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Home My WebLink AboutScanned from a Xerox Multifunction Printer.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 2/7/2022 Permit Number: 9,7. auar 0 Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: HVAC / Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 4 GRANDE VISTA WAY X Property Tax ID ##: MOBILE HOME Lot No. Site Plan Name: 4 GRANDE VISTA WAY, PORT ST. LUCIE , FL, 34952 Block No. Project Name: WILLIAM BENNETT DETAILED DESCRIPTION OF WORK: Exact AC change out, no duct work 3.5 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 _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: $ 10,118 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name WILLIAM BENNETT Address: 4 GRANDE VISTA WAY City: PORT ST. LUCIE State: fL Zip Code: 34952 Fax: Phone No. 802-345-0742 E-Mail: Fill in fee simple Title Holder on next page { if different from the Owner listed above) Name: Dennis Zacek Company: ARS I Rescue Rooter Address:_2800 U S HWY 1 City: Vero Beach State -FL Zip Code:.. 32960 Fax: Phone No 772-794-7205 E-Mail mgillis@ars.com 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: 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: 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Homeowners 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 :n accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. he 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. erg• Signature of Owner/ L e/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF -St Lucie Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization _X this ] day of _ ruc, f 2L by �U1Ul c S _ Zu C6 Name of person making statement.. Personally Known X OR Produced Identification Type of Ide tifi ti n Produced (Signature of Notary Public- State of Florida) Commission No. HH 045659 (Seal) MIR IDAGILLIS k(y��y��`,•' FJ(PIIiE�Se�n6erl �045858 n REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW I OaTF RFCEIVED DATE COMPLETED �\ l Making ilwork Making Installation Work Order (772 )567-3100 2800 US Highway 1. Vero Beach, FL 32960 American Residential Services Of Florida, Inc. License 0 CMCt249753. CAC1B13963. ECI30085513 Est. Start pate " -aa Est. Completion Daled._I -Ju cuslor/l[ r 1 E,�x GALA SUP ADDRESS TATE Ip v , 5�� s ti F� `1gsa NPr.IEH+fawrno^ , llis_ir � a CE ONE Cl wORKPt1ONE ,I • ' • OPTION •• OPTION E s3 J TocL TYPE SIZE 2J S ra TYPE �c,�n�.f — SIZE TYPE EFFI NCY I�r _ _ EFFICIENCY EFFICIENCY $—� $ $ - "$—Sava $ — $ $ $ SUBTOTAL q SUBTOTAL $ 1SZ� Ll_ SUBTOTAL $ MONTHLY E $ MONTHLY EST.- $ MONTHLY EST.* $ CUSTOM INITIALS CUSTOMER INITIALS CUSTOMER INITIALS Warr y:•' Pan3 O _ r Warranly:"A_0__ Parts QC1, L._ Labor Warranty:*'— Parts Labor _Compressor .1-Q_Heai Exchang Compressor LO Heat Exchanger Compressor Heat Exchanger "Unto.. othenvisa nolod, dl warrimoes sm from the marlurachaw, • SELECTEDOPTION: V 1 02 03 I�Lwealherproof WReconnect Drain Line der Disconnect ❑Gailing Saver K ❑ SUBTOTAL $ ® Lifetime Equipment Slab (Pan & Reat) f� Sound Isolation Pads I&Main Drain Safely Switch �pV Ductwork Connections' $ 6LLiquid Tile Conduit $Seal New Connections M Connect to existing plenum $ Q6Rert-Iftt ElAim"4edificatiorh3 19 Refrigerant ILL. Dryer, 9 Supply Plenum TOTAL $ 1 1b ❑ Rernne•anl PiD� ❑ New ®Reconnect ❑�� ^rf Sy�..- ❑roew ELR ecau..g,,,,,RRetumPlenun .laNe�Bl�Work- ❑ New 8 Reconnect GWve44pfng 0 Expansion Valve _ V Electrical wiring p CASH 0 CHECK# ®T•Siat -Typ 1 r i ' C3AAaslie-FiNer f] PR 14CREDIT CARD (LAST 4#s)!Q IQ Connect to F�cisling Q•PB9- t �R (364da EXP APPROVAL Electrical ❑tit 044— en ❑ FINANCING OUR GUARANTEES _ Znars Er -Is" +aPp'� emd4 1w 46 erriImfted u r�EArnsrad me„Ily deae. e�q ��°,.°l°". -w44fiWrbw rmW I. I.ry. Guarantee IgHome Protection Guarantee ;4-mHt�10096UrrcvrditionalhlDnoyBackGuarantee "ton'meServieeGuazanlee ,�e,,,u.ppy,oe,rr,s;q,p;or,e,,,yeew,k"M 'Conrpaulr is not rosponsibto for precaisl,ng ductwork. See Tonne and Conditions on the back of this document for details. • Written customer authorization will be obtained before beginning any unforeseen additional or extended wak • ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CUREPROVISIONS OF CHAPTER 558, FLORIDA STATUTES. • BUYER'S RIGHT TO CANCEL: This is a home solicitation solo, and It you do not want thagoods 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 services and must be delivered or postmarked before midnight of the third business day after you sign this agreement If you cancel this agreement, the seller may not keep all or part of any cash down payment See the reverse side hereof for an explanation of this right. • I acknowledge that my right to cancel has been orplained to me sally and in writing, and wilimul waiving my right to cancel, I authorize the perfomlance of the work sublect 10 as terms and condition . eel lorth on the reverse wdo hereof, plus any lases upon completion, Notate To Owner - Do not sign this home Improvement contract In blank. You are entitled to a copy of the contract at the time you sign. Keep it to protect your legal rights. This home Improvement contract may contain a mortgage or otherwise create a Alen on your property that could be foreclosed on It you do not pay. Be sure you understand all provisions oljhe contract before you sign. rtr I.-Effi TER SIGNATURE SATE COMPANY REPRESEMAINE CUSTOMER SIGNATURE DATE 02021 Mmr flerde"Smwr LLC.N,iOManfe,wd ARStQm_FLj' T9210 L210210 & •,A-aa DATE 926e Scanned with CamScanner Certificate of Product Ratings AHRI Certified Reference Number: 7490506 Date : 02-07-2022 Model Status: Active AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Series: R410A AC SPP Outdoor Unit Brand Name! CARRIER Outdoor Unit Model Number (Condenser or Single Package)! 50ZPC042--30" Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, 1D, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, 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 - 2017 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 : 41000 SEER: 14.50 EER (A2) - Single or High Stage (95F) : 11.50 t Active' Model Status are those that an AHRI Certification Program Participant is currently producing AND sell ng 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 still selling or offering for sale. Riatirmr, that am aPWmpanied by WA$ indiuia an fnkplu,1Wty re -race. The ^,gw pUhlishW ratinp i* *hrnvn Aci.x; wilh tho uruwiQua fi a WAS1 ralina. 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 products) 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 �H21 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, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verifled at www.ahridirectory,org, dick on 'Verify Certificate" link se make Ide 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 02022Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13288722o353803381