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Buidling Permit
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 4 O Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I PROPOSED IMPROVEMENT LOCATION: • �+�11•��111e�V�!�1Zz�\\ WN Kim Property Tax I D 4: Lot No, Site Plan Name: Project Name Setbacks Front Back: Right 51de: Left Side: DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with on, SEER, KW AC unit 30itionai worK to Qe errormea unaer tnis permit — a 0HVAC Gas Tank ❑Gas Piping 11 Electric ❑ PlumbingSprinklers an inai apply: 1!_ Shutters Generator Total Sq. Ft of Construction: 5 Ft. of First Floor: Cost of Construction: $ O� _ Utilities: LSewer OSeptic Block No. Windows/Doors Roof Roof pitch Building Height: OWNERAESSEE: CONTRACTOR: Name Name: Dennis Zacek Company: ARS American Residential Services Address. — City: �:crs, Rpme State: �—t, Address: 2800 US Hwy 1 Zip Code: Fax: — City: Vero Beach State: EC Phone No. Zip Code: 32960 Fax: E-Mail: _ Phone No. •—I aQ� Fill in fee simple Title Holder on next page ( if different E-Mail: C:5t_1U01'C\ANCS • CZM _ from the Owner listed above] State or County License: CMC1249753 if value or construcnon Is ;oLsuu or more, a KeLUKOEU 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: 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 is in conflict with any applicable Home Owners Association rules, bylaws or and 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 WARNI NG 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 your Notice of Commencement. _ Signature of O er/ Lessee/Age;3t Signature of Contra/License Holder STATE OF FLORIDA COUNTY OF StL-0 The fo oing inst ment was acknowledge before me this day of J1 20 VLby Zacek person of Florida } STATE OF FLORIDA COUNTY OF St Lum The T ing instrument was acknowledge efore me this day of 20 t by cemms person acki Florida } Personally Known x OR Produced Identification _..._ Personally Known x OR Produced Identification _ Type of Identification Produced I Type of Identification Produced Commission No ICommssion No.0���7- (Seal) (Seal) MY COMMISSION # GG071535 MY COMMISSION # GG071535 Revised Q7ir i SIZQ 14 EXPIRES February 09, 2021 : EXPIRES February 09, 2021 REVIEWS FRONT COUNTER ZONING REVIEW 5UPERV15OR REVIEW PLANS REVIEW VEGETATION REVIEW MANGROVE REVIEW SEA TURTLE REVIEW DATE COMPLETE INITIALS �:L � MJ w 11 work Makin Making Installation Work Order (772)567-3100 2800 US H'.ghway 1 Vero Beach, FL 32960 kraiican Rescir.nt„_ m%r.ices of Florida, Inc. License N v MC 1249753 EC IjOO8558 Est. Start Dale 7 Ib (Y Est. Completion bate 1 Corporate Customer Relations (866) 803.0879 CUSTOMER p +ns s-nc 7 r rxr� �C+V% 11 1:MAI4 CALL SUP ADDRESS CITYISTATEIZIP / it HOME PHONE ��• r ^1 _ r, —r CELL PHONE WORKPHONE •• OPTION OPTION OPTION SIZETYPE r77SIZE `DU TYPE SIZE TYPE EFFICIE< CY 14 Sl'_ei( EFFICIENCY .5 EFFICIENCY - R2$ $ 00 $ - SUBTOTAL $ SUBTOTAL $ SUBTOTAL $� - MONTHLY EST.' $ MONTHLY T.• $ MONTHLY EST,* $ CUSTOMER INITIALS CUSTO R INITIALS CUSTOMER INITIALS Warranty-- 1 Parts r Labor War nlyi ' f Parts Labor Warranty:-' Parts Labor U/ Compressor VC14 Heat changer Compressor % Heat Exchanger Compressor Heat Exchanger 'Subiecl Iv credit approval. Fnanc ng Provided by Greensky. Fixed interest Tats of 6.09% for 60 months. Payment example assumes one -lime $7,500 purchase on approval date (APR 7.19%) with 1 payment of $82.59, 5 payments of $43 69, and 54 amortized payments of $102.26. Payments assume Account Activation charge of $39 applies and is due will - First required payment. Fixed interest tale of 9 99% for 54 months. Payment example assumes one time $7,500 purrhaso on approval dale (APR I0A 5%) with I payment of $10 4041, 5 payments of $62 44, and 78 amortzed payments of $13 Ll I. Payments assume Account Activation charge of $39 applies and is due with first required payment. Fixed interest rate of 9.99%for 120 months. Payment example assumes one-time $7,500 purchase on approval date fAPR 10A f %) with 1 paymonl of $101.44, 5 payments of $62 44, and 114 amortized payments of $102.13. Payments assume Account Activation charge of $39 applies and is duo w th first required payment.F xed interest rate of 9,99%for 144 monihn. Paymrnt example assumes one-time $7,500 purchase on approval date (APR 10.00%) with I payment of $101,44, 5 payments of $62 44. sad 138 amortized payments of $91.62. Payments assume Account Activation charge of $39 applies and is due with first required payment "Unlosa otherwise noted, all warranties arc from the manufacturer. • • • SELECTED OPTION- ❑ 1 ❑3 ❑ Weatherproof ,Reconnect Drain Line ❑ Dehumidifier � r❑C2, SUBTOTAL $ �l I Disconnect ❑ Coil ng Saver Kit ❑ Outdoor Unit Pad Lifetime Equipment Slab (Pan & Float) ❑ Flue Venting 11 $ ❑ Sound Isolation Pads ❑ Main Drain Safety Switch ❑ Ductwork Connections' ❑ Liquid Tile Conduit � Seal New Connections ❑ Connect to existing plenum El Start Kit 'Support Allic Equipment ❑ Duct Modifications _ ❑ Refrigerant LL Dryer— ❑ Supply Plenum (sae Notes for scope of work) TOTAL $ !7_ 52 ❑ Refrigerant Pipe ❑ New 7F Reconnect ❑ New Duct System ❑ New �Aeconnecl ❑ Return Plenum ❑ No Duct Work ❑ Refrigerant Pipe Cover ❑ New Poeconnect ❑ Fuel Piping ❑ Expansion Valve ❑ Electronic Air Cleaner _ ❑ Electrical Wiring ❑ CASH ETCH ECK# ❑ T stal —Type Near— ❑ Media Filter ❑ Home Service Plan — - PrConnect to Existing ❑ PCO 1 Term (364 days) ❑ CREDIT CARD (LAST 4#0 Electrical ❑ UV Light ❑ New Plywood Deck ❑ Humidifier EXP APPROVAL OUR GUARANTEES ❑ FINANCING* ,PrCOmfcrt Guarantee Jff Home Protection Guarantee 24-Hour Service Guarantee ff100% Unconditional Money -Back Guarantee NOTES aWt,0, vsk all tin CARS 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 SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 556, FLORIDA STATUTES • BUYER'S RIGHT TO CANCEL: This is a home solicitation sale, and If you do not want the goods or services, you may cancel this agree- ment by providing written notice to the seller in person, by telegram, or by mail. This notice must indicate that you do not want the goods or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement 11 you cancel this agreement, the seller 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 performance of the work, subject to all terms and conditions set forth on the reverse side hereof, plus any taxes upon completion. Notice To Owner - 00 not sign this home improvement contract In blank. You are entitled to a copy of the contract at the time you sign. Keep it to protect your legal rights. This home Improvement contract may contain a mortgage or otherwise create a Ilan on your property that could be foreclosed on if you do not pay. Be sure you understand all provisi ns of the contra pefore you sign. CUSTOMER SIGNATURE T MPANY REPRE TATIVE CUSTOMER SIGNATURE DATE DATE 0 2019 American Residontial Services LL,C. All rights reserved- ARSle78 FL_ t90124 L190124 8250 Certificate of Product Rafinqs AHRI Certified Reference Number: 9474297 Date: 07-18-2019 Model Status: Active AHRI Type - RCU•A-CB Series - COMFORT 14 AC Outdoor Unit Brand Name CARRIER Outdoor Unit Model Number (Condenser or Single Package) ; 24ACC430A`030' Indoor Unit Model Number (Evaporator and/or Air Handier) : F84CNF030L 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 condllioners 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 ANSI/AHRI 210/240 with Addenda 1 and 2, 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 : 28200 SEER :1 EER (A2j 1'Active' Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR now models that are being marketed but are not yet being producod'Production Stopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT Is still salli ng or offering for sale. Retinas that are accompanied by WAS indicate an Involuntary re -rate. The now published rating is shorn slang wilh the_pro0oug (I.e_WA5)_rpting,___. ___ DISCLAIMER AHRI does not endorse the pmduct(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 Certificate. 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 pmduc)s 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: dlsseminated; 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"COWTIONING, HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTRUTE The Information for the model cited an this certificate can be verified at wkvw.ahridlTecto-y.org, click on "Vorlfy Ca rtificate' link %v nioLe lire h I -or' 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 """' — " '"'—' "' ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: f32079531334394a69 Property Card Page t of 1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser — All rights reserved Property Identification Site Address: 5855 DREAM CT I I B Secrl'own[Range: 10/36SI40E Map ID: 34/10A Zoning: Ownership Constance I Parigian 5855 Dream Court I 1-H Fort Pierce, FL 34982 Legal Description THE GROVE CONDOMINIUM -SECTION ONE- UNIT I Ili (OR 1289- 145) Current Values Just/Market Value: $72,700 Assessed Value: $29.320 Exemptions: S29,320 Taxable Value: $0 Property taxes are subject to change upon change of ownership. • Past loxes are not a reliable projection of future taxes. • The sale of a property will prompt the removal of all i exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF Parcel ID: 3410-507-0042-000-0 Account ##: 40401 Use Type: 0400 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air (SF): Gross Sketched Area (SF): Land Size (acres): Land Size (SF): All information is believed to be correct at this time, but is subject to change and is provided without any warranty. ® Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved. litips://www.paslc.org/RECard/ 7/18/2019