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Home My WebLink AboutPINE LAKES 7333All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: .3 o - Planning and Developmentservices Building and Code Regulation division 2.300 Virginia Avenue Fort Pierce FL 34582 Phone: (772) 462-1553 Fax: (772) 462-1578 Property Tax ID #:- ; ; Site Plan Name: � t Project Name: f' f ( t CONSTRUCTION INFORMATION: Permit Number: Commercial Residential Lot No. Block No. Additional workto 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: $ U—J S� f� Utilities: --Sewer _Septic Building Height: OWNERf LESSEE; CC3NTRACTOIi, Name i 11Call Name: b ft-tc le - tl' Address: C � � Company: P �` � !f f)� city: _ . !lL !!�� _ State: leA Zip Code:300-1. (� 0 L Fax: Address: �6� City: W State: �.. Phone No. Zip Code: { Fax:i ��%'iY0 E -Mail: PhoneNo Fillin fee simple Title Molder an next page (if different E -Mail i Llr . g— from the Owner listed above) State or County License If value of construction is $2500 or more, a RECORDED notice of Commencement 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: i 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. 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 P05TED 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," G Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of C ractor/License Holder STATE OF FLORIDA CO { J NTY O F PALM BEACH STATE � OF FLORIDA COUNTY OF PALM BFAci4 The f r oing instr ent was acknowled d before me The forgoing instru ent was acknowledged before me this day of !7 20 by this day Ot { 20� by RORY RAMCHARAN RORY RAMCHARAN Name of person making statement. Name of person making statement. Personally Known x OR Pri Type of identification r,ea N� p� Soto of Produced 'P CAMILLE ALI AMR d� MY Ccmminft GG 9 a,� Explisa 03t3 QM4 (Signature of Notary Public- State of Florida ) Commission No. FF976919 (Seal) Ily Known x OR Produced Identification Identification rte. CAAAI LLE '41- �R �C+ei►�G 9; (Signature of Notary Public- State of Florida ) Commission No. FF976919 (Seal) REVfEWS 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: 201196361 Date : 01-30-2020 Model Status : Active Old AHRI Reference Number : 7516243 AHRI Type: RCU-A-CB Series : GSX14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140301 K' Indoor Unit Model Number (Evaporator and/or Air Handler) : AWUF31 XX16A' Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NO, 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.x240 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 : 28000 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."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still sellingor offeror for sale. Ratings g te. The new... published. rating is.showU=L%d%dhhtthe revious fi.e. WAS�ratina. Ratincas that are aocomnanled by WAS indicate an rnvaluntaN re ra 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 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; entered into a computer database; or otherwise utilized, in any form or manner or by any means, exceptfor the user's individual, personal and confidential reference. , lWOONDMONING, HEATiNQ, CERTIFICATE VERIFICATION -- ?ION IN8TtffST3 The information for the model cited on this certificate can be verified at wtvtv.abridirectery,org, click on "Verify Certificatc" link make life better' and enter the AHRI Certtfied 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. a202OAir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132248948347410290 Certificate of -Product Ratin AHRI Certified Reference Number: 201196361 Date : 01-30-2020 Model Status : Active Old AHRI Reference Number :7516243 AHRI Type: RCU-A-CB Series : GSX14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140301 r Indoor Unit Model Number (Evaporator and/or Air Handler) : AWUF31 XXII6A' 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, SO, 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 :28000 SEER: 14.00 EER (A2) -Single or High Stage (95F) :11.50 -rActive" Model Status are those that an AHRI Certification Program Participant Is currently producing AND selling or offering for safe; OR new models that are being marketed but are not yet being produced."Productlon Stopped" Model Status are those that an AHRI Certification Program Participant Is no longer producing BUT is slill selling or offering for sate. Retinas that are ac omni ried v WA €nd"a ata an involuntary, re -rale, The new oubllshed rating is show !A'— with the previo.us._(i-e. WAS) 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 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 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; Arm 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-WNDITI NiING, HEATING, CERTIFICATE VERIFICATION &i EFRIQMTWN INSTMJiE The information for the model cited on this certificate can be verified at click on "Verify Certificate" link 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. 02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132248848M7410290