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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: —I 1 `7 Permit Number: Building Permit Application Planning and aeveiopment Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I PROPOSED IMPROVEMENT LOCATION! Address: ption: t Property Tax ID #: S.212k '{" _tUI- UUU()` [ Site Plan Name. Project Name: , r Setbacks Front Back: Right Side DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with ton, Left Side: SEER, 10 KW AC unit Lot No.-1 Block No, CONSTRUCTION INFORMATION: ACIaltiOnal work to orme under this permit -check a apply: [ZHVAC n Gas Tank Gas Piping In Shutters Windows/Doors 11 Electric 0 Plumbing OSprinklers E]Generator i,.I Roof Roof pitch Total Sq. Ft of Construction: 5 Ft. of First Floor: Cost of Construction: $ ��ot)[ Utilities:11 Sewer ElSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name In Name: Dennis Zacek I Address: i LO�e Company: AIRS American Residential Services City: State: I�L Address: 2800 US Hwy 1 Zip Code. Fax: City: Vero Beach State: FL Phone No. L 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 It Value or construction is 5z5a0 or more, a RECORDED Notice 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 commencing work or recording~ vour Notice of Commencement. 4 { $r* tag s _ Signature of Okeerl Lessee/Agent Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF SILude The forgoing instru nt was acknowledge�} fore me thisM day of 20 i=1 by STATE OF FLORIDA COUNTY OF St Lucia The,Moing ins as acknowledge"efore me thi day of w20 aby Dennis Zacek Degnls 7acek (Name of person ackno edging j (Name of person acknow edging ) '�e0ap—A 26M [signature of Notary Public- State of lorida) { ignature of Notary u lic- State a lorida j Personally Known x OR Produced Identification Personally Known _x. OR Produced Identification Type of Identification Prro�duced Type of Identification Produced Commission No. i Commission No. 71 (Seal) COLEEN SULLiVA Revised l}7/15/2Q 14 �Oi �'''�- EXPIRES February 09, 2021 c"= MY COMMISSION # GG071535 •'.�+ - EXPIRES February 09, 2021 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW MANGROVE REVIEW SEA TURTLE REVIEW DATE COMPLETE INITIALS Certificate of Product Ratinas AHRI Certified Reference Number: 7490504 Date: 09-27-2019 Model Status: Active AHRI Type: SP-A Series: R41 OA 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. 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 reglon(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 lesting: 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 sell ng or offering for sale; OR new models that are being marketed but are not yet being producad'Production Stopped- Modal Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratknos thotO.Eg acWmpankLd b�AS_Indicate an involuntary re -rate. The new published rellnq is shown aloha with the orevious Ae. WAS) radno. DISCLAIMER AHRI does not endorse the product(s) listed an 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.ahrldlrectory.mg. 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, MWON 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 Cartiflcate- link we make life Ix11Cr- 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-Conditioning, heating, and Refrigeration Institute CERTIFICATE NO.: 132140830695005479 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: Parccl ID: Account #: Map 1D: Use Type-. Zoning. City;'County; Ownership Douglas T Sinclair Kmgkeaw Sinclair 7829 White Ibis LN Port Saint Lucie, FL 34952 Legal Description EAGLE'S RETREAT AT SAVANNA CLUB (PB 42-24) BLK 56 LOT 9 (OR 4095-1017) Current Values lust/Market Value: $116,500 Assessed Value: $85,150 Exemptions: $50,000 Taxable Value: $35,150 Property taxes are subject to change upon change of ownership. • Past taxes are not a reliable projection or future taxes. • The sale of a property will prompt the removal of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collectoes Office 0 Download TRIM for this parcel: Download PDF 0 7829 White Ibis LN 3424-701-0056-000-0 152195 34124N 0200 Planned Un Saint Lucie County Total Areas FinishedfUnder Air (SF): 1,786 Gross Sketched Area (SF): 2,990 Land Size (acres): 0.14 Land Size (SF): 6,032 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.