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HomeMy WebLinkAboutPINE LAKES 7363All APPLICABLE INFO MUST BE COMPLETED FOR APPLICA'f ICIM TO BE ACCEPTED Date: Permit Number- i Ii MrN Planning and Development services Building and Code Regulation division 2300 Virginlo Avenue, Fort Pierce FL 34982 Phone: (772) 452-1553 Fam (772) 462-1575 Commercial Residential PERMI T TYPE: 3 l I t ct` f4 PROP05I D IMPROVEMENT LOC4TIOi1I: Address: —13u Property Tax fD #: DDO-1 Site Plan Name: iii (IL t_Vt L ii Project Name: l C ` o Jr o C DETAILED DESCRIPTION OF WORK. 1 L-1 gtner CONSTRUCTION INFORMATION: 000 E Additional work to be perEarmed under this permit— check all that apply; Mechanical _Gas Tank `Gas Piping _Shutters ._._ Electric _ Plumbing „Sprinklers _ Generator Total Sq. ft of Construction: 5q. Ft. of First Floor: Cost of Construction: $ ':�q 1'3 • so Utilities: —Sewer Se_ _ ptic OWNER/I_I SSEE: - CONTRACTOR: -'--. -I �� ��c�r air I- v "f Company:i ✓`� City: r-r� �/� /1 r _ State: "i ; Address: o a Zip Code: �G� Far: City: i Phone No. Zip Code: E -Mail: Phone No J��"��La Fill in fee simple Title molder on raeYt ;nage (i$ different E -Mail Worn the Owner listed above) State or County Licen H value of construction is $2500 or more, a s3ECOMED No -,ice Of Cama, encemen4 is required. ii Value Of HVAC 15 $7,500 or more, a RECORDED Notice Of Commencement: is required. Lot No. Block No. — Windows/Doors Roof Pitch Building Height: State: tZ Fax: 55721L " i`r rt 8- t�i'�i` :SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip Phone-, BONDING COMPANY: Name: Address: City: Zip: Phone: Not Applicable 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 Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conffict 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 ail respects, perform the wark 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," , 21 t Signature of Owner/ Lessee/Contractor as Agent for Owner Signatur of C Tactor/LicenseHolder STATE OF FLORIDA COUNTY OFPALM BEACH STATE OF FLORIDA COUNTY OFPALM BEACH The forgoing instru gent was acknowledged,before me this I—r— day of, toy The for Ding instrurpent was acknowledged before me th is day of 20ZD by RORY RAMCHARAN RORY RAMCHARAN Name of person making statement. Name of person making statement. Personally Known x OR Produced Identifica Type of Identification Personally Known x OR Produced identi VORNINLi Produced Type of Identification n Ci Produced rn • rn (Signature of Notary yyPublic- of Florida } �� -� � � (Signature of Notary Public -State of Florida) o u, /St,,�ate FF 17 ci � [.� Commission No. (Seas} " �a Commission No. F��9 (S i)CD A G7 � dr y�►s y R1=VIEWS FRONT ZONING COUNTER REVIEW REVIEW PLANS VEGETATION SEA TURTLE REVIEW REVIEW REVIEW p REVIEW DATE RECEIVED DATE COMPLETED CeAfficate of Product Ra.-�ongs AHRI Certified Reference Number: 9487254 Date: 04-14-2020 Model Status: Pr6duction 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) : NXA424(A,G)KC— Indoor Unit Model Number (Evaporator and/or Air Handier): FMA4P24'*A` Region: Southeast and North<AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, NIS, 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 TEMPSTAR product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 2141240 with Addenda 1 and 2, Performance Rating of Unitary Airy -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 : 22800 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 ror 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 stiti selling or offering for sale. Ratings that are accom anied bj WAS indicate an involunta re -rate. The new published rating is shown alon with fhe previous(Le. WAS 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 prodticts) 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 1n the directory at vnvw.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual personal and j confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied disseminated; l n Lo-�u entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the users Individual, 1� personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUr£ The information for the model cited on this certificate can be verified at www.ahridirectory,org, click on "Verify Certificate" link we make life 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. 02020AIt•-Conditioning, Heating, and Refrigeration institute rCERTIFICATE NO.: 1212313586521312184 AHRI Certified Reference Number: 9487254 Date: 04-14-2020 Model Status : Pr6duetion 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] : NXA424(A,G)KC- Indoor Unit Model Number (Evaporator andfor Air Handler) : FMA4P24**'A* Region: Southeast and North SAL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, ICS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, VVI, 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 parry testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 22800 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 ?"Active" Model Status aria 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? Mode[ 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 invofuntary re -rate. The new published rating is shown along with the previous ji_e. WAST 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 prodaict(s) listed on this Certificate. AHR[ expressly disclaims all liabilityfor 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 This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and 1- _ 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, LAW personal and confidential reference. AIR-CONDITIONING, HUTING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITLrrE The information for the model cited on this certificate can be verified at www.ahridlrectory.org, click on 'Verify Certificate" link we make life 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. `4323135$6521312184 02020Air-Conditioning, Heating, and Refrigeration Institute [CERTIFICATE NO.