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ALL 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 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 PROPOSED IMPROVEMENT LOCATION: Address: Legal Description: Property Tax ID #: Site Plan Name: Project Name: Setbacks Front IMMIrA�vMFMF�W = Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with ton, SEER, KW AC unit Lot No. ' Block No. CONSTRUCTION INFORMATION: AaClitional work to be nerformed under this permit —check all that apply: 19HVAC Gas Tank Gas Piping _ Shutters ❑ Windows/Doors OElectric 0Plumbing Sprinklers Generator Roof Roof pitch Tota I Sq. Ft of Construction: Cost of Construction: $ S Ft. of First Floor: _ Utilities: Sewer Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name I Name: Dennis Zacek Address: al, 6 I Company: ARS American Residential Services City.Stater Address: 2800 US Hwy 1 Zip Code,,.5f Fax: City: Vero Beach State: FL Phone No._1~c,203` 3 Zip Code: 32960 Fax: E-Mail: Phone No. Fill in fee simple Title Holder on next page (if different E-Mail: from the Owner listed above) State or County License: CMC1249753 01 VdIUC ur wnaLruLuvn is azzuu or more, a stLUKUtu rvocrce or 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 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 commencine work or recordiniz vour Notice of Commencement. r { _ Signature of 0 er/ Lessee/Agent Signature of Contra r/License Haider STATE OF FLORIDA COUNTY OF 61Lude The f r ing ins ment was acknowledg efore me thisl�day a 20 by Dennis Zacek (Name of person acknowledging } nature of Notary Puftiz—gate of STATE OF FLORIDA COUNTY OF Si Lucie The forgoing instrument was acknowledge efore me this day of 20 by Dennis Zacek (N me of person acknowledging) (Signature of Notaryublic- State of Florida ) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No� mmission No.66( 535 (Seal) COLEEN Revised 07/15/2014 EXPIRES February 09. 2021 REVIEWS FRONT ZONING SUPERVISOR PLANS COUNTER REVIEW REVIEW I REVIEW DATE COMPLETE INITIALS 1+10I11111*:1 EXPIRES February 09. VEGETATION SEATURTLE MANGROVE REVIEW REVIEW I REVIEW This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Certificate of Product Retinas AHRI Certified Reference Number: 201778778 Date: 08-21-2019 Model Status : Active AHRI Type: RCU-A-CB Series: PERFORMANCE 16 AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 24AP8660A'030' Indoor Unit Model Number (Evaporator and/or Air Handler) : FV4CNB006L Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, A IL, IA, IN, KS, ICY, 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. 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 ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Afr-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 : 57000 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 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. Ratings that are accamoanied by WAS Indicate an Involuntary re -rate. The new published rating is shown pion g with the Previous (i.e. WASI rallno. DISCLAIMER AHRI does not endorse the products) 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 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, pAM ersonal and confidential reference. AIR-CONDITIONING. HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on'Verify Certificate' link we melee ]de beuer- 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. 02019Air-Condltioning, Heating, and Refrigeration Institute f CERTIFICATE NO.: 132108641964640143 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: Parcel ID. Account #: Map ID: Use Type: Zoning: City/County: Ownership Benjamin Crespo 5721 Sterling Lake DR Fort Pierce, FL 34951-3120 Legal Description PORTOFINO SHORES (P13 43-6) LOT 483 (OR 4056-367) Current Values Just/Market Value: SI84,D00 Assessed Value: $179,140 Exemptions: $50,000 Taxable Value: $129,140 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 far this parcel: SLC Tax Col lectoes Office _ Download TRIM for this parcel: Download PDF 5721 Sterling Lake DR 1312-501-0142-000-6 152962 13/12N 0100 Saint Lucie County Total Areas Finished/Under Air (SF): 2,475 Gross Sketched Area (SF): 3,023 Land Size (acres): 0.15 Land Size (SF): 6,534 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.