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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3 2 I Permit Number: -O U ID Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Q PERMIT APPLICATION FORWR CONDITIONING EXACT CHANGE OUT PROPOSED IMPROVEMENT LOCATION: Address: PINE CPINE LAKES BLVD( Property Tax ID #. 342259600070006 Site Plan Name: PINE SUMMIT Project Name: PINE LAKES PRESERVE Lot No. Block No. DETAILED DESCRIPTION OF WORK: I EXACT CHANGE OUT OF A ) • F TON A/C SYSTEM _ C� �0 din - GTA-S x ��-► c� i E New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: I Additional work to be performed under this permit- check all that apply: Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 2412.50 Generator Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name BR CARROLL ST LUCIE LLC Address:3340 PEACHTREE DR SE 2250 Name:RORY RAMCHARAN Company:AIR PLUS OF SOUTH FLORIDA INC City: ATLANTA State: CaA Zip Code: 30326 Fax: Phone No.772-245-4530 Address:6810 COUNTRY PL RD City: WPB State: FL Zip Code: 33411 Fax: Phone N0561-371-0971 E-Mail:kwashington@bellpartnersinc.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail INFO@AIRPLUSFL.COM State or County License CAC1815149 if value of construction is 2500 or more, a RECORDED Notice Ot LOmmencement is requires. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. DOIGNER ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Z(p Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWIA W CONTRACTOR AFFiOVIT: Application Is hereby made to obtain a permit to do the work anci instwianon as maiurmu. I certify that r.o work or instaNation has commenced prior to the issuance of a permit. St. makes no representation that is granting a it will authorizes it holder to build the subject structure which b in l�kt with airy spCcab& Home Owners non rules, bylaws deeacin covenarrts thi may, r or prdtibit such structure. ease cansuk vut<h your Home Owners Association and review your or any restrict ons wh 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 apprmed plans, the Florida Building Codes and St, Lucie County Amendments. The fdkm tg building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming Pools, fences, wails, signs, screen rooms and accessory uses to another non-residentlal use WARNING TO OWNER: Your failure to Record a Notice of Commencement may rewlt in paying twice for improvements to your property: A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the,obsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. Signaturt / Lessee/Contractor as Agent for Owner Signa ntractor/License Haider *wore to or aini -me d} and subscribed before me of 6/ Physical Presence or Online Notarization thisLday of .Y�.h . 202by STATE OF FLO A COUNTY OF Sworn to (or affirmed) and subscribed before me of 'r Physical Presence or Online Notarization this 3 day off►( goal by D u - &SI " Name of berson making statement. - Name dpeison making statement. personally Known k OR Produced Identification Type of Identification Pr ed ROOGtRFilm S x Mature of Notary Public- S mmission 0 W 2687 6 My Comm. Expires wy 21, 2024 U40Commission No, "" ° '"�_ - Personally Known �� OR Produced identification Type of identification (Signature of Notary Public- State of Commission No, 517 REVIEWS COUNTER REM W REVIEW R REVIEW I REV E_ S REVIEW REVIEW Certificate of Prod ✓ l i"! '�'��� AHRI Certified Ref&wm Number: 202526567 Date: 01-30-2020 Model Status: Active AHRI Type: RCU-A-CB Series: GSX14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or SingIe Package) : Out 40181 W Indoor Unft Modal Number (Evaporator al'KVor Air Handler) : AWUF19XX16B" 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, tWi, WY, U.S. Ternbries) Region Note: Central air conditioners manufactured prior to January 1, 2015 are eligible to be Installed In an regions until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in regfon(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 210240 votth Addendum 1, Performer Rating of Unitary Air -Conditioning & Alr-Souroe Hem Pump Equipment and stglject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh :17000 SEER :14.00 EER (A2) - Single or High Stage (95F) : 11.50 1'ActtW Model Status are those that an AHRI Certffkuitbn Program Participant Is anredty producing AND setWrg or offering for sale; OR new models that are being madceled but are not yet being produced."Produc Lion Stopped' Mbdel Status are those that an AHRI Cartiftcatiwl Program Participant Is no longer producing BUT is still �eiJing or offering for safe. _ i,�¢ !�iWg$�}�ate� �_IuAtar�+re_r�e The new oudrshed retina is y�,ow,�_�Q�yr,�jJ (jf� �euious (t_e.�%�Si ,in,,,,�. DISCLAIMER - AHRI does not endorse the produc*) listed on this Certificate and stakes no representations, warranties or guarantees as to, and assumes no responsibility for, the products) listed on this Certificate. AHRI expressly disciaims 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 vand only for models and configurations listed In the directory at runt ahridirectory.otg. TERMS AND CONDMONS This Certificate and its contents are proprietary products of AHRI. This Certificate shelf only be used for individual, personal and z s a wflidemtlat reference purposes. The contents of this Certificate may not, In whole or in part be reproduced: copied; dissenninated: ; ', � l � v € entered into a computer database: or otherwise utiltzed, in are form or manner or by any means, except for the user's Individual, c personal and confidential reference. CERTIFICATE VERIFICATION ° I cr"'"i�VIMTOW i = 1 e The Information for the modes cited on this certificate can be verified st t.T.Te estr3 irect©r:i.c:g, click on "Jbrifyt Cottifi.ate- link w m2ke We betuP 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 bottorri right it3f164t45 02020A1r-CondItk Iron Heating, and Retrfgeration Institute Y CERTIFICATE NO.: Certificate of Prnduct Ratingo AHRI Certified Reference Number: 202526567 Date : 01-30-2020 Model Status : Active W AHRI Type: RCU-A-CB Series: 0SX14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140181 W Indoor Unit Model Number (Evaporator anftr Air Handler) : AWUF19XX16B" 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, M I , 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 efigfble to be installed in all regions until June 30, 2016. Beginning July 1, 2016 central air conditioners tioners 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 oombkration. Rated as foikhws In accordance with the latest edition of AHRI 21= 0 with Addendum 1, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Et grant and subject to ratklg accuracy by AHRI-sponsored, Independent, third party testing: Cooling capacity 02) - Single or 1+1911 Stage (95F), btuh :17000 SEER :14.00 EER (A2) - Single or High Stage (95F) :11.50 1I'AcUve" Model Status are those that an AHRI Certtlication Program PerWPart is currently producing AND selling or offering for safe; OR new models that are tieing marketed but are not yet being produced.-Prodtie ion Stopped" Model Status are those that an AHRI Certification Program Participant Is no longer Koductrig BUT is sUR in� or offering for sate. n s ihat are a000mors w9� illdk a aLr__- .heft rq:C#.# -? 1 :1) t s!ffi9 rptit• it t9lomt219 DISCLAIMER AHRI does not endorse the products) listed on thisCertfficate and makes no representations warrariles or guarantees as to, and assumes no responsibility for, the produc(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 tvtvz .ahtwIrectory erg. TERMS AND CONDMONS - - This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and I confidential reference purposes, The contents of this CeMff=W may not, In whole or In part, be reproduced: mod; disseminiated; r F entered into a computer database; or otherwise utilized, In arty form or manner or by any means, except for the users Individual, personal and confidential reference. E .w:rA3itC �rtu, ;rtu,. , CERTIFICATE VERIFICATION C Ir The information for the model cited on this certificate can be verified at r.za��. ttri�i3ractor=+.csg, click on''rc.-Ky Carttfieat ' link vemakelile6eudw and enter the AHRI OWded Reference Number and the date on atiidh the certificate was Imied, wrnoh to listed above, are the certificate No., which Is listed at bottom right F 02020Air-Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: 1 1M"145