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All APPLICQB E� MST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: U 1 Permit Number: w _.__ 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: 514 Ponderosa Dr. Fort Pierce, FI 34982 Property Tax ID #: 3410-507-0127-000-0 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: 2.5 Ton 15 SEER 10 KW Heat Like for Like I CONSTRUCTION INFORMATION: Lot No. Block No. Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank _ Gas Piping _Shutters -Windows/Doors Electric _Plumbing _Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 6965.00 _ Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: ONTRACTOR: NameSusan Manfredi Name: Robert Marcelle Address:514 Ponderosa Cr Company:Comfort Experts USA Inc City: Fort Pierce State: _ Zip Code: 34982 Fax: Phone No.772-461-3189 Address:664 NW Enterprise Dr. Unit 120 City: Part Saint Lucie State: FL Zip Code: 34986 Fax: 772-873-3090 Phone N0772-873-3000 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 License CAC1 814439 If value of construction is $2500 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. I 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 Owner/ L ss f a/Contractor as Agent for Owner STATE OF FLORIDA /� COUNTY OF l A The forgoing instrument was acknowled before me t 3 day of October 20), by �+�lcTale. Name of person making statement. Personally Known OR Produced Identification Type of Identification Prndurprl Dnvees License (Signature of Notary Publ ' "�„�� o�V<¢,, CATHERINE MILLER Commission No, cG273315 ;= q._Sta�%eAIporida-Notary Publ ,y *_ Commission A GG 273315 My Commission Exoirp� REVIEWS FRONT I I COUN UPERVTS ER ROEVI NING W S REVIEW CO Signature of Contra c r/ tense Holder STATE OF FLORI A'(' y I n COUNTY The forgoing instrument was acknowledge before me this 23 dayof October . 20_n by Name of person making statement. Personally Known OR Produced Identification Type of Identification Prorh irpri Drivels License UvV v ignature of Notary Pub mmission No. GG273315 LANS VEGETATION REVIEW REVIEW 1nt INE MILLER State �$ ioa-Notary PUN Commission 8 GG 273315 REVIEW I REVIEW AHRI Certified Reference Number; 7599447 Date: 10-23-2019 Model Status: Active AHRI Type: RCU-A-CB Series: SILVER 14 Outdoor Unit Brand Name: AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package) : 4A7A4030L1 Indoor Unit Model Number (Evaporator and/or Air Handier): TEM6AOB24H21+TDR 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, SO, 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. 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 parry testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 29200 SEER; 15.50 EER (A2) - Single or High Stage (95F) : 12.75 1"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 Certificalion Program Participant Is no longer producing BUT Is still selling or offering for sale. Ratings that are accnmDenied by WAS Indicate an involuntary re -rate The new oubtshed rating is shown alonq with the orevious (i.e. WAS) rating. DISCLAIMER AHRI does not endorse the product(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 produchs), 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.ahridirectury.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, AM personal and confldentlal reference. AIRCONDITIONiNG, 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 life boner - 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.: 132163101814748969 Proposal/Agreement 664 NW Enterprise Dr. #120 Port Saint Lucie, FL 34986 772.873.3000 Fx. 772.873.3090 LIC # CAC1814439 Serving Brevard Indian Riverand St Lucie Counties Customer Name Su h '�C" Date 1 O-Work Order # Address S, / `f ion '� Q ✓O S P, � city '�Ffl -� P t e c Home Ph.(n/ �j �?'� Work Ph. L T� OUTSIDE YOUR HOME Replace existing unit ❑ Add new unit it conditioner 1 S Q b Heat pump ❑ Packaged unit 'R 2 < S 4 o V-� ❑ Unit support ❑ Protective coating ❑ Use existing disconnect � New disconnect Anchor tie down kit Wire whip ❑ New circuit from existing electrical panel ❑ Relocate -f-) SJ'XO L \Yn p SYSTEM INSTALLATION INCLUDES All labor Performance Control Center ❑Standard ❑ Electronic ❑ Programmable ❑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 StateZip INSIDE YOUR HOME Replace existing unit ❑ Add new unit Gas furnace ❑ Nat. gas ❑ L.P. ❑Oil ❑ Fan coil with supplemental electric heat 1-0 KW ® N(,-)5N,-, i in o )�vvv,A`or ❑ New flue ❑ Use existing flue P A' n4- ❑ 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 jop ❑ New Stand C )\ncyQ e P SPECIAL AIR TREATMENT PRODUCTS FOR IMPROVING THE QUALITY OF YOUR AIR ❑ MicroGuardian Air Scrubber® ❑ Quantum 24v remote® UV Sterilizer ❑ OxyPure® 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 _L© labor 10 years on compressor years on heat exchanger 1 Oclub membership GUARANTEES (All guarantees are explained on the reverse side of this agreement) Comfort No Lemons Utility Savings Y$500 No -Frustration $500lnstallation' ] Property Protections 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,, FPL Rebate Discounts '�'001 7 0 Other Rebates We hereby propose to complete work as specified above for the sum of: Payment terms: Financed' 25% j osit. Balanc due upon installation Company approval by Dates? 2 L �- Customer approval by Date Customer approvalby `--��nate In'c21-�i *Subject to approval by finance company. Certain restrictions apply C2001 to 207 success °mup iMernalonai. All Rights Rsssry , Finance option* Monthly investm 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.