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gjp,EENTAL CONSTRUCTION LIEN LAW INFORMATION: _ Not Naive: Address: City: State: Tip. ___ Phon FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: State: City: Zip: Phone: BONDING COMPANY: —Not Applicable Name: Address: City: Zip: Phone: i OWNW CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the worts and installation as indlcated. I certify the no work or installation has commenced prior to the issuance of a permit. �y�y makes no representation that is granting a eirmit��lsaut ws e�tthaen +t dthpt m rthe subject ambit such inPict with arr►►yy�a�ppiicabie Home Ownersure deedich may StAxtur1. consul v to your Horne Owners Association and eptrict renew your or any resuect�ons perform the work in consideration of the granting of this requested permit, i do hereby agree that I will, in �t respects, perf In accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following buiiding 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 paying twnee 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 of Comme cemen#g, consult / Less�ractor as Agent for Owner STATE OF FLORI COUNTY OF 4h I Kc EWC Swore to {or affhmed) and subscribed before me of I! rhysicai Presence or online Notarization his..2 2 day of z'" !a . S? by Personally Known �C _ OR Produced Identification Type of Identification P ed „"� r... g M `4 LOUIS ERS W Public- S R (Signature of Notary m'� r NN seas �6 µ ,,...i MY Cmalm. Expkvs4811w 0 ar Aw. Commission No. °� ° 2024 +••++••� Si re ntractor/License Holder STATE OF FLO A COUNTY OF ► LA Sworn to (or affirmed) and subscribed before me of 'r Physical Presence or Online Notarization tT3 day of M.A jA!K= 2020 by e eLy Y- � • � Name a person making statement. Personally Known ".1, OR Produced Identifkatiat Type of identification Produced (Signature of Notary Public- State of a+ Commission No. e?627 REVIEWS FRONT ZONING SUPERVISORLR!EVIEW NS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3-5-,3I Permit Number: ( vv 0 Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR:AIR CONDITIONING EXACT CHANGE OUT PROPOSED IMPROVEMENT LOCATION: Address: ' L� PINE LAKES BLVD 1 1, Property Tax ID #: 342259600070006 Site Plan Name: PINE SUMMIT Project Name: PINE LAKES PRESERVE DETAILED DESCRIPTION OF WORK: FXACT CHANGE OUT OF A 'Z , Fj TON A/C SYSTEM New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Lot No. Block No. Additional work to be performed under this permit— check all that apply: Mechanical _ Gas Tank —Gas Piping _ Shutters —Windows/Doors _ Pond Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 2412.50 Utilities: —Sewer _ Septic Building Height: OWNER/LESSEE: 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: Address:6810 COUNTRY PL RD FL Zip Code: 30326 Fax: City: WPB State: Phone No.772-245-4530 Zip Code: 33411 Fax: E-Mail:kwashington@bellpartnersinc.com Phone No561-371-0971 Fill in fee simple Title Holder on next page ( if different E-Mail INFO@AIRPLUSFL.COM from the Owner listed above) State or County License CAC1815149 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. a i CERTIFIED`J' dvdvur.ahridirect®ry.®rgCertificate of Product Ratin AHRI Certified Reference Number: 7541716 Date : 03-04-2021 Model Status : Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series:DX14SA Outdoor Unit Brand Name : DAIKIN Outdoor Unit Model Number (Condenser or Single Package) : DX14SA0301A" Indoor Unit Model Number (Evaporator and/or Air Handler) : AWUF31XX16A* 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 DAIKIN 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 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. Ratinas that are accomoamed by WAS indicate an involuntary re rate The new published rating is shown along with 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 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 rirectory,org. TERMS ANDD 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, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on 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. 132593489983391368 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: www.ahridirectory.orgCertificate of Product Ratin AHRI Certified Reference Number: 7541716 Date : 03-04-2021 Model Status : Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: DX14SA Outdoor Unit Brand Name : DAIKIN Outdoor Unit Model Number (Condenser or Single Package) : DX14SA0301A" Indoor Unit Model Number (Evaporator and/or Air Handler) : AWUF31XX16A' 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 re&ns 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 DAIKIN 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 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. Ratings that are accompanied by WAS indicate an involuntary re rate The new published rating is shown along with the previous ti.e. WAS I 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, for damages of any kind arising out of the use or performance of the product(s), or the the product(s) listed on this Certificate. AHRI expressly disclaims all liability unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at rirectory,erg. TERMS ANDD CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and The of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; ■� confidential reference purposes. contents entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahrid!rectory.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. 1325934899833913N ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: