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HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �'—� Z Permit Number: 91ro GCIOQLPE. A*#' V RD& It L 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 L4 PERMIT APPLICATION FOR:AIR CONDITIONING EXACT CHANGE OUT PROPOSED IMPROVEMENT LOCATION: Address: q tUJ PINE LAKES BLVD L 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 1 ,. 1�3 TON A/C SYSTEM lPrLA� k-L-F tG New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: X Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: _ Cost of Construction: $ 2412.50 Sq. Ft. of First Floor: Utilities: —Sewer _ Septic Building Height: OWNERAESSEE: CONTRACTOR: Name BR CARROLL ST LUCIE LLC Name:RORY RAMCHARAN Address:3340 PEACHTREE DR SE 2250 Company:AIR PLUS OF SOUTH FLORIDA INC City: ATLANTA State: (sail Address:6810 COUNTRY PL RD Zip Code: 30326 Fax: City: WPB State: FL Phone No.772-245-4530 Zip Code: 33411 Fax: Phone No561-371-0971 E-Mail:kwashington@bellpartnersinc.com E-Mail INFO@AIRPLUSFL.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License CAC1815149 If value of construction is 2500 or more, a RECORDED Notice of Commencement is requires. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. 15'LI+PPLE RWAL CONSTRUCTION UEN LAW INFORMATION: 1 Name; � .. Address: City: State: Zip: Phone FEE SIMPLE TI I MOLDER: _, 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 work or installation has commenced prior to the issuance of a permit. St. Lucie ma no representation that Is granting a ermit will authorize the rmit holier to build the subject structure which is in coetfiict w i a cable Home Owners Assodation rules, bylaws or anc covenants th t may restrict or pralaibit such structure. Please consult your Hone Owners Association and review your deed or any restrict ens wh eh 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 Itice of Commencement may result 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commend work or recording your Notice of Commencement. Signatu / Lessee/Contractor as Agent for Owner i Signature "ntractor/License Holder PUS •_ • , . Swore to (or affirmed) and subscribed before mePhysicaof lPresence or Wttr>�y Oniirm0 Notarization this�o STATE OF FLO A COUNTY OF m Js�A Sworn to (or affirmed) and subscribed before me of *"'Physical Presence or Online Notarization this 3 day of ell& 2020 by 111MJ2f.AA13 Name of berson making statement. Name person malting statement. Personally Known_ OR Produced Identification Type of identification Pr ed �E+�G a�i�• �/ L LoUls MODGINS w (Signature of Notary Public- Smission N Nk 2667 0"Pffim., MyComm. ExR�es May 21, 2024Commission No., �6g n .Sh wOWW Notary AM. Personally Known _ _ le� OR Produced Identification Type of Identification Produced Z/ ,4---r5' (Signature of Notary Public- State of Commission No. saF;? REVIEWS 1, COUNTER I REVIEW S REVIEW R REVIEW I REV EWDN S REVIEW E I MANGROVE REVIEW wv�w,a"rldir�cfary.org - Certif icate AHRI Certified Rderence Number: 202wiw Date: 01-30-2020 Model Status : Active AHRi Type: RCU-A-CB Series: GSX14 Outdoor Unit Brand N&me : GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140181 M* indoor Unit Model Number (Evaporator and/or 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, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to Jmmry 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 reg n(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 folkwvs in accordance wtih the latest edition of AHRi 210t240 vAth Addendum 1, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating a=racy by AHRI-sponsored, Independent, third patty testing: Cooling Capacity (A2) - Single or High Stage (85F), btuh :17000 SEER :14.00 EER (A2) - Single or High Stage (95!') :11.50 t-ActWe" Model Stalls are those Und an AHRI Certification Program Participant is curren3ty 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 Particlpard Is no longer producing BUT is still or offering for sate. ,. r ttr%VkttteK ASI radno• ._._�.._ DISCLAIMER AHRI does not endorse the prodtm*) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) Isted on this Certificate. AHRI exptesslY disdabna all liability for damages of any kind arising out of the use or performance of the product(a), or the unauthorized alteration of data listed on this Certificate. Cen tied ratings are valid only for models and configurations listed In the directory at rAm ahridtrectcry org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI Certificate shall only fit used for Individual, personal and ` a: i confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced: copied: disserrdnated; i r entered into a computer database; or otherwise utilized, in any form or manner or by any Uri means, except for the user's Individual,-- l Personal and confidential reference. a 3>1i3TFd iFF, s ,fir:.:; CERTIFICATE VERIFICATION 3 The information for the model cited on this certificate can be verified at .. � 5�.eterlrr r€rctor r. sS. click on "JeSfy Certificate* link im maim t&bed,,,, and enter the AHRI Certified Reference Number and the daft on which the certificate was issued, which Is listed above, and the Certificate No., which is listed at bottom right. f3nasea�fsesatas 02020Air-Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: AHRI Certified Reference Number: 202526567 Date: 01-30-2020 - Model Status: Active Aril Type: ICU -A -CB Series: GSX14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package). GSX140181 W Indoor Unit Model Number (Evaporator arxI& Air Handier) : AWUF19XX16B* Region : Southeast and North (Al., AR, DC, DE, FL, GA, FR. 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, W . WY, U.S. Terntories) Region Note; Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions until June 30, 2016. Beginning Jufy 1, 2016 central air conditioners can only be installed in region(s) for which they meet the regional efhclency requirement. The manufacturer of this GOODMAN product Is responsible for the rating of this system combination. Rated as follows In aloomdanoe with the latest edition of AHRI 210t240 with Addendum 1, Performance Raft of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to ratite accuracy by AHRI-sponsored, krdependerd, 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 j'ACIW Model status are those that an AHRI Certification Program Participant is currently producing AND selling or ofrering for sale; OR new models that are tieing marketed but are not yet being produoed"Production Stopped" Model Status are those that an AHRI Certification Program Participant Is no longer producing BUr is s4Ut sell or offering for safe. Mr I>wn a Iy9E��_ aw 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 Cartiljgbe. AHRI expressly disciairm all liability for damages of any kind arising out of the use or performance of the produeft or the Unauthorized alteration of data listed on this Certificate_ Certified ratings are valid only for models and configurations listed In the diractory at cs mathridirectory org. TERMS Alai) 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 contends of this Certificate may not, in whole or In part, be reproduced; copied; dMerndnsted; entered Into a computer databass; or otherwise utilized, in any form or manner or by any means, exceptfor the user's individual, Personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at rr u� z':ris:b petor*: s , click on `Uc-Kj '. tl sea. ' link and enter the AHRI Certified Reference Number and the date on which the oertifeM was rued. vWvich Is listed above, and the Certificate No., which Is listed at bottom right t � :` � li REF11114SERAWN II118?rmmi wemsiaettiebemm - 02020Air-(conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13224M4WiSW145