HomeMy WebLinkAboutPINE LAKES 7430All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEP TF;D
Date:
Planning and DeveloprnentServires
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34952
Phone: (772) 462-2553 Fac: (772) 4.62-1575
Permit Number:
i ERM l TYPE.
PROPOSED IMPROVEMENT LOCATION:
Address: —
Property Tax Ii?#:?��J-
Site Plan name: Y t i
Project Name: Pfn
Commercial—__ Residential-1—
Y
esid'ential—
DETAILED DESCRIPTlOi4OF WORK:
CONSTRUCTION INFORMATION:
Y
Additional work to be Performed under this Permit– check all that apply:
ZMechanical — Gas Tank --Gas Piping -- p g _Shutters
— Electric — Plumbing — Sprinklers
Generator
T otaf Sq. FL or Construction:
5q. Ft. of First Floor;
Cost of Construction: $
- Utilities: Sewer Septic
OWNER/LESSEE.-
City:f/' 7=-� State:
Zip Code:0a� ,[O Fax:
Phone No.
E -Mail:
Fill in fee siMPIG Title holder On next page ( if differenj:
2"Orkt Ule Owner listed above)
CONTRACTOR:
Lot No.
Block No.
U_
Vftdows/Doors
—Roof — pitch
Building Height: _
Name: 1A JI~;.\,1
Company:ai�i/
Address: c, /do t i #fes lel0City: IJ P C !
State:
Zip Code: I I / Fax: 5 � ��
Phone No 50 49L"Gj�
E -Mail I fl CD
State or County License j
IT value of construction is $2sol) or more, a RECORDED Nafte of Commencement is required.
If value of, VAC is $7,500 or more, a RECORDED Notice of Commencement is required.
..SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNI
Name:_
Address:
City: —
Zip: Phone
Not Appli
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
zip: Phone:
— Not Applicable
State:
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 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 1 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 COMMENCEMENTMAY 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 of Owner/ Lessee/Contractor as Agent for Owner Signature of C Tactor/License Holder
'STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFPA.M mAcH COUNTY OFPALM BEACH
The f�oing instru ent was acknowledged,before me The Tfoing instru ent was acknowledged before me
this dayof 20y thisday of p� 262,Q by
RORY RAMCHARAN RORY RAMCHARAN
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identifica Personally Known x OR Produced Identi
Type of Identification,
Produced Type of Identification
rn Produced
(Signature of Notary Public- State of Florida) {Signature of Notary Public -State of Florida) o cc
``� C�
FF.I�V l�C�C;
�m �G) S
Commission No. (Seal) Commission No. P� � 769 {S
REVIEWS FRONT ZONING 5 PLANS VEGETATION SEA TURTLE p
BATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
, it � � � � • � �� � ._„k :� �.. .a ,.
AHRI Certified Reference Number: 9487254 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). NXA424(A,G)KC—
Indoor Unit Model Number (Evaporator andlor Air Handler) : FMA4P24"„A.
Region : Southeast and North oAL, AR, DC, DE, Fl_, GA, HI, KY, LA, MD, MS, NC, 0K, 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, Vr, 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 TEM PSTAR product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 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:
Coofing 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 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 stiff
selling or offering for sale.
Ratin that a,rcomoanied bv WAS indicate an involunfa re -rate. The new oublishad ratin2 is shown along -with the cirevious 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 prodtict(s) listed on this Certificate. AHRI expressly disclaims all Ifabilityfor 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
FJ
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,
personal and Confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION msraurm
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link wt! make life better'
and enter the AHRI Certified Reference Number and the date an which the certificate was issued, _
which is listed above, and the Certificate No., which is listed at bottom right 2
1axa1�as5z1at21sa
@2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE Na.:
Cg-- rtificate of Product
AHRI Certified Reference Number: 9487254 Date: 0414-2020 Model Status : Production Stopped
AHRI Type: RCU-A-CB
Series: 14 SEER N SERIES R41 DA 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 <AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, iD, IL,
LA, IN, KS, MA, ME, Ml, 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 ANSl1AHRl 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 : 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 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.
Ratings that are accomoanied by WAS indicate an involuntary re -sate. The new published ralinq is shown atong with the orevious i.e. WAS ratio .
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 prodtjct(s) listed on this Gertificate. 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 w ww.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
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 users individual,
personal and Confidential reference. AIR-CONDMONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
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 an which the certificate was issued,
which is listed above, and the Certificate No., which is listed at bottom right.
e02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE Na.: 132313586521312184