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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9/25/2020 Permit Number: ( UUIF MLrWSWQJRLrJDr-&J O Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial X Residential 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR:HVAC / Mechanical PROPOSED IMPROVEMENT LOCATION: _ Address: 5167 N Highway A1A 601 Hutchinson Island, FL 34949 Property Tax I D#: 14 1 1 -7 0 9-0 0 3 9-0 0 0-3 Lot No. Site Plan Name: 5167 N A1AApt 601 Block No. Project Name: Robert Herbst DETAILED DESCRIPTION OF WORK: Exact AC change out, no duct work 3 TON, 14 SEER, 10KW New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit—check all that apply: Mechanical —Gas Tank _Gas Piping _Shutters Windows/Doors _ Pond Electric _Plumbing _Sprinklers _Generator Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ 8,073 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Robert Herbst Name: Dennis Zacek Address: 5167 N A1A Apt 601 Company: ARS/ Rescue Rooter City: Hutchinson Island State:_ Address: 2800 US HWY 1 Zip Code: 34949 Fax: City: Vero Beach State:FL Phone No. 203-410-9253 Zip Code: 32960 Fax: E-Mail: Phone No 772-794-7205 Fill in fee simple Title Holder on next page(if different E-Mail mgillis@ars.com from the Owner listed above) State or County License CMC1249753 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. If value of HAVC is$7,500 or more,a RECORDED!Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: _ Zip: Phone:_ - Zip: Phone: 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted an the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. 0%nn�' 3A, Q � Signature of Owner/Le /Contractor as Agent for Owner Signature of Contra ctor/Li4Wse Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St Lucie COUNTY OFsccucie Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of x P�hhsical Presence or Online Notarization x Physical Presence or Online Notarization this day of Ses 2020 by this 2!�_day of_ �fcat,� , 2020 by Dennis Zacek Dennis Zacek Name of person making statement. Name of person making statement. Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced J�_YJ (Signs ure of Notary Publi (Signature of Notary Public- Commission Commission No. GG340179 State of Florida-Notary Public M SA CHATEAUNEUF Commission#GG 340178 Commission No. GG3aisira tale of Florida-Notary Public My Commission Expires May 30,2023 Commission#GG 340178 My Commissigo ires May 30,2023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. Installation Work Order Cal.Start Data 4-z624P 9 • ,.. (772)567.3100 Eat.Completion Date 9 02800 US t+[linvay I,Vero Bead%FL 32960 Corporato Customer Mr�g it MIN-' lLaratan RakL rdaL Sm.kess of Fkmkt,Nw- irmue a CMCt24W53, Relations Mal i"a a�� CAC 111139M EC 13tultt3`" (865)603.00M OUST IdER L+- + E►1& CALL SUP Aom ss A O` � atYrsTA EMP r c HOME MONE ML r YrQYE rYURK PMOH 20 4- t0- 4is OPTION I OPTION 2 OPTION SIZE 30Mm TYPE _C-A S E TYPE C-A SIZE TYPE EFFIGENCY_ly g E2C ,. EF IENCY _ EFFIGENCY sue_$ 9 - $�, $ $ $ $ Ake_$- 'q $ LAB— s E D\N $—� -4 Env —�L4 q — SUBTOTAL $ $,oar suBTOTAL 8,��_� SUBTOTAL $ MONTHLY EST.' 4 MONTHLY 1 aQ}}►0-- MONTHLY EST,' $ CUSTOMER INITIALS CUSTO R INITIALS CUSTOMER INITIALS Warranty: Parts �"� yt labor Wa ly` Parts $*x Labor WarrattSy" Parts Labor Compressor Heat Exchanger 'Compressor Heat Ayer Compressor _--.Heat ExclwVer "Urtess o1h w**nelod.all wanannft are aan oia Rw%AK kte. — • SELECTED OPTION: Zt ❑2 ❑3 Pf Weatherproof $Reconnect Drain Line ❑Dehumidifier SUBTOTAL $ Disconnect ❑Cuing Saver Kit ❑Outdoor Unit Pad ❑Lifetime Equipment Stab (Pan&Float) O Ruo Venting JXSound Isolation Pads $Main Drain Safety Switch ❑Ductwork Connections' $ V Liquid Tile Conduit Seal Now Connections ❑Connect to existi'rg plenum ❑Start IGt ❑Support Attic Equitxnenl O Duct Modifications 0 Refrigerant LLDryer ❑Supply Plenum oft Notes lor scope of-ON TOTAL $ O Refrigeranl Pipe ©New ❑Reconnect ❑New Duct System U New FI Recornect ❑Return Plenum ❑No Duct Work ❑Refrigerant Pipe Cover ❑New ❑Reconnect ❑Fuel Piping ❑CASH ❑CHECKill ❑Expansion Valve ❑pectnonic Arr C1�r` ❑Electrical Wining )�T staff-Type } % ❑Media Rter ❑Home Service Plan ❑CREDiT CARD(LAST 44s) ,0 Connect to Erist ❑PCO 1 Term(364 days) EX P. APPROVAL Electrical ❑W Light y /+ ❑New Plywood Deck ❑Humidifier. 'FINANCING r11 J 1 C • 1nauRa• dbrl U5Awar•nbwFUlC,m ' appv+d vadn 4r a Tinted trio E&5ftWrd ao d4 teased d of 62M or IM E ed APR 0 Comfort Guarantee ❑Home Protection Guarantee to•+r dcPa�aao m r�animat aaa.a n or Apr 1.Z= Rip"❑24•How Service Guarantee ❑I OO9b Unconditional Guarantee L L.m.v,ry o-an ss b rs•mont7c AM.m ier, IvloneY'k3ack +ooM oar rrrorgcvr*.s.nafbaarara�L•. • SArJ IT'tZ.- T�)Jc.-is (F'Ri.E� 24 Mel 0/., t,,a . rsr N�,GC t .. lb 1 %7-1C,N TAX 0R EL-1 'ARS is not responsrbk for pwxx*ductwork See Temta and Conditions on the back of Ihrs document for data& — V tten customer au thorimton will be*Waned before begnntrig any unforeseen additional or extended work, 'ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBIECTTO THE NOTICE AND CURE PROVISIONS OF CHAPTER 554 FLORIDA SUJUTES. •BUYER'S RIGHT TO CANCEL:This Jr.a horse solicitation sale,and if you do not want the goods or services,you may cancel this agree- mant by providing written notice to the seller in person,by telegram,or by mail.This notice must indicate that you do not want fhe goods or serrices and must be defivered or postmarked before midnight of the third business day after you sign this agreamenL If you cancel this agreement,the Seller may not keep all or pail of any cash dorm payment See the reverse side hereof for an explanation of this right •I acknovtdpe that rrq right 10 cwA has been explwned to ma omty and in writing,and vnthwil warvng oV right to camel I author¢e the performance of the work,subtect to all ttnm and cax5tians set forth on ft reverse side herool,plus any taxes upon complebm Notice To Owner-Do not sign this home Improvement contract in blank.You we entitled to a copy of the contract at the time you sign. Keep It to protect your legal 1191115,711115 home Improvement contrail may eontafn a mortgage or otherwise create a lien on your property that could bp foreclosed if you do not pay.Be aU74"Z70 nd all rovtslons of the contract before you sign. iNS1grY R616F1TIjttF -- COUMVREPRESMAINE •� �-7-02�0 T�3BrOtIrER$r1WRVRE pA DME WAS CERTIFIED"' org Certificate of Product Ratings AHRI Certified Reference Number:201852840 Date:09-25-2020 Model Status:Active AHRI Type:RCU-A-CB(Split System:Air-Cooled Condensing Unit,Coil with Blower) Series:COMFORT 14 AC Outdoor Unit Brand Name:CARRIER Outdoor Unit Model Number (Condenser or Single Package):24ACC436A*030* Indoor Unit Model Number(Evaporator and/or Air Handler):FMA4P36**AL* 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 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 210l240 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:32800 SEER: 14.00 EER(A2)-Single or High Stage(95F) : 11.50 t"Active"Model Status are those that an AHRI Certification Program Partic pant is currently producing AND selling or offering for sale;OR new models that are being marketed but are not yet being produced"Produclion Stopped'Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings Lna'are aCC3m.anied by WAS indicalo an involuntary re-race. The new oublished ratin is shave-i alunn with the previous 0.e.WAS raiin 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 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 confldentlai reference purposes.The contents of this Certificate may not In whale 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, personal and confidential reference. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The Information for the model cited on this certlflcate can be verified at www.ahrldirectory.org,click on'Verify Certificate"link we make life better- 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. — --- ©2020Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 132455t87909164438 Michelle Franklin, CFA-• Saint Lucie County Property Appraiser--All rights reserved. Property identification Site Address: 5167 N HIGHWAY A'A 601 Parcel TD: 1411-709-0039-000-3 Account 4; 138442 Map ID: 14.11S Use Type: 0400 Zoning: City/County: Saint Lucie County Ownership Robert F Herbst 5167 N A I A Apt 601 Hutchinson Island,FL 34949 Legal Description '� w 0C'EAN HARBOUR TOWER CONDOMINIUM E UNIT 601(OR I7fi- �irr 1054;3680-2143) ■MMMMs slim Current Values Just/Market Value: $274,900 , Assessed Value: $233,699 Exemptions: $50,000 Taxable Value: $183,698 Total Areas Property taxes are subject to change upon Finished/UnderAlr(SF): 1,473 change of ownership. Gross Sketched Area(SF): 1,843 • Past taxes are not a reliable projection of future taxes. : O.D2 • The sale of a property gill prompt the removal of all Land Size(acres): exemptions,assessment caps,and special classifications. Land Size(SF): 999 Taxes for this parcel: SLC Tax Coaector's Orfiee Download TRIM for this parcel: Download PDF All information is believed to be correct at this time,but is subject to change and is provided without any warranty. �:Copyright 2020 Saint Lucie County Property Appraiser.All rights reserved.