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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 8/31/2021 Permit Number: 9'r.Wars O � p ft 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 FOR:HVAC / Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 5714 Balsam Dr Fort Pierce, FL 34982 PropertyTaxlD#: 3402 -61 0- 0297-000-4 Lot No.6 Site Plan Name: 5714 Balsam Dr Block No. 80 Project Name: Tyler Harper DETAILED DESCRIPTION OF WORK: Exact AC change out,no duct work 3 Ton, 14 Seer, 8 KW 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:$ 9,376 Utilities: —Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Tyler Harper Name: Dennis Zacek Address:5714 Balsam Dr Company: ARS/Rescue Rooter City: Fort Pierce State: FL Address: 2800 U S HWY 1 Zip Code: 34982 Fax: City: Vero Beach State:FL Phone No.352-444-0071 Zip Code: 32960 Fax: E-Mail: Phone No 772-794-7205 I 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: X Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: Name: Address: Address- City: City: Zip: Phone: Zip: Phone: 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 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. + _ F•, a _ s _Signature of Oivr er/Ee see/. g�,r,t Signature of Contra r/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF SiL ae COUNTY OF 9l Lum The for oing inst ument was acknowledged before me The forgoing instrument was acknowledged before me this�� day of 20 Z,�_by this::!)].day of 20 Zk by Dennis Zacek Denni;Zacek (Name of person acknowledgin ) (Name of person acknowledging 1 (Signature of Notary Public-State of Florida} (Signature of Notary Pu lic-State of Florida 1 Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. '" MIRANDA GLLIS Commission No. MY COMMISSION#HH 045659 't= Y"" MIRANDA GILLIS EXPIRES;September 23,2424 i"`'` �F F`••° Bonded Thin Notary Pubic Undersvritets c.; ,: HH 045659 Revised 07/15/201 Po EXPIRES:Septemb^r23,2024 :y :,F :' Bonded Thm Notary Publi-i'nd:writer: REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATItIN SEA TURTLE MANrROVF I COUNTER REVIEW REVIEW REVIEW I REVIEW REVIEW I REVIEW DATE COMPLETE INITIALS rrllea+�af+an Work ordrr 1 , E i L E 15 L 7 S 4 ti+-.titi , {;T' /, u:-FJTHLY EST •,rr.. 'I,LY Ear' S. 1• *5't rc +'t:xl ti 4VL•11 rf:.i! r"nL;i Ct,3TnUE.R iJ�at:: _ r' 4.. y. ..i 1. ai�wl Lreho,p•. Cn.q.. .one IIN14r.t arFl.nl C..Frr.«w _l at ...,,.. . .. •,. - . SF!FC"r0 4t''r}9r1. ❑7 ,[]�L53 ' 1 44Fetl*rrR•+xrf �7..n.n,«r,r?}.yi. I.r e U n AAA''''''«lu., -7� fir..,——- SUBTOTAL . Dsr=.an i Ur."-�Sarw K )"Trinnr rind Mot LMr.h71C Cqupmnnt Stal. (Pan rlolunve ..nj I S tir rl[/kanlr.IwF"Frw.ly. A%1%U'wrl r7UuttVAA(1i r ...:t.W1;e rMutd'rite C'et.dui[ 15-Seel N"wConnaetam, ❑ti.nn!vl1vk—lll Ow,dr, l {� ,}`two Kit I i Su?oD^l A.•rlr.EqJ1f,rinel V Duct fVlxiFra:rx,e I Rn4'ga•anl LL Dryer_ [1S,+pnly Fr •,ur, t..r.4zw.v.«:rf.r:d vrrl I TOTAL R.7 npow-1 FTHa n N v rPF.'acrnnar•1 0 Nrrr(}gut SVet«tr 0 Fgew t%i au x'rer.1 II Rr!urn Pin-_-n ❑4n I Xirt 1.Lkryk 0FR.fr4veant11%PW(.Puer ❑NawWlRauunrlaut Clr'rrrlp'rn•g ❑CArtt t`1CItiFC,Kit eglAfISIG'I Valve' ❑tlaaltusiu AF wd1 r_ 171 OrMrcal Wiriny [Flal—;n K7441 4__ I IMutrn h.Wr Cl PROS Club hlwroba,ship II Ar_DI,CARD tt.A.iT aitij.2 rl 'e+ct to Fx;Stir:g d P00 1 T¢,ln 1364 days) FXP APPROVAL Clocir++l �J tIuvll r,t rw Ytywood Der.k 0 J amidfnr I CI FINANCING lNC; ten•at+^+dwt N..s w,l.ekrrr:w rlwMrrt:Yl:,aw OUR I 471 ,,,rrr..�r.nr•rr n'nwa r.rn S•7-nio5'+•++ry mye ,.y,rr.l.,r,:rr.l ..t.,•.na,.,. B'..+..r,.wi ,wcl City!-'rGri t'7l}8rdnt'4P rlPm:!l'IOr2G11011 t`.1t{8Yd'2C0 I lawn J.t�Jiht w.t..r .nti�4 mTt.M�r.�l tw'.!.'�Vit•. Irf.rw,e..nr..mn.r;>•:m!tl w:aa-.rr,.�Nnn.m ra.. 24•FfourSerorosGuar;4nrde iompzNUrimiditonslMoncy-RnrkCinorarlrr. • TLo St-T ?t4,,, C" r -I a Company is nol responbiblc for preexisting duchvarA.See TerrnR a,d Cond"aio's an thu hack of tha dooumcllt rol details •Wnitert customer autt'.arrzatlon Mlt bs rsbta:red butote beplrning alv unforeautto ai4lions,of tlaicoded woik. •ANY CLAIMS FOR CONSTRUCTION DEFT CTS AR E SO B)ECT TO 1 H F N OT10E AND CURE PRMEMONS OF CHAVMR 66%FLORIDA MAIMS BUYER'S RIGHT10 CANCEL.This IS A horns 5010tation sate,and If you do nat want the goods of services,you may Canal this atgttaetnent by providillog written notice to the Belief in person,by telegram,or by mail, This notice must indicate that you do riot want the 200d,or servlees and must be delivered or postmarked before midnight of the third business day after you sign this agreement, it you cancel this a9momenk the seller may not keep all ar part of any cash down payment. Seethe rl:uerse Blda heteot loran exptanetion of this right. I acknowlodge drat my right to car7cal has boon explained to R-e orally and n writing,and withar;t wan'ng my rvcV%l to cancel,I auttmr+Yo the pgrint;=ros of the work,sub;Rcf to 0 terms and conortions set forth on the reverse side heteof,plus any taxes upon completion. Notl�To Owner-Do not sign this home Improvement contract In bank.You are emitted to a copy of the contract at the Umeyou sign, Kmp It to prottod your legal hl,s This home Improvement contract may contain Is mortgage or otherwise agate a lien on your pragnrty that cajdd be f f Ya do not pay.Be sure you undfr eiistand all pr Ions 01 the contract before you sign, �& . —' Nam Fir P A 5 HTATWE CUSTO R r °Are 9 902)A"ww FbaltGsxur SaTY+oe•t LC Al rtilrftfrid"t8d IfftSl ale It_7102i0 C,�1a210 X901213 o 1 rectory.Drg Certificate of Product Ratings AHRI Certified Reference Number;9544050 Date:08-31-2021 Model Status:Active AHRI Type,.RCU-A-CB(Split System:Air-Cooled Condensing Unit,Coil with Blower) Series:14 SEER AC Outdoor Unit Brand Name.BRYANT HEATING AND COOLING SYSTEMS Outdoor Unit Model Number (Condenser or Single Package).BA14NA036'0"A' Indoor Unit Mode;Number(Evaporator and?or Air Handler):FB4CNP036L 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 requ rement. The manufacturer of this BRYANT HEATING AND COOLING SYSTEMS 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 party testing: Cooling Capacity(A2)-Single or High Stage(95F),btuh:33200 SEER: 14.00 EER(A2)-Single or High Stage(95F) :12.00 VActive"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 Slopped'Modal Status are those that an AHRI Certification Program Participant is no longer producing BUT is still £ailing or offering for sale. tiros thal.are accompanied by WAS indicate ar, nyolonaw m-raie The.new Pcblishod relirsj is st-owri alorsj wiN lh.a oreviGjs(i.e.WAS5 rat nra 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 producl(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 confidential reference purposes.The contents of this Certificate may not,in wrio;r=ar in part,be reproduced;copied;disseminated, �r , entered into a computer database;or otherwise utilized,In any form or manner or by any means,except for the user's individual, LA 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 %,e make life better- and enter the AHRI Certifled 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. 02021 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 132749040598913400 Michelle Franklin, CFA-- Saint Lucie County Property Appraiser--All rights reserved. Property Identification Site Address: 5714 BALSAM DR Use Type:0100 See/Town/Range: 12 36S/40E: Account#:38431 Parcel 1D:3402-610-0297-000.4 Map ID:34:12N Jurisdiction:Saint Lucie County Zoning:RS4 Count Ownership Tyler J Harper x 5714 Balsam DR Fort Pierce,FL 34982 Legal Description INDIAN RIVER ESTATES-UNIT 09-BLK 80 LOT 6(MAP 341-'12N)(OR T 4063-1854) Current Values Just/Market Value- 5197,100 Assessed Value: $161.830 Exemptions: $161,830 F Taxable Value: $0 Total Areas Property taxes are subject to change upon Finished/Under Air(SF): 1,748 change of ownership. Gross Sketched Area(SF): 3,044 • Past taxes are not a reliable projection of future taxes. Land Size(acres}: 0.28 • The sale of a property will prompt the removal of all exemptions,assessment caps,and special classifications. Land Size(SF): 12,168 Taxes for this parcel: SLC Tax Collectors Office 12 Building Design Wind Download TRIM for this parcel: Download PDF p Speed Occupancy Category I II III&IV Speed 140 160 170 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.