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Home My WebLink AboutPINE LAKES 7371All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Dumber: gift - Planning and Development5ervices Building and Code Regulation Division 2300 16irginio Avenue, Fart Pierce FL 3495.2 Phone: (772) 452-1553 Fax: (772) 462-157$ Commercial Residential PERMITTYPE: iFT eT PROPOSED I(' v' 1;P�RROVEMENT LOCAT, OkIrl Change ne } _ Address: —: wLi — f C � Prolaerty Tax lD #: T bQ_� QDDLot Na .. r Site Plan Name: C CL rnf/uLT -1 Block No. Project Name: -- ' �GC.s� .S r Q, U— DETAIL€D DESCRIPTION OF WORK: rcrl 1 Unif fK t-0 CONSTRUCTION INFORMATION: Additional workto be performed under this permit—check all that apply: Mechanical _ Gas Tank _ Gas Pilling Shutters Electric _ Plumbing —Sprinklers Generator Total Sq. Ft of Construction. Cost Of Construction: $ -q a�- OWNERJLESHE: Sq_ Ft. of First Floor: Utilities: ^ Sewer _ Septic City: State:; Zip Code:303a 030 Fax: Phone No. E -Mail: Fill in fee simple Title Walder on next page (if different from the Owner listed above) CONTRACTOR: Name Company: Address: (/),?/I) Windows/Doors — Roof Pitch Building Height: 1qe__ City: W V Ir `' state: K L Zip Code: Fax: 155-77416* Phone No 6l C) E -Mail f fl CDL LU P - CDM State or County License l pc_ 1 1� 15_ I.1 r/ If value of construction is $2500 or more, a RECORDED Notice Of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. UPPLEMENTAL CONSTRUCTION LIEN" LAW -INFORMATION: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: '.tate: 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 work or installation has commenced prior to the issuance of a permit. St Lucie County snakes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Nome Owners Association rules, bylaws or and covenants that may re rict or prohibit such structure. Please_consult with your Home Owners Association and review your deed for any restrictions whichstmay 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 fallowing 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 a TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE .IOD SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORINI r. Vni its sanvsrr Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF¢ALm BEACH The forgoing instriuxent was acknowiedgeti,before me this 72.day of, 2fl v RORYRAMCHARAN Name of person making statement. Personally Known x OR Produced Identificalip ' Type of Identification Produced 14 0 MP 10 F, (Signature of Notary Public State of Florida j Q _ `� e, R . Commission No_ 7V i p {seal}'°;�A n a REVIEWS ICO ONNT TER I ONIN�I � S RE VIEW MPI_ETED t Signator of C ractor/License Holder 'TATE OF FLORIDA COUNTY OF pAc w BEACH The forgoing instrument was acknowledged before me this day ofiii 2Q2,0 by RORYRAUCHARAM Name of person making statement_ Personally Known x OR Produced Identi I Type of Identification Produced P- ro (Signature of Notary PubZState of Florida :5 Commission No.{S I) o b-qn m PLANS 'VEGETATION 5EATURTLE O REVIEW REVIEW REVIEW REVIEW Qe (if Product F-�, a Oil ncc�z AHRI Certified Reference Number: 9487254 Date: 04-142020 Model Status: Pr6duction Stopped AHRI Type: RCU-A-CB Series: 14 SEER N SERIES R41 OA AC Outdoor Unit Band Name: TEMPSTAR Outdoor Unit Model Number (Condenser or Single Package) : NXA424(A,G)KC* Indoor Unit Model Number (Evaporator andfor Air Handier) : 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, 1A, IN, KS, MA, ME, Mi, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, Rl, SD, UT, VT. WA, WV, Wl, 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 A 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/AHR12101240 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. Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new published ratinu is shown alona with the arevious Ii.e. WAS)_ratinq, 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 prodgct(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.ahridireatery_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 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 Ire 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 132313586521312184 O2020AI%Conditioning, Heating, and Refrigeration Institute CERTIFICATE GSC.. Certif �c a, �19 (if AHRI Certified Referents Number: 9487254 slate : 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 Handier) : 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, KS, MA, ME, lull, 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 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 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" Madel 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. Ratinas that are accompanied by WAS indicate an involuntary re -fate. The new published rating is shown alonq_wiih the previous (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 prodyct(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.ahrldirectory_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 user's individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited an 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 [C 132313536521312184 @2020AIC-Conditioning, Heating, and Refrigeration tnstittlte RTIFICATE NO.: