HomeMy WebLinkAbout7552 PINE LAKESAli APPLICABLP INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCENTED
Dake:
Q S
Planning and Developmentservices
Building and Code Regulation Division
2300 Virginia Avenue, fort Pierce FL 34982
Phone: (772) 462-1553 Fax: f772) 462-1578
Permit Number:
Euffld�ng' Ped -mit " ppflca'-Uan
Commercial Residential--
PERMIT 1 YPE: l`>! '��-yy � � �
iv' l -1011. I{m l
i
PROPOSED (IMPROVEMENT LOCATION: -1
Address: _:`5,5'a
Property Tax ID #:1.0(0 0 C)D CP Lot No.
Sita Flan Name: ) f fl6-r?1-fL@ 1
Block No.
Project Name: 'Pine– La)uos .1 stc, rve
( DET AILED DESCRIPTION OF WORK: I
11 )L U
CONSTRUCTION INFORMATION:
Additional workto be performed under this permit–check all that apply:
,-/Mechanical _ Gas Tank � Gas Piping _ Shutters � Windows/Doors
— Electric _ Plumbing — Sprinklers
I otal Sq. Ft of Construction:
Cost of Construction: $
50
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer ,Septic Building Height:
OWN ERAE SSEE:
CONTRACTOR:
Name tq i i _!'l �' i. 1, !'
Name: xblgt
Cramgany:a %,i'
a L$"Lh #Z 11��
Address: �Ct�Y t`Y {
City: 4' fl !_ State: &'j
Zip Code: 3030— Le Fax:
Phone No.
Address:11) _
City: li
Zig Code: t -o l
Phone Noi'11
i n ktj jQif 14
State:
Fax: 155- 7LIM"
,�_ 0" C1_
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-MailJQ L us–�9
State or County License
It value of construCaon is $2540 or more, a RECORDED Notice of Coammencerrment is required.
If value of HVAC is $2,500 or more, a RECORDED Notice of Commencement is required.
N
;SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Ap
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: —Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permitto do the work and installation as indicated.
1 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 Dome 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 COMMENCE" "
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFPALM BEACH
The forgoing instal ent was acknowledged,before me
this 4i day of �._ 20y
RORYRAMCHARAN
Name of person making statement_
Personally Known x OR Produced Ident
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. FFg7V �L (Seal)
REVIEWS J FRONT I ZONING
f COUNTER REVIEW
DATE:
RECEIVED
DATE
COMPLETED
ENT.
Signature of C tactor/License Holder
STATE OF FLORIDA
COUNTY O F PAULA Bi:Acii
The forgoing instru eat was acknowledged before me
this day of ,O 2020 by
RORY RAMCHARAN
Name of person making statement.
a �", Personally Known x OR Produced Identi
Type of Identification
� 0 Produced—
a
1
v
A� (Signature of Notary Public -State of Florida)
Commission No. F`rL` / (S I) V$
PLANS VEGETATION SEA TURTLE O
REVIEW REVIEW REVIEW REVIEW REVIEW
Certificate of Productl Rat
AHRI Certified Reference Number: 201196361 Date: 01-30-2020 Model Status: Active
Old AHRI Reference Number :7516243
AHRI Type: RCU-A-C3
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 Handier): AWUF31 XX16A'
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,
]A, 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 210/240 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
selling or offering for sale.
Ratin that are accom,1 led 11 WAS indi a an involunta new ._ublished rating is shown along with the prev_iou5 i.erating.
x 3.
DISCLAIMER
AHRI does not endorse the products) 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 far 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
TERMS AND CONDITIONS
This Certfcate 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 whale or in part, be reproduced; copied; disseminated;
entered into a computer database; or otherwise utilized, in anyform or manner or by any means, exceptfor the user's individual,
personal and confidential reference. Alfa-WNti7tpome, HEA=i%
CERTIFICATE VERIFICATION & RE1WQERA=N INSTITUTE
The information for the model cited on this certificate can be verified at r c °click on "Verify Certificate" link %,L make la battet-
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which is listed strove, and the Certificate No., which is listed at bottom right.
fl2020Air-Conditioning, Heating, and Refrigeration Institute . CERTIFICATE NO.- 13224384a347410290
NnIt �, 1 1
■ W�
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 XX15A*
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, 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 210f240 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 :25000
SEER :14.00
EER (A2) - Single or High Stage (95F) : 11.50
t"Active" 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 "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 accompanled by WAS indicate an involuntary re-rgte. The new published ratm-g is shown Alonr qRh the p, vivigH j e_'XASD sating,
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 far 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 u
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and
corrilidential reference purposes. The contents cf 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, IME IN"
personal and confidential reference. AIR4XI11101TIMl , VENNI{,
CERTIFICATE VERIFICATION 3REFRIGSRATMNINSTIT83M
The information for the model cited on this certificate can be verified at etnnv.al3rt#Irectoxy.orA, click on "verify Certificate" link we makelife betteTl
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.
(D2020Air-Gonditioning, Heating, and Refrigeration Institute CERTIFICATE NO__ 132248848947410290