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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 05/18/2021 Permit Number: 1" ir::Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FORWAC / Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 2913 MIDDLE RD FORT PIERCE, FL 34981 Property Tax ID#. 241 9 - 3 4 4 - 0 0 1 1 - 0 0 0 - 9 Lot No. Site Plan Name: 2913 MIDDLE RD _ Block No. Project Name: ADOLFINA AVELLANEDA DETAILED DESCRIPTION OF WORK: Exact AC change out, no duct work 4 Ton, 14 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: $ 10,060 _ Gas Piping _ Sprinklers _ Shutters Generator Sq. Ft. of First Floor: Windows/Doors Pond Roof Pitch Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ADOLFINA AVELLANEDA Name: Dennis Zacek Address: 2913 MIDDLE RD Company: ARS / Rescue Rooter City: FORT PIERCE State: FL Address: 2800 U S HWY 1 Zip Code: 34981 Fax: City: Vero Beach State.FL Phone No. 772-828-8820 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 it 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: DESIGNE Name: Address: NEER: Not City: State Zip: Phone cable I MORTGAGE COMPANY: FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: — Phone: Not Applicable State: 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. BONDING COMPANY: 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 recordin your Notice of Commencement. r Signature ner/ Lessee/ o ractor as Agent for Owner STATE OF FLORIDA COUNTY OFSTLUCIE Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization this JL day of , 20A by DENNIS ZAGCK Name of person making statement. Personally Known x OR Produced Identification Type of Identification Produced ISignature of Notary �! :F Commi irin I`Io HH 'I] F REVIEWS FRONT COUNTER DATE RECEIVED DATE COMPLETED Signature 7Contractor/lwse Holder STATE OF FLORIDA COUNTY OFST I UCIE Sworn to (or affirmed) and subscribed before me of Pysical Presence or Online Notarization this i day of _.... &kYl-C 20A by DENNIS ZACEK Name of person making statement. Personally Known x Type of Identification Produced of AcgliOMDAGILLIS {Signature of Notary My COMMISSION # HH 045659 .;' EXPIRE43ii*p mber23,2024 Commissi.)Il fdo. ;� Banded Thru No public UnderwrIters ZONING SUPERVISOR PLANS VEGETATION REVIEW REVIEW REVIEW REVIEW OR Produced Identification of AcMi� AGILL� I� S - My COMMISSION # HH 045659 EXPIRES: 46r 23, 2024 mded Thnj_ publk Unde+wrttere SEA TURTLE MANGROVE REVIEW REVIEW Making it work. Making it right: Installation Work Order (772 )567-3100 2800 US Highway 1, Vero Beach, FL 32900 American Residential Services of Florida, Inc. License !! CMC1249753, CACI813963, EC13008558 CRESS EMWft it C CAusuP HOME p prviSeaEriiP ` CELL PHONE WORN PN01'IE SIZE 0 TYPE L'Alf, SIZE TYPE SIZE TYPE EFFICIENCY xewx S I EFFICIENCY EFFICIENCY $!� $ $ SUBTOTAL $/�h�Q� SUBTOTAL $ SUBTOTAL $_ — MONTHLY EST.* $ MONTHLY EST.* $ MONTHLY EST* $ CUSTOMER INITIALS CUSTOMER INITIALS CUSTOMER INITIALS Warranty: Parts Labor Warranty:" Parts labor Warranty:" Pads _ _ Labor Zo—Campressor Heat Exchanger Compressor Heat Exchanger Compressor _ --Heat Exchanger "Union alherw" "pled, d wwrwd" are Imm fM m•nulachrr. SPECIFICS OF • - INSTALLATION SELECfEDOPiIbN: ❑1 ❑2 ❑3 eatherproof Z—onnecl Drain Line QDehumidifier SUBTOTAL $ �� connect ❑ Ceiling Saver Kit E3 Outdoor Unit Pad Slab (Pan d Float) ❑ Flue Venting �dEquipment llsolation Pads ❑ Main Drain Safety Switch ❑ DucMrork Connections' u ite Conduit ❑ Seal New Connections ❑ Connect to existing plerxm $ emni t_L Dryer! E3 Support Attic Equipment M&pply Plenum ❑ Duct Modifications (w Not"fwwDpeof work) rr4 TOTAL S DO � of etrigerant �pii ew ❑T{eeonneet ❑ N connect etum Plenu © New Duct System ❑ No Duet YVorlc • ' efrigerant Pipe Cover CI New econneet C3 Fuel Piping 13 CASH E3CHECK# lion Vahre J.s1at—Type I Connect to l6dsting ❑ Electronic Air Cleaner_ ❑ Media Filler O POO ❑ Electrical Wiring ❑PROS Club Membership 1 Term (364 days) ❑ CREDIT CARD (LAST 4#s) EXP APPROVAL Electrical ❑ UV Ughi ❑FINANCING ❑ New Plywood Dock O Humidifier OUR 'ttif� Eir,6•rAUSA. Mrrr6rFEllC,m a +Ppmd orW1 Mir a Mr.ied aria ryar.r•d rnore�y pq"r•• b•r•d wr a9sve w a••+• rmta APR ❑ Comfort Guarantee El Home Protection Guarantee • v °" 1°""'" ,,L sid m arA01. 202a RrP•Mr'ue Ir„rs wry Mom 9a b 1N moMha khnhn•n lo•n ❑24•HourServiceGuarantee [7100% Unconditional Money -Back Guarantee w"wn�op.r",.�yapda,.,,.yMrna�. NOTES Cl,_W 4 Z411) G��NPs 1 $-'; llze. ��s Sg. 9 2r3C�v �� �fordet2 0/ ICampalry is not responsible for preexisting ductwork Sea Terms and Conditions on the f this document • V*Men customer authorization will be obtained before beginning any unforeseen additional or work • ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TOTi1ENOTICE AND CUREPROVISIONS R558,1LORIpASTATUTES • BUYER'S RIGHTTO CANCEL, This is a home solicitation safe, and N you do not want the goods or services, you may cancel this agreement by providing written notice to the seller In person, by telegram, or by mall. This notice must Indicate that you do not want the goods or ,Owen and must be delivered or postmarked before midnight of the third business day after you sign this agreement If you cancel this pgreamenf, the seller may not keep all or part of any ash down paymenL See the reverse side hereof for an eVianation of this rlghL • I acknowledge that my right to cancel has been erplained to me orally and in wriling, and without waiving my right to cancel, I sulhorbe the performance of the work, subject to all terms and cond'itiona set forth on the reverse side hereof, plus any laws upon completion. Notice To Owner- Do not sign this home Improvement contract in blank You are entilled to a copy of the contract at the time you sfgn Keep it to protect your legal dghtL This home improvement contract may contain a mortgage or otherwise create a Ilen on your property that a fo sad on if you do not pay. Be aura you understand all provisions of the contract before you sign. e'c: !a ER54NTURE Ono COMPANYREPRESEW E OMI A..,icwRefd"WSr LLCAO,yhumbw•& ARSIOM-FL-210210 L21o2io h, instal- 3n this tQ�n d} � ry OR INC t N Scanned with CamScanner Certificate of Product Ratinas AHRI Certified Reference Number: 206496783 Date: 05-18-2021 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) : 24ACC448AOL30* Indoor Unit Model Number (Evaporator and/or Air Handier): FB4CNP048L Region : North (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 2101240 with Addendum 1, Performance Rating of Unitary Air -Conditioning St 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 : 43500 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.00 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 Partcipant is no longer producing BUT is still selling or offering for sale. Ratings Thai a'e acco.-mnio t}y WAS indicate an invgluntary re -rate. The new Published rating is shown alonq with the Drevious 1i.0. WASi ra5na. 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.o►g. TERMS AND CONDITIONS 01 This Certificate and its contents are proprietary products of AHRI. ibis Certificate shall only be used for individual, personal and 1011- 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, AsIME113 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.ahridlrectory.org, click on 'Verify Certificate" link me make itfn hetrrr^ 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.: 132658235764178611 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 2913 MIDDLE RD SeclTown[Range: 19 35S..40E Parcel ID: 2419-344-0011-000-9 Jurisdiction: Saint Lucie County Ownership Cresencio Avellaneda Adolfina Avellaneda 2913 Middle Rd Fort Pierce, FL 34981 Legal Description 19 35 40 FROM NW COR OF SE IA OF SE IA OF SW 1;4 RUN E 150 FTTO POB, TH CONT E 96 FT, TH S 149 FT, TH W 96 FT, TH N 149 FT TO POB(0.33 AC) (OR 1696-899; 2090-594) Current Values Just/Market Value: $219,300 Assessed Value. $176.924 Exemptions: $50,000 Taxable Value: $126,924 Property taxes are subject to change upon change of ownership. • Past taxes are not a reliable projection of future taxes. • The sale of a propertywill prompt the removal of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Download PDF 12 Use Type: 0100 Account #: 27409 Map ID: 24, 19S Zoning: RS-3 - Cou Total Areas Finished/Under Air (SF): 2,391 Gross Sketched Area (SF): 3.46 Land Size (acres): 0.33 Land Size (SF): 14,3748 Building Design Wind Speed Occupancy Category I If III & IV Speed 140 150 160 SourcesAnks: 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.