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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Dater: Permit Number: NJ Uo LSL1C Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 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: 5608 PALEO PINES CIR FORT PIERCE, FL 34951 PropertyTaXID#: 1 3 1 2-500-0038-000- 1 X Lot No. 37 Site Plan Name: 5608 PALEO PINES CIR Block No. Project Name: MARY BARNES. DETAILED DESCRIPTION OF WORK: Exact AC change out, no duct work 3 Ton, 15 Seer, 10 KW New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: Mechanical Electric Gas Tank _ Plumbing Total Sq. Ft of Construction: _ Cost of Construction: $ 7,480 Gas Piping _ Sprinklers _ Shutters _ Windows/Doors _ Pond _ Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name MARY BARNES Name: Dennis Zacek Address: 2608 PALEO PINES CIR Company: AIRS I Rescue Rooter City: FORT PIERCE State: FL Address: 2800 U S HWY 1 Zip Code: 34951 Fax: City: Vero Beach State:FL Phone No. 601-882-9836 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 Z500 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 on 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. C I � I - Signature o Contractor/Lic se Holder Signature of owner/ Lesse ontractor as Agent for Owner STATE OF FLORIDA STATE OF FLORIDA CO NTY OF sc Lucie COUNTY OF s Lucie Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization this � day of �jc \ 20Z% by x Physical Pres nce or Online Notarization -7 C K _ k _, this day of c 20Zt 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 Produce {Signatur of Notary P lid:. tsii a of FlorMIL& NDAGiLLIS (Signature of Notary MY COMMISSION#HH045659 MIRANQAGILLIS Commission No. -,I_.EXPIRES: September23.2024 Commission No. ` MY COMMISSION HH045&59 Bonded Ttw kotary Pubirc Undenn.. EXPIRES: September 23, 2024 F�pP. bIc UnderNMefs REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED rev. 3J 01 cU hLLkin making it work. rAe S SIZE -r n TYPE EFFICIENCY Ill. tc . installation Work order Est. Start Data r (772 )567-3100 Est. Completion Date 3 2800 US Highway 1, Vero Beach, FL 32960 Amencan Res dent at Services of Florida, Inc. License t# CMC1249753, CAC1813963, EC13008558 tt G 3 7c^ TYPE LI L : r r SIZE _TYPE ;I CY EFFICIENCY + �r --�-- P bf6 �IIra S $ $ cl SUBTOTAL e� �� SUBTOTAL $ SUBTOTAL $. �Y SbU MONTHLY EST.* $ _f MONTHLY ST. • $ _ MONTHLY EST. • $ CUSTOMER I TIALS _ _ _ CUSTOMER INITIALS _ CUSTOMER INITIALS Warranty:"_ , -- Pans bar Warranty.. '—� Part# Labor Warranty:- IQ Parts r�+ Labor --Compressor —Heat Fxdranger Compressor _ Hoat Exchan er - 9 1Q_Campressor //? Hat Exchanger ^lLtc4a ofAcrwan ralcd.drrarrruce am Lem the men,ANictwa - - — � MWootherproof Disconnect ahloconnect Drain Line ❑ Dehumidifier 0315 °lino Equipment Stab 13 Coifing Saver Kit (Pan & Float) [Wuldoor Unil Pad El Flue Venting L1Sound Isolation Pads LgCpuid Tide Conduit C,},�i�ain Drain Safi Swilch ESJ-ill Now Connections E115; lwork Connection E3StartKit 1K0I Berard LL Dryer_ ❑�ppce� E3EI'S`u lic Equipment I�onhocl to eking Pam O Duct Modificafions E3RefrigoraniPipe ❑New PplyPlenum 0 New L}R'econnect Ism Naiesfor aeopeofWON ❑ Now Duct Syslem E3fFeconnecl CgRefrigerant Pipe Cover 006tum Plenum 0 New G+M..neci 0 No Duct work GSpansn ahro -TypeO b Electronic Air Cleaner ` Media Filter (] Fuel Piping ❑Electrical Wiring �nnocl to Existing O PCO ❑ PROS Club Membership Electrical E3 UV Light 1 ToMI (364 days) E$'I'rlw Plywood Deck ❑ Humidifier SELECTED OPTION: ❑ 1 ❑ 2 SUBTOTAL $ --11y� TOTAL $ ❑CASH MZHECK# � 13 CREDIT CARD (LAST 4#s) EXP APPROVAL d FINANCING T~ C`1L�omlorl Guarantee C =PMMdedby&Wa *Usq rD 0ft 4PP �e CM& Lr 4 6w-d wiw GN-Hour 1311a he Proteclicn Guarantee �r a P'�s d ,>n sSSne a a.esw ed ra " Service Guarantee Q-60% Unparldit ,m M In— d>p. �� oo tar, amo ry dt<cl re �+ dAPR oney Back Cauanultoe R —1 I,m1a v&y Lem 3e m 144 moneq r „� � wnau,b�PPrwoe,erlru„ryieoPl4namay6o4�a�Li61e, bwr, Shartdavd +6"M0. } a C wee �7/� { l; for It q' 000 4r'd`� dare insft!(rrs (or 4t3:Sov dv-e uFori Co•n�rlr�:Ovt �U bmpaey is not respansble la pratuLl,ng ductwork S Wriucn customer oo Terms and Ctr460ns on the back of this document for details. Suthet"M wr1 be obtained before beginning any unforeseen additional ar+utonded work ANY CLAIMS FOR CONSTRUCT};N13EFFCTSARE SUBJECTTOTHE NOTICE AND CUREPROVISIONS .OF C • 9UYER'SRIGMTO CANCEL: MIS Is a home solicitation sale, and if you do hot want the goods or services, you may cancel this agreement tiri providing written notice to the salter in CHAPTER 558, FLORIDA STATUTES. Mail. This notice must services and must be delivered or postmarked bZrrye midnight of the third business day afterlY usign his agreement. 11 you cancut fttls atlreerrienl,the Seller may not keep all of part of any cash down paymonL See the reverse side hereof }qr an explanation of his te that You do not want the Goods or of the ° that my "lM to cancel has been explained to me Orally and in writing, and with wowing he my right o 10 cancel, l author: n the wk. Subject to all terms and conditions sot forth on the rOVerso side hereof, plus any tares upon complotron. Natice To Owner • 1)o not sign lhts home Improvement wnpaet to blank'performance Keeptflit Protect lOTedoyour legal H you do n home improvement contract May Yconta n a mortgage or otherwise treats a Ifen on SIB that wild toe ioredosed on 8 pay, lie sure ou understand all provlslona of the co tract Otherwise before- created to a copy Of the e at the time you property you do not y You sign. your props San r� �� az COMPANY I EORESEMARVE Tow, Snnr�crson MSINrsylv4fe9lla L71a]it -�F�f�Y e7oe Scanned with CamScanner Certificate of Product Ratinas AHRI Certified Reference Number: 9543522 Date: 04-07-2021 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 Handier): FV4CN(B,F)003L 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 AHRI 210/240 with Addendum 1, 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 : 33800 SEER: 15.00 EER (A2) - Single or High Stage (95F) : 13.00 t"Active- Model Status are those that an AHRI Certification Program Participant is currently produc ng 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 st :I selling or offering for sale. R-0n4s ma' arc accomoanim 4v YfAS indic:ato an involuntary Fa -.-,ate. T*re new published raiino is shown alone with the Drev.ous fi.e. WAS/ raiina 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 productis) 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 conflguratlons 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; =91 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 S REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link „r make life hotter. 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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132622790644596588 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 5608 PALED PINES CIR Sec/Town/Range: 12 34S.-39E Parcel ID, 1312-500-0038-000-1 Jurisdiction: Saint Lucie County Ownership Mary F Barnes Rodney E Barnes Sharron S Carson 5608 Paleo Pines CIR Fort Pierce, FL 34951 Legal Description HOLIDAY PINES S 'D-PHASE I- LOT 37 (MAP 13.12S) Current Values Just/Market Value: $164,200 Assessed Value: $96,872 Exemptions: S75,000 Taxable Value: $21,872 Property taxes are subject to change upon change of ownership. • Past taxes are not a reliable projection of future taxes. • The sale of it property will prompt the removal of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Down:osd PDF 12 Use Type: 0100 Account #: 125523 Map ID: 13 12S Zoning: RS-4 Count Total Areas Finished/Under Air (SF): 1,635 Gross Sketched Area (SF): 2,610 Land Size (acres): 0.28 Land Size (SF): 12,038 Building Design Wind Speed Occupancy Category 1 11 III & IV Speed 140 150 160 Sources.' links: All information is believed to be correct at this time, but is subject to change and is provided without any warranty. �:' Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved.