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HomeMy WebLinkAboutPINE LAKES 7715All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED] Date: Permit number: iPi O Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-5553 Fax. (772) 462-1578 Commercial Residential _ _ X— RERMITTVPE: PROPOSED IMPROVEMENT LOCATION- Address: Property Tax ID #: -3 q c�-a f�_ f(oDC)cq D D O (p Lot No. Site Plan Name: Lti ¢ Block No. Project Name:%� ITS DET AILED OESCRIPTibN OF WORK: - /L -c c rti C -Y kur/ Yj-:f—'— LS � Lt-nf ✓q— rte! -7-0(1 H I L tyn 4, OCAi n t Lf 9~fer- �5 t� CONSTRUCTION INFORMATION: Additional work to be performed under this permit-- check all that apply: Mechanical _Cas Tank Cas Piping _Shutters Windows/Doors — Electric — Plumbing Sprinklers Generator Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ q ` �;v OWN Name Address: City: IP -11't State: Zip Code, rp l=ax: Phone No. E -Mail: Sq. Ft. of First Floor: Utilities: _Sewer _ Septic Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name -._4( Company: Building Height: ric— Address 91 D tbu'n `r r City: 14) '� State: f Zip Code: 41 1 Fax: Phone No J{'(.0 E -Mail! State or County i icense� t' j� If value of construction is $2540 or more, a RECORDED Notice of Commencement is rec If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER, Not Applicable Name: BONDING COMPANY: Not Applicable 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. 5t- 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 Horne 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 IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT w111TU vn"re 1 ENDED OR AN ATTORNEY REI:ORE RECORDING YOUR NOTICE OF COMMENCEMENT:' Rev. 2/7/19 SignatiYre o wner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA CO U NTY O F PALM BEACH COUNTY O F PALM BEACH The fgr�g,oing instrument was acknowledged before me ' i The forgoing instru pnt.nps cknowledged before me 20 j by this _� day of Y ; �_ J 20 by `� this day of RORY RAMCHARAN RORY RAMCHARAN 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 (Signature of Notary P.' (Signature of Notary b ate Q� qy 15h, iwte of Florida k r#n E .Gorharn "�I Nagy! Public State of Florida Commission Ni. �• � "g'QI� G333353 � �^,fnb 12lt IQ023 Commission Na. My Commission GG 939353 Expires 1211112023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19 Certificate. of Product Ratings AHRI Certified Reference Number - 201407615 Date : 01.30-2020 Model Status: Active Old AHRI Reference Number : 8631966 AHRI Type: RCU-A-CB Series: GSX14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140241 L' Indoor Unit Model Number (Evaporator and/or Air Handler) : AWUF25XX16A' Region : Southeast and North (AL, AR, DC, DE, FL, GA, Hl, 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, 81, 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 GOODMAN 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 & 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 : 22000 SEER: 14.00 EER (A2) - Single or High Stage (95F) _ 11.50 -r 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 Participant is no longer producing BUT is still selling or offering for sale. Ratings that are, accompanied by WAS indicate an in�vQl nt�anr_re rate:_ :The newpubfished r lin is shown along with tfi8 previa Sri -e- WASE ralinct. 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 vaiid only for models and configurations listed in the directory at: ezcdy.casg. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personas 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. &REF EGERAN0fI STffUTi, CERTIFICATE VERIFICATION �REFe!lt3t RA77[3N IWSTITIlTE The information for the model cited on this certificate can be verified at utisttv.atirldfreotory,or.L, click on "Verify Certificate" link wemaim li€ehetter- and enter the AHRI Certified Reference Number and the date on which the certificate was issued, _N which is listed above, and the Certificate No., which is listed at bottom right. 132248847353659540 ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: Certificate. of Product Ratings AHRI Certified Reference Number:201407615 Date: 01-30-2020 Model Status : Active Old AHRI Reference Number: 8631966 AHRI Type: RCU-A-CB Series : GSX14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140241 L' Indoor Unit Model Number (Evaporator and/or Air Handier) : AWUF25XX16A' 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 GOODMAN 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 :22000 SEER : 14.00 EER (A2) - Single or High Stage (95F) : 11.50 {"'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."Produclion Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale Ratrnos that are accom �nied_ b WAS indicat n involuntary re rate.__ ThQ new publlstr d tmp Is sewn along with the.previous __ WAS) raring _-_ -._. 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 3 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, Amn entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AIR-CONDMONINR, FFAt<f1111111% personal and confidential reference. &REFRIGERATION INSTMIM CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at iia v.ahridlrectory.org, click on "Verify Certificate' link we make lira 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. j 132248847953659540 02020Air-Conditioning, Heating, and Refrigeration Institute } CERTIFICATE NO.: