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.