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All APPLIC BLLfE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Ib `L I 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 TYPE: PROPOSED IMPROVEMENT LOCATION: Address: 360 European Ln Fort Plerce, FI 34982 Property Tax ID #: 3410-503-0192-000-4 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: 3.0 Ton 15 SEER Heat Pump Split System 5 KW Heat Like for Like I CONSTRUCTION INFORMATION: Lot No.3 Block No. C' Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank —Gas Piping _Shutters —Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: _ Cost of Construction: $ 7082.25 Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Naomi Clink Name: Robert Marcelle Address:360 European Ln Company:Comfort Experts USA Inc. City: Fort Pierce State. Zip Code: 34982 Fax: Phone No.724-683-0407 Address:664 NW Enterprise Dr. Unit 120 City: Port Saint Lucie State: FL Zip Code: 34986 Fax: 772-873-3090 Phone No 772-873-3000 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mailckongerl4@gmail.com State or County LicenseCAC1814439 IT value of construction is 5;Z500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. j SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Name:_ Address: Zip: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT" Signature of Otynkr/ CL$see/Contractor as Agent for Owner STATE OF FL COUNTY OF The forgoing instrument was acknowledgH before me this n ay of October 2011 by Nameof person -making statement 1 Personally Known OR Produced Identification Type of Identification Commission No. GG273315 Signature of 06 tr ctor/License Holder STATE OFF IDA a , COUNTY OF� The forgoing instrument was acknowledge before me this 22 day of October 20_rl, by Name making statement. Personally Known OR Produced Identification Type of Identification Grnrli Irprl Dn.e. License of Notary b lt;v e o µ INE MILLER ;:° - State of Florida -Notary Publ t Np, Gc273 +; Commi(SWn GG 273315 REVIEWS COUNTER I REVIEW SUPERVISOR I REV EW VEGETATION EVI WS REVEWLE MANGROVE REVEW 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 Ratings AHRI Certified Reference Number: 201763925 Date: 10-21-2019 Model Status : Active AHRI Type: HRCU-A-CB Series: SILVER 15 Outdoor Unit Brand Name: AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package) : 4A6H5036H1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4AOC37S31+TDR The manufacturer of this AMERICAN STANDARD 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 : 34800 SEER: 15.00 EER (A2) - Single or High Stage (95F) : 12.50 Heating Capacity (H12) -Single or High Stage (47F) : 33600 HSPF (Region IV) : 8.50 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. R. aR?Z tinge are accompanied by WAS indicate an involuntary re -rate. The new Dublish d ratino is shown alona with the Drevio s (i.e. WAS) mtino 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 productsof AHRI. This Certificate shall only be used for individual, personal and R� 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 farm or manner or by any means, except for the user's Individual, ILI 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.ahridirectory.org, click on "Verify Certificate" link we make fife bea,,' antl 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 I CERTIFICATE NO.: 132161616311353642 664 NW Enterprise Dr. #120 Port Saint Lucie, FL 34986 Proposal/A reement LIC#73.3000 Fx. 772.873.3090 //J J� /jam LIC#CACi614439 n( p I � /' Serving Brevard Indian River and SL Lucie Countie Customer Name / V ils n �Vt r C' I V( �\ Date I ' M Work Order # 1 5 V6 City i'� 3 R cmLc State r L' Zip `3 '7 � bc� Home Ph. (I) L D U �10 I Work Ph. Email OUTSIDE YOUR HOME FL,J eplace existing unit ❑ Add new unit Irconditioner apump ❑ Packaged unit ❑ ❑ Unit support ❑ Protective coating ❑ Use existing disconnect ❑ New disconnect &nchor tie down kit []Wire whip ❑ New circuit from existing electrical panel ■ SYSTEM INSTALLATION INCLUDES All labor Performance Control Center ]standard [-]Electronic rogrammable❑Other All required permits Removal and proper disposal of old equipment Check entire system for safety and efficiency Check and reseal minor leaks in exposed ducts One year scheduled service INSPE YOUR HOME eplace existing unit ❑ Add new unit ❑ Gas furnace ❑ Nat. gas ❑ L.P. ❑Oil ❑ Fan coil with supplemental electric heatKW i � v ❑ New flue ❑ Use existing flue ❑ Relocate indoor unit from to ❑ Easy access air filter ❑ New circuit from existing panel _ ❑ New wire from existing panel ❑ Rooms requiring additional air flow ❑ Add supply vent to ❑ Add return vent to ❑ Complete duct system ❑ Stand Top ❑ N w Stand ❑ eDIo - Abl- a 44 Cry - , SPECIAL AIR TREATMENT PRODUCTS FOR IMPROVING THE QUALITY OF YOUR AIR ❑ MicroGuardian Air Scrubber' ❑ Quantum 24v remote® UV Sterilizer ❑ OxyPuret' LED HL Air Enrichment System ❑ OxyQuantum® LED Bacterial & Odor Control ❑ Micro PowerGuard Air Cleaner' ❑ToraVac®Source Removal System WARRANTIES (Under terms of warranty, routine scheduled service must be performed on system) years on parts labor years on compressor years on heat exchanger clubmembership ,,,,-GUARANTEES (Allllll�uarantees are explained on the reverse side of this agreement) ❑Comfort - No Lemons .Utility Savings ❑ $500 No -Frustration ❑ $500 Installation [-]Property Protection ❑ Money Back No Surprises: The investment quoted is what you pay. Customer Respect: Our technicians will not swear or use tobacco products while on your property. They will courteously answer any questions or concerns and leave your home as neat as they found it. Code Compliance: The installation will comply with all existing local codes. Drug Free: Your work will be performed by our professional, highly trained and drug -free associates. Satisfaction: We will guarantee that your system meets or exceeds your expectations for quality and reliability. Total 76 da S FPL Rebate Discounts 570 Other Rebates We hereby propose to complete work as specified above for the sum of: Payment terms: Financed' ode sin upon installa ion Company approval by Date Customer approval b `, Date Customer approval b Date 'Subject to approval by finance company. Certain restrictions apply W= to 20175uccess Gmup Intemetiorst All Rights Reserved. Finance option' Monthly investment Buyer hereby declares that buyer holds title to property in which merchandise is being installed and has legal author to order the work outlined above. The seller retains title to all materials and property listed herein until payments have been made in full.Accounts not paid within 30 days of invoice receipt are in default and subject to a late payment charge of 1-1 /2% per month or 18%annually. Buyer agrees to any reasonable attorney's and/or collection fees incurred by seller to secure payment of this contract.