HomeMy WebLinkAboutBuilding Permit ApplicationDate:
Preparer's lnitials
ls this a Commercial permrr
ls permit needed On-Site
ls Process # Needed
Please Circle 1 or more:
i YESI NO
I YES! NO
t* yes l- ruo
New Application
Customer, 3Llrc+v*fl |
cit-r..of Submittar: p 3,;{t t_!A.2_\ C
A/C Permit Application Checklist
Renewal Duplicate
[- Notice of Conlnencement (if applicable)
[- Cop-r of Salcs Acreemcnt
[* Propertl Appraiser and proof of Orrnership (if applicable)
l- Customer Signature & \otar1 completell frlled out
[- C-hange Out Sheets
f- i\t{RI (if appliacable)
[* Tie Dorrns (if applicable)
[ \Ianual J's (\liami-Dade and \\.eston)
i- Condo Letter (if applicable)
!-- Drariings Picrures (only if in F{o[yrvood Hist. District or Disco chanee out)
f- F-ee Sheet, Initiar Sheets (onrl Sunnl Isres Beach. \riami-Dade, Dorar. \r.eston
l- Printed Copies of docunentation needed for permit application to be subnritted
Courier Comments i Rejection Reasons
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Plonning and Development Services
Building ond Code Regulotion Division
2j00 Virginio Avenue, Fort Pierce FL i4982
Phone: {772lr462-1553 Fax: (772) 462-1,578 Commercial Residential x
Address: 7808 White lbis LN
Legal Descriplisn' EAGLE'S RETREAT AT S4V/\NryA!!!B (PB a? ?1W
Property Tax lD 6' 3424-701-0045-000-Lot No
Site plan Name: John Kowalsky Gail Kowalsky Block No,
proiect Name: John Kowalsky Gail Kowalsky
Setbacks Front_ Back: _ Right Side: Left Side:
AC CHANGE OUT 3.5TON 14SEERS lOKW
)otltonalw(
Zruo.
Ir,u.,'.,.
ormed u tnrsnn
permrl -appry:
Gas Tank
Plu mbing
Gas Piping
Sprinklers
Shutters
Generator
Windows/DoorsII[_l noot
Total sq. Ft of construction:
Cost of Construction. g 3064.00 Building Height:
SsmsJohn Kowalsky Gail Kowalsky
Address:7808 White lbis LN
City: Port St Lucie State: FL
Zip Code: 34952 Fax:
p hone 11 e. 772-873-0'1 96
E-Mail:
Fill in fee simple Title Holder on next page { if different
from the Owner listed above)
Name: RICHARD LEVINSON
Company:SERVICE AMERICA
Address: 2755 NW 63RD COURT
City:FORT LAUDERDALE State: FL
Zio Code: 33309 p3x. 954-977-3591
phone 5e. 954-979-1100 EXT5673
E-Mait : EPERMITSGROUP@SERVICEAMERICA.COM
State or County License: C4C014619
lf value of construction is 52500 or more, a RECORDED Notice of $ommencement is required.
PERMIT APPLICATION FOR: Mechanical
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:
Add ress:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is srantine a oermit will authorize the oermit holder to build the subiect structure
which is in conflict with any dpplicable Home Own'ers AsSociation rules. bvlaws or and covenants that mav restrict <jr prohibit suchstructure, Please consult with your Home Owners Association and review'your deed for any restrictions rriihich may apply.
In consideration of the granting of this requested permit, I do heleby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Code5"apd St. Lucie County Amendments.
The following building permit applications are exempt from undergoidE\e full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms\d accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of ment may result in your paying twice for
rovements to your property. A Notice of Comme mustte recorded and posted on the jobsite
t inspection. lf you intend to obtain fin Itq1.-th lender or an attorney before
ntind\uork or recordi ur Notice of Commen&meht.
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPTETE
INITIALS
e of Contractor/License
STATE OF FLORIDA
COUNTY Qf snnrructe
The forgoing instrument was acknowledged-before me
this 13 day of a , zo I lA av
fyp,e of ldentification Produced
Public- State of Florida )
OR Produced ldentification
/ Lessee/Agent
STATE OF FLORIDA
COUNTY Qp serrurrucre
as acknowledged before me
Commission No.
acknowledging )
ublic- State of Florida )
w"fi::i,l:rmH?1,?'11?'11'
EXPIRES: November 25. 2017
AHRI Certified Reference Number: 7490506
Product: Single-Package Air-Conditioner, Air-Cooled
Model Number: 502PC042---30**
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER
Date:411312016
Region:
MI, MN,
UT, VA,
AII (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FLN GA' HI' ]D' IL' IA' IN' KS' KY' LA' MA' MD'
MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX,
VT, WA, WV, Wl, WY, U.S, Territories)
ME,
Region Note: Gentral air conditioners manufactured prior to January 1,2015, are eligible to be
instalfed in all regions untilJune 30,2016. Beginning July 1 ,2016, central air conditioners
can only be installed in region(s) for which they meet the regional efficiency requirement.
Series name:
Cooling Capacity {Btuh):
EER Rating (Cooling):
SEER Rating (Cooling):
IEER Rating (Cooling):
41 000
11.50
14,50
" Ratings followed by an asterisk (.) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, waranties or guarantoes 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 vrww,a&f idirsctory"r!fg,
TERMS AND CONDITIONS
This Certificate and its contents are propfietary 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 databas€i or otherwise utilized, ;n any form of manner or by any means, except for the user's individual,
personal and confidential reference,
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified alwv/w.ehxi.tirtrftsry,srg, click on'V*rify C*rtllicste" link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
AX?-e0N 0tTtqN ! |q6, r'r EATtfiG,
& RgFRIGERATION IN5?I1UI€
\r? mdke iite berfef'"
which is listed above, and the Certificate No., which is listed at bottom right.
@ 2OL4 Air-Condition ing, Heating, and Ref rigeration Institute
AHRI Certified Reference Number: 7490506
Product: Single-Package Air-Conditioner, Air-Cooled
Model N umber: 502PC042---30**
Manufacturer: CARRIER AIR CONDITIONING
TradelBrand name: CARRIER
Region: All (AK, AL, AR, AZ,
MI, MN, MO, MS, MT, NC, ND,
UT, VA, VT, WA, WV, WI, WY,
Date:411312016
CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD,
NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX,
U.S. Territories)
ME,
Region Note: Central air conditioners manufactured prior to January 1,2015, are eligible to be
instafledinall regionsuntilJune30,2016. BeginningJulyl,2016,centralaircondltioners
can only be installed in region(s) for which they meet the regional efficiency requirement.
Series name:
IEER
Ratings followed by an asterisk (.) indicate a voluntary rerate of previously putrlished data, unless accompanied with a WAS, which indicates an involuntary rerate,
OISCLAIMER
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 lhis Certificate. AHRI expressly disclaims a,l liability for damages of any kind arising out of the use or performance of the product(s), or the
unauthorlzed alteration of data listed on this Certificate. Certlfied ratings are valid only for models and configurations llsted In the
directory at www,ahf id irectory,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,
personal and confidential reference.
CERTIFICATE VERI FICATION
The infofmation for the model cited on this certificate can be verified at www.ahridircetaty.arg, click on 'Verify certiticate" link
and enter the AHRI Certitied Reference Number and the date on which the certificate was issued.
which ls listed above, and the Certificate No., which is listed at bottom right.
@2014 AirConditioning, Heating, and Refrigeration Institute
Att-coNotTtoNtNG, HEATtfi c,
& REFRIGERATION INSTITUTC
we nake lile herter"
tr cinflptcarg No.: 131050353e85e300e1
Ploperty.Card
Site Address: 7808
White Ibis LN
\,{ap ID: 34124N
Parcel ID; 3424-701-
0045-000*0
Zoning:
Ownership
John Kowalsky
Gail Kowalsky
7808 White lbis Lane
Port St Lurcie, FL 34952
Current Values
Jr-rst/Market: $6 6, 200
Exemptions : $40,5 20
Accorrnt #: 152184
LIse Type: 0200
Legal Description
EAGLE'S RETREAT AT SAVANNA CLUB (PB 42-
24)BLr< 55 LOT 10 (OR 1897-860)
Historical Values 3-year
Page I of I
Sec/Town/Range:
24/365/408
Jurisdiction; Saint Lr-rcre
County
Exemptions Taxable
$40,520 $25,000
$40,000 $25,000
$39,600 $25,000
Price
$o
$4,000,000
Assessed:
Taxable:
$65,520 Year Just/N{arket Assessed
$25,000 2015 $66,200 $65,5202014 $65,000 $65,000
2013 $64,600 $64,600
Sale History
Date
02-05-2004
09-30- 1997
View:
Year Built: 2004
Primary Wall;
Bedrooms: 0
Full Baths: 0
Half Baths: 0
Book/Paee
1897 / 0860
1106 I 1324
Sale Code Deed
01 LE
Grantor
Community Savanna CIub
JV,02 WD
Primary Building Information
Finished Area of this building: 1,475 SF
Gross Area of this building: 2,723 SF
Roof Cover:
Frame:
Story Height: 1 Story
AlC Vo: IOOVo
Heated Vo: lojVo
Sprinkled Voi jVo
Exterior Data
Roof Structure:
Grade: SAVL
No. Units: I
Interior Data
Electric:
Heat Type: FrcdHotAir
Flcat Fuel: ELEC
Building Type; MHA
Effective Year: 2004
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor: 0
Primary Floors:
t,475
2,723
0.16
6,970
L
TotalAreas
f'lnlshecl/uncler Alr
(SF'):
Gross Area (SF):
Land Size (acres):
Land Size (SF):
Total Buildins
Count:
Tvpe
Special Features and Yard ltems
Qty Units Year tslt
This information is believed to be correct at this timer but it is subject to change and is not warranted.
@ Copyrisht 2016 Saint Lr-rcie County Property Appraiser. All rights reserved.
http ://www. paslc. org/RECadl 4l13l20r6
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www. setviceamerica,com
SALES AGREEMENT
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System Invertment
Install Kit
Crane
Rebates/Crgdits
Utility
Service America
Other
Replacement Credit
Recommendations:
Insulation
Duct Cleaning
UV tight
Other
Administrative Fee
l@.ahtld2ble)
Total lnraestment
qotLl
/^/cL
Down Payment
Balance Due Jo6V
lnstallation Date:
-f*r:l "i.ioiir," Sale Aoreemenr and th e speciliatrons ard wdrtimr abrc. Yo ys authorued to perlom rc* as rpcofied lt B q.ecd a^d undlglood bt ahd pa.tJa!
thatalleqor)mcrtwhtchElotdpursuaathereloshallnotbecomelixautaao.par'.oltharcd,$!atcwh.tefhar..mplacadtnlilpayment-nlull6Eca@d EuycEkghtto
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nor'f':(at'd Ayhint dui io itJallat iD lutl upon comqr.ffm otird.lr.alot'
My rignature ac&crowledgei acc.pt ncr df thc tcrmr rbon. I havr nad end undorttrnd all information m
1-888-201-5759
.". "=".f,N,
Koun$K/ r/6 n, t 4-//-tE
ffiL4c.u8 Hon€ phoni:
Other phone:
'7 go g rrJH mg' l,A f S LAJ .
Installation Addr6s!: - Bldg: Aptr
-l Wate. Source g€lraight Cool 3 Hert pump
CondenserLoc.tion: !4round JRoof llCranpNeeded Alr Hrndlcr location: S Garagc A Anic f Ctosel
Brv VI06o K,H tO(rr)
ModerA/H S)zpm+a 3
BTU
-
KWH BTU
-
KW}I
dJ','Y*ir-* -<' v-
Thermostet Typc:
F Digital
J Programmable
Wlring:
il Thermostat
Q Disconnect Box
il Smoke Detector
Replaco Circuit Breaker:
J Air Handler: GF , ^Size-Type bU
ll Condenser:
Size _ Type _
.l Heater:.
size lg:(L)
Cond€n3ats Drain Hook up: flPrimary Ssecondary
U New Condensate Pump (J Slab
fl Auxiliary drain pan D Horirontal drain pan
O Auxilary float safety switch
fl Re{r;gerant copper liquid line size:
[) Refrigerant copper suction line
Q Gas pipe Irom
Ll Re{rigerant line cover 8410A Ffrrrh
Instaltation Information: .., Ai STa I I Ul/ ' 4 h.gO K D gf-Ji< -F__
All worl pcrlormcd in .c.ord.nc! with crilting codir, Includcs all aaqsir.d p.r6itr lo. rc,t prrformad by w. t os^ting h.rdw.rc tor inrrallalion warhrtnrirteni vibrrt,oa/rrolr(d pad!. hurricrnc *tirpping ud ramovrt cf old rqurpmcnr.
Zt'5Ae farts a Labor Warranty A/n / vrs.
/s.ae rarts a t-abor wananty Cona. *-l-*
"o.o{ufg.t W.rr"n y on Compressor / D vrs.
ftr4fg.'smrr"ntyonOxdoorCoil /! h Yrc.
{tglglswru"nty on IndoorCoil I O vrs.
/M{g.'rwurr"ngPara 1 O Yrc.
Method of Payment: DCash EFinancing
n Credit Card n Check lt
-
CCType EVisa flMC D Discover
Expiration Date:
-
CSV* *"""-
Date: Y,//, /1 r
the front and back of this Sales