HomeMy WebLinkAboutMECH APP 7597 PINE LAKESAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
e �
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial
Residential
PERMITTYPE:
L r�f Cha na-
PROPOSED
DD7IMPROVEMENT LOCATION:
Address: I �� Il/�1 d
Li
Property Tax ID #: 34 �� �� ! DC)o- Lot No.
Site Plan Name: (n e— S 6t rrtpuL 4 Block No.
Project Name: l n e- Li.,1 -S 44n e rve—
(DETAILED DESCRIPTION OF WORK: �
�5TIq R i q 9-ee r LIJ
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit --check all that apply:
Mechanical _ Gas Tank _ Gas Piping Shutters
— Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ cs�iQo.ob
Sq. Ft. of First Floor: _____
Utilities: —Sewer —Septic
T Windows/Doors
____ hoof Pitch
Building Height:
Oi�111lER/LESSEE:
CONTRACTOR:
Name ' Li
Company.
Address
im
_f.L 9.
�C1 i
Addree11
City: State:
-1, A
Zip Code: w3a % p Fax:
Phone No.
City: State: F�
Zip Code: Fax: J��O �J!— LM
Phone No
E-Mail E} (lD L'02 LU�
State or County License
E-Mall:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
vauc ul c vimuuLtluls ,h , cz1vv ar mere, a Kr%-LPKwtU suonce oT i.ammencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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,"
l
Signature of Owner/ Lessee/Contractor as Agent for Owner Slgnatur of C ractor/License Holder
STATE OF FLORIDA
COUNTY OFPALM BEACH
The foreoing instrument was acknowledged before me
this i 3 Jay of 26IBby
DORY RAMCHARAN
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
STATE OF FLORIDA
COUNTY OFPALMBEACH
The forEoing instrument was acknowledged before me
this' day oi _r 20_Xby
RORY RAMCHARAN
Name of person making statement.
Personally Known x
Type of Identification
Produced
OR Produced Identification
(Signature of Notary Public- S
nature of Notary Public-
FFq-70g(A
1Jotsry Public Stale of Swid I.fir
�(S�IILLE ALI-AMRAT
C mission No. FFG) 9la�
p�, c State of Florida
+P Mk E ALi-AMIRAT
Commission No.
Dmmis�ion GG 970989
Expires 0313W024
My Comminion GG 970969
Eons 0313012024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ru nai C E RTI Fi E D°
www.ahridirectory.oig
AHRI Certified Reference Number, 9478882 Date: 04-14-2020 Model Status : Production Stopped
AHRI Type: RCU-A-CB
Series: 14 SEER N SERIES R410A AC
Outdoor Unit Brand Name : TEMPSTAR
Outdoor Unit Model Number (Condenser or Single Package) : NXA418(A,G)KC*'
Indoor Unit Model Number (Evaporator andlor Air Handier) : FMA4P18**A*
Region: Southeast and North (AI-, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, 1L,
IA, IN, KS, MA, ME, MI, MN, MO. MT, ND, NE, NH, NJ, NY, OH, OR, PA, Rl, SD, UT, VT, WA, WV, Wl, 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 TEMPSTAR product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSVAHRI 2101240 with Addenda 1 and 2, 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 : 17000
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.50
?"Active" Model Status are those that an AHRI Certification Program Participant is currendy producing AND selling ar offering for sale; OR new models that are being
pad'? Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
marketed but are not yet being produced ?Production Stop
selling or offering for sale. is shown along with the
Ratin s that are accompanied b WAS indicate an involuntaryre-rate. The new ublished ratin previous i.e. WAS rating.
DISCLAIMER
AHRI does not endorse the praduct(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 www.ahridirectary.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal,disse 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, AIR-CONDITIONING, HEATING,
personal and confidential reference_ & REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION a'e make life better"'
The information for the model cited on this certificate can be verified at www.ahridirectory.arg, 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.
CERTIFICATE NO.: f 132313586091764900
OO 2020Air-Conditioning, Heating, and Refrigeration Institute
ciiw.ahridirectoCertificate .rof Product y.orcJ
Rati
_
AHRI Certified Reference Number: 9478882 Date: 04-14-2020 Model Status : production Stopped
AHRI Type: RCU-A-CB
Series: 14 SEER N SERIES R41 OA AC
Outdoor Unit Brand Name: TEMPSTAR
Outdoor Unit Model Number (Condenser or Single Package) : NXA41 B(A,G)KC**
Indoor Unit Model Number (Evaporator and/or Air Handier) : FMA4P18**A*
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD. MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, Ica, IL,
lA, 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 TEMPSTAR product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSIIAHRI 2101240 with Addenda 1 and 2, 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 : 17000
SEER: 14.00
EER (A2) -Single or High Stage (95F) : 11.50
?"Active" Model Status are those that an AHRI Certification Program €'arfiielpant 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.
Ratin s that are accom anied b WAS indicate an involunta re -rate. The new ublished ratin is shown alongwith the previous i.e. WA5 ratin .
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),
orthe
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-
TEitMS AND CONDITIONS
cts of AHRI. This Certificate shall only be used for individual, personal and
This Certificate and its contents are proprietary produ
confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;
AM
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AIR-CONDITIONING, HENrING,
personal and confidential reference- & REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION click on "Verif Certificate" link we make life better -
The information for the model cited on this Certificate can be verified at www.ahridireetory.org, y
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 ~4 132313586091764900
D2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: