross Sketched Area(SF): 2,257
• Past taxes are not a reliable projection of future faxes. Land Size(acres): 0.17
• The sale of a property will prompt the removal of all Land Size(SF): 7,500
exemptions,assessment caps,and special classifications
Taxes For this parcel: SLC Tar Collectors Office Q Building Design Wind
Download TRIM for this parcel:Download PDF12 Speed
Occupancy Category I I III&11f,
Speed 140 150 160
Sources:'hnks.
All information is believed to be correct at this time,but is subject to change and is provided without any warrant).
0 Copyright 2022 Saint Lucie County Propertm Appraiser A11 rights reserved.