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HomeMy WebLinkAboutPINE LAKES 7547All APPLICABLE INF© BUST BE COMPLETED FOR APPLICATION TO 132ACCEPTED
Date: Permit Number:
Planning and DevelopmentServices
Suiiding and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE:I-I • � r
t O l tl oa (-r- _ R. ic.a � .� o now 01
PROPOSED IMPROVEMENT LOCATION:
Address 775 f I^f? C_ �r i� � 6
Property Tax ID #: -3 Li 01-C-11�Q 60 vDD-1 D D D Cp Lot No
Site Plan Name: r)/L u
Block No.
r ,f L,�" i
Project Name: _Y i n e duy-S
I DE T AILED DESCRIPTION OF WORK:
u
CONSTRUCTION INFORMATION:
Additionalwarkto lie performed under this permit --check all thatapply:
Mechanical _ Gas Tank —Gas Piping _ Shutters
— Electric _ Plumbing Sprinklers _ Generator
Total Sq. Ft of Construction: Sp. Ft_ of First Floor:
Cast of Construction: $ p f ' 50 Utilities. _Sewer Septic
Windows/Doors
_ Roof Pitch
Building Height:
OWNER%LESSEE:
CONTRACTOR:
Name ," �� � L"1 i D�7
I Name:
Address_33L-JLO i�' Cl i_)_ i�� &fid ' -^�j!
Company:���I_�
City:U�®7'1'r"� State:
I Address: F M� amiss iC f
City: bo P 6 State: 1 --
Zip Code:3Q3OA LO Fax:
Phone No.
Zip Cade: 3_31+1 Fax:
E -Mail:
Phone. No 5b i 3 1 Q4ai o
nill infee simple Title Haider on next page (if different
E-Mail6'
State or County License CPC— f a 1 5-1 Li C/
from the Owner listed above)
if ualue of constracl=ion is �25fl0 or rinore, a RECORDED Notice off= Cornmeneemerat is required.
If value of .1VAC is $7,500 or more, a RECORDED Notice of Commencement is required.
;SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 permit to do the work and installation as indicated.
I certify that no worts or installation has commenced priorto the issuance of a permit.
St. Lucie Cournrnyy 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 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 exemptfrom undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory/ uses to another non-residential use
"DARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COIYIMENCEI►TENT 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 RECOING YOUR NOTICE OF COMMIENCEl49EN
Signature of Owner/'Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTS( OF PALM BEACH
The forgoing instrument was acknowledged,before me
this ?day of , 20 2—av
T.
t
Signatur of C ractor/1_icense Holder
STATE OF FLORIDA
COUNTY OF PALM aeACH
The forgoinn-sg instrument was - acknowledged before me
this ` day of , 20 by
RORY RAMCHARAII
RORY RAMCHARAN
Name of person making statement.
Name of person making statement_
Personally Known x OR Produced Identiffea
Type of Identification
Personally Known x OR Produced Ident
Produced
Type of Identification
o
Produced
(Signature of Notary Public- State of Florida)
a
[Signature of Notary Public -State of Florida
Commission No- ��(� ' {Seal)
Commission No. P �t
m
REVIEWS
FRONT
ZONING
S
PLAINS
VEGETATION
SIA TURTLE
O
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
rs. ■.moi, �ERTiFIED
tvvuw.aitridirectory.orgZartificate of ProdLC'� R\,Wdrucc7a
AHRI Certified Reference Number: 10384290 Date. 09-24-2020 Model Status : Active
AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Outdoor Unit Brand Name: WEATHERKING
Outdoor Unit Model Number (Condenser or Single Package) : WA1430BJ1
Indoor Unit Model Number (Evaporator and/or Air Handler) : RF1 P3024STAN
Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, L4, MD, NIS, NC, OK, SC, TN, TX, VA, AK, CO, CT, 1D, IL,
IA, IN, KS, MA, ME, MI, MN. MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WE, Wy, U.S.
Territories)
Region Note: Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions
until ,lune 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 WEATHERK NG product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 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 : 28600
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.00
t"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 these that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Ratings that areaccompanied U WAS indicate an involuntary re -rate. The new published rating is shown alonq with the previous Re. WAS) ratino.
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 for damages of any kind arising out of the use or performance of the product(s), or the
unauthorized alteration of data fisted on this Certificate. Certified ratings are valid only for models and configurations listed in the
directory ati,v,.vw.ahridirectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are AHRI_ This
Eal
proprietary products of Certificate shall only be used for individual, personal and
confidential reference The this Certificate
purposes. contents of may not, in whole or In part, be reproduced; copied; disseminated;
into
LLLJJJ
entered a computer database; or otherwise utilized, in anyform or manner or by any means, except for the user's individual,
personal and confidential reference.
AIR-CONDITIONING, 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 Snake 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 fisted at bottom right
02O2OAir-Conditioning, Keating, and Refrigeration Institute I CERTIFICATE N4.: 132454491475779665
it
�I
ED
LertifficateDzlavr na-uncom
AHRI Certified Reference Number: 10384290 Date: 09-24-2020 Model Status: Active
AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Outdoor Unit Brand Name: WEATHERKING
Outdoor Unit Model Number (Condenser or Single Package) : WA143013,I1
Indoor Unit Model Number (Evaporator and/or Air Handler) : RF1 P3024STAN
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, MCI, 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 WEATHERKING 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-CondiEioning & 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 : 28600
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.00
t"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.
Ratio s that are aocpm anied U WAS indicate an involuntary re -rate. The new published rating is shown alona with the previous 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 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.ahridirectory.org.
TERMS AND CONDITIONS[ j
This Certificate and its contents are proprietary products of AHRI_ This Certificate shall only be used for individual, personal and 1k— {. 1 D
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-CONDITIONING, 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 bettul
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
@2020Air-Conditioning, Heating, and Refrigeration Institute 1 CERTIFICATE NO.: 1-5245149147M9665