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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Dater 2-I Permit Number: �UCR P 0 IL 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 FORWR CONDITIONING EXACT CHANGE OUT PROPOSED IMPROVEMENT LOCATION: Address: I PINE LAKES BLVD Property Tax ID #: 342259600070006 Lot No. Site Plan Name: PINE SUMMIT Block No. Project Name: PINE LAKES PRESERVE DETAILED DESCRIPTION OF WORK: EXACT CHANGE OUT OF A TON A/C SYSTEM New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: 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: Gil Address:6810 COUNTRY PL RD Zip Code: 30326 Fax: City: WPB State: FL Phone No.772-245-4530 Zip Code: 33411 Fax: Phone N0561-371-0971 E-Mail:kwashington@bellpartnersinc.com 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. I SAWMIMAL CONSTRUCTION LIEN LAME INFORMATION: I DESIGNER/ENGINEER, _ Not Applicable 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 AFFIOVIT: Application is hereby made to obtain a permit to do the work and installation as maicatea. I certify that no work or instaNation has commenced prior to the issuance of a permit. Lucca ma no representation that Is granting a ermit will authorize the rmit holder to bu►1d the subject structure which b iI�ict w i any cable Home Owners As ation rules, bylaws an covenants that may r rict or prohibit such structure, ease consuit w� your Nome Owners Associatim and review your or any restrictions 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 approved plans, the Florida Building Codes and St. Lucie County Amendments. The fdk wktg 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 paying twice for improvements to your property: A Notice of Commencement must be recorded in the public records of St. Lucie County and pasted on the jobsite before the first inspection. If you intend to obtain financing, consult uAth lanriar nr nn nttnrnrsv hofnrp commencing work or recordine your Notice of Commencement. Sipaturk Lessee/Contractor as Agent for Owner 5warp to (or affirmed) and subscribed before me of I/ Physical Presence or Online Notarization this l&day of h1.s-%2Lh , 2021by ." L�-- Sig re ntractor/License Holder STATE OF FLO A COUNTY OF �iyr J cA Swom to (or affirmed) and subscribed before me of 0" Physical Presence or Online Notarization this 3 day of MA fAW_— . 2021 by I R a ti `l r. i l:+/� AA 13� Name of berson making statement. I Name a person making statement. personady Know � _ OR Produced Identification Type of Identification Zed �+�.- r PAWL LOlBK 11pDGER3 M (Signature of Notary Pubtff=441.1 mission N Fit! 2 , MyyCCoomm. Ex ns May 21, 2024 Commission No. �6 - Personally Known }� OR Produced Identi tatlon Type of Identification Pr a (Signature of Notary Public- State of F�ir�L,)r►.�..rrrrr Commission No. ti768R REVIEWS I FRONT COUNTER REVIEW REVIEW SUPERVISOR REVIEW I VEGETATION R �/IEWON SE ALE MANGROVE Certificate of Product Ratinas 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. Retinas that are accompanied by WAS indicate an involuntary re -rate. The new published retina 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 www.ahridirectory.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; an r 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 we make fife 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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132593489983391368 Certificate of Product Ratinas 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 accompanied_ by WAS indicate an involuntary re -rate. The new published rating is shown alono with the previous (i.e. WAS) ratino. 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 it Ur 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 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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute