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HomeMy WebLinkAboutPINE LAKES 7471Building Permit Application Planning and Development.Services Building and Code Regulation Division 2.300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential T '` PERMITTYPE: A -W l �l�P`Xar-L Chana-e cmtl PROPOSED IMPROVEMENT LOCATION: Address: Property Tax lD ##: 3 ,�-a 5 +bc)0-1 D DC, Cp Lot No. Site Plan Dame: (fl G'_ro u -L Project Name: (n e � ��(­I� Block No. -S i �'irl�` DETAILED DESCRIPTION OF WORK: LOC±U -;T L2 ii i CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: Mechanical Gas Tank Gas Piping _ Shutters Windows/Doors Electric _Plumbing _Sprinklers Generator —Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: Utilities: _ Sewer Septic Building Height; OWNERJLESSEE: CONTRACTOR: Name !1 Name: D�, Address:(? {�[ Cam an Pf Company: P, l City: !1 State: &—A Address:�+ �� Zip Code; 303a LO Fax: City: l State, �-K- Phone No. Zip Code:11 _ Fax:.5—Ca 57746Q� E -Mail: PhoneNo Fill in fee simple Title holder ort next page (if different E -Mail f' from the Owner lister! above) State or County License If value of construction is $2500 or more, a RECORDED Notice of Cam mencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW 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: Prone: 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 YOUR PAYING TWICE FOR IMPROVEMENTS 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature oT Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF PALM BEACH The forgoing instrn� pn+wa acknowledged before me this �(day of�` 20 by RORY RAMCHARAN Name of person making statement. Personally Known x OR Produced identification Type of Identification Produced Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF PALM BEACH The forgoing instruppent wa acknowledged before me thisday of. ZQ by RORY RAMCHARAN Name of person making statement. Personally Known X OR Produced Identification Type of Identification Produced (Signature of Notary Public- tate of Florida } Q i tare t)t Florida Commission No. Y J�taryam �; Karen w < My Com 2ssion0 3 935353 eV. 1 a� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATIORLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED eV. 1 www.ahrid!rectory.org Certificate ofProduct Ratinos 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, 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 21 W240 with Addendum 1, Performance Rating of Unitary Air-Condltioning & 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 1"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new modes 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 accomoanied by WAS indicate an Invomluntaryg a �r��teTh new �uhhshed rating is shownIQr3wdh the, previous (ig WA5 rating 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 tate 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 :. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personar and MOM W confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; irm entered into a computer database; or otherwise utilized, in anyform or manner or by any means, except for the user's individual, personal and confidential reference. AIR-CONDMON1NG, HEATING, CERTIFICATE VERIFICATION & REFRRI®ERATWIN WSTR= The information for the model cited on this certificate can be verified at yravw.ahrldlrectory.ori=, click on "Verify Certificate" link we mafrefifebetter- 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. — -- -" ©202OAir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13224a®47953659540 Certificate of -Product Ratings W1 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) : AWUF25XX16Aa 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, fA, 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-CondRioning & 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 -1Active" Model Status are those that an AHRI CerWication 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. Rahngs that are atom nixed by WAS 1ndicaleqn invQluntary�re-rate__ The newuhlished ratings na swngwrth the prevrous�i e. WA$��atinu. p 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 c" cl, rte. TERMS AND CONDITIONSit 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, POW IIW" personal and confidential reference. AIR4*WntWRINB, FIEMNO, CERTIFICATE VERIFICATION &REFRIMUTIONINSTMrrE The information for the model cited on this certificate can be verified at znww.ahridirectory.erg, click on "Verify Certificate" link erre nmlw Hfe 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. 13224884795365954002020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE IVU..