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Home My WebLink About1551 TIMBERLAKE AC CHANGE OUTALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34.982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR:M~~ echanical PROPOSED IMPROVEMENT LOCATION: Address: 5S 4 111 .. 111111111111121111 :5 �, rT �45� �_ Legal Description:'�tw�, t s*L+ s t ?� 7 4 C �jk7Y"Z Property Tax ID #: U J O A " (pts (" (5 :k — CCC)S Lot No Site Pian Name: Project Name: L Crwc � � � � C �' (�� r, y .� Block No. Setbacks Front Back: — Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replacing A/C, exact change out, no duct work withr�, iy Sem kbtco lAr .hT— 3550rb BvLkH-rr�c.r .s 70 , ,I�� `J-�Fe CONSTRUCTION INFORMATION: VAC O Gas Tank Electric E]_ Plumbing Total Sq. Ft of Construction: Cost of Construction: $�� OWNERAESSEE: Name; Address: City: I Gas Piping Sprinklers F,94{_CW F04al- Shutters Windows/Doors Generator Roof S. Ft, of First Floor: UtilitiestSewer DSePtic Building Height.- ht: State: I=' L Zip Code , Fax: ~ Phone No. _Z&V6 E -Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) CONTRACTOR: Name: Zacek, Dennis Company: American Residential Services Address: 2800 US Hwy 1 City: Vero Beach State: FL. Zip Code: 32960 Fax: 772 794-9783 Phone No. 772 794-7221 E -Mail: bderby@ars.com State or County License: CMC1249753 If value of construction Is $2So0 or more, a RECORDED Notice of Commencement is required. 14 OC Li � LL ::Foc 0 U) l SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable Name: Address: City: State: Zip: Ph e: FEE SIMPLE TiTLE HOLDER: x Not Applicable Name: Address: City: _ Zip: Phone: MORTGAGE COMPANY: �x Not Applicable Name: Address: City: State: Zip: Phone: BONDING COM NY: x Not Applicable Name: Address: City: Zip: Phone: 1 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 thepermitholder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or an covenants that may restrict or prohibit such structure. Please consult with your Home Owners 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 your paying twice for improvements to your property. A Notice of Commencement must be recorded 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. �X�' -- Signature of Ow . r/ Lessee/Agent STATE OF FLORIDA COUNTY OF St-Lude The forgoing instru ent was acknowledgeA before me this _1 day of 201by Dennis Zack (Name of person acknowledgin ) tt - LtL (Signature of Notary Public- State of Florida j Personally Known x OR Produced Identification Type of Identification Produced Commission No.`s F6 Y1Vy (Seal) 11 Revised 07/15/2014 .4 NOTaQY PUBLIC STATE OF FLORIDA REVIEWS FRONT ZONING � ` 3UPEAVIS COUNTER REVIEW REVIEW DATE INITIALS s Signature of Cont or/License Holder STATE OF FLORIDA COUNTY OF s+L-d- The forgoing instru ztw acknowledged before me this —2 day of t 20 by Dennis Zecek (Name of person acknowled Ing) (Signature of Notary Public -State of Florida Personally Known x OR Produced Identification Type of identification Produced Commission No. "M"w-EF/ 12 YA/ (Sea[) NOTARY PUBLIC STATE OF FLORIDA PLANS I VEGETATIW"'T S€IKXWL Ugr- IMANGROVE REVIEW REVIEW II REVIEW REVIEW RESCUE ARS. ROOTER. " C" N `1�J ' ✓ Est. Start Date Installation Work Order Est. Completion Date �1 (772) 567-3100 Corporate Customer 2800 US Highway 1, Vero Beach, FL 32960 Relations AmemAn Residential Servicus of Florida. Inv License # CMC 1248753, CAC045B78, CFC 1428M (066) 803.0879 CUSTOMERJ_LL tic- GM ; n, EMAIL •,Y.1 CALLSUP ADDRETSS 1 V, �1 .' - Ac- J ,, CITYaSTATE/ZI _,, nr 4 :ELL PNONE WORK PHONE • DESIGN UR HVAC SYSTEM ac c. f r { , SIZES •E; _104). TYPE SIZE—TYPE SIZE TYPE EFFICIENCY .`4t�e' . EFFICIENCY EFFICIENCY .. _ $ qu q Ll . ' $ $ $ 3i�A0,2:%1G_ $` Jas r $ $ 44b4c. 1�"/a $ CM_ $ $ AWS C. $ }ase SUBTOTAL $ SUBTOTAL $ SUBTOTAL $ O_q MONTHLY EST.' $ MONTHLY EST." $ MONTHLY EST.' $ CUSTOMER INITIALS CUSTOMER INITIALS CUSTOMER INITIALS Warranty: 10 Parts Labor Warranty parts Labor Warranty Parts _— Labor _!:LCompressor~ Heat Exchanger Compressor Heat Exchanger Compressor Heat Exchanger Refrigerant recovered and disposed of as required by law, Complete clean up including use of floor savers to protect your home and removal of existing equipment. All work completed is done in accordance with existing codes and permits, as required. SPECIFICS OF • • SELECTED OPTION. ❑ i ❑ 2 ❑ 3 "*Wealherproof V Connect to Exist ng ❑ tronic Air C aner _ _ _ . SUBTOTAL $ Disconnect Electrical ❑ Me ' Flier Lifetime Equipment Stab Plgwead.Decck ❑ pCO $ _ 'Sound isolation Pads )VReconnecl Drain Une ❑ UV Light Liquid rite Conduit 'M Coiling Saver Kit ❑ Humi ' ier $ , ar (Pan & Float) ❑ De midifier TOTAL $ 'RRefrigerant LL Dryer _ 19 Main Drain Safety Switch `Outdoor Unit Pad 21 Refrigerant Pipe 10 Seat New Connections 43-lpg-yegkng PAYMENT ❑ New $ Reconnect m Support Attic Equipment V Ductwork Connections ❑CASH ❑CHECK# ran r I@ Supply plenum Expansion Valve ❑ New 1£]r Reconnel-.1 I$Eleclrical Wiring ❑ CREDIT CARD (LAST 4#s) T -stat —Type Return Plenum Home Service Plan —❑ Now 0 Reconnec t 1 Term (364 days) K Z EXP APPROVAL OUR GUARANTEES ;M Comfort Guarantee `10 Home Proleetion Guarantee ❑ FINANCING" '0 24 -Hour Service Guarantee '153 100% UnLxnditional Money -Back Guarantee 'Payment options available valh approved credit • I acknowledge that my right to cancel has been explained to me orally and in writing, and without waiving my right to cancel, l authorize the performance of the work, subject to all tenns and conditions set forth on the reverse side hereof, plus any taxes upon completion. Iluyera Right to Cancel: This is a home solicitation sale, and II you do not want the goods or services, you mar cancel this agreement by providing written notice to the seller In person, by telegram, or by mail. This notice must indicate that you do net want the goods or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement if you cancel this agreement, the seller may not keep all or art of any cash down payment. Seethe reverse side hereof for an explanation of this right. • Notice To Owner: (a. to rot sign this home fmprimment contract in Wank @. You are entitled to a copy of the ce*W time you sign Keep It to protect year teed rials. (a. ilia hems kripovement contract may contain a mortgage or otherwise create a lien oTss 7/7 rly drat could ba lereclosed w ti lb not pay. Be sura yea understand all provisions of the ronbacl before you sign, 1 CUSTOMER 5-GH61UPF r E COMPANYREP ESENTATIVE 7 CUSTOMER SIGNATURE DATE DAT 0 2016 Am rir Residaniwi Sma I L G, All rights reserved. ARS 1078 061715 8255 r Certificate of Product Ratings AHRI Certified Reference Number: 9509434 Date: 4/8/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 24ACC442A*030* Indoor Unit Model Number: FB4CNF042L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER 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, 1L, 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. Series name: COMFORT 14 AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 39500 EER Rating (Cooling): 11.50 SEER Rating (Cooling)_ 14.00 IEER Rating (Cooling): ' Ratings followed by an asterish (') indicate a voluntary rerate of previously published data i.nlass accompanied with a WAS which Indicates an involuntary rerale DISCLAIMER AHRI does not endorse the product(s) fisted 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 productfsf, 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.uhridiroctory.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; copled; 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. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION a REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org. click on 'Verify Certificate' link we make life twiler and enter the AHRI Certified Reference Number and the dale on which the certificate was Issued, which Is listed above, and the Certificate No., which is listed at bottom right ®2014 Aft -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131359521054179465