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PINE LAKES 7501
- ppUMWAL£ONSTRUCTlON LIEN LAW INFORMATION: Not Name: Address: State: City: Zip: Phone____. FEE SAMPLE TITLE MOLDER: Not Applicable Name: Address: ZZip �_ _ Phone: MORTGAGE COMPANY: Not Applicable Name: Address City: state: Zip: Phone: BONDING COMPANY: __Not Applicable Name: Address: City: Zip: Phone: i O'Y N1W CONTRACTOR AFFIOVIT: Application is hereby made to obtain a permit to do the work and installation as rndlcated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie makes no representation that Is granting a permit will authorize thel®r rmit holder to build the subject structure (cable Home Owners Association rules, bylaws or anovenants thpt may r tdct or ambit such which is in�kt with annyY a�ppl deetl structure. ease consult v tt► your Horne Owners Association and review your any restrictions wh may apply. i do that I will, in all respects, perform the work In cor►stdance nth the granting of lane, the Florida permit, u lding Codes and Sit. Lucie County Amendments. in accordance with the approved plans, The following building permit applications are exempt from undergoing a full corrcurrency review: room additions, acceswry structulrest swimming pools, fences, walls, signs, screen roams and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Wdc a of Commencement may rasult in p►aying 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 lobsite before the first inspection. if you intend to obtain financing, consult with lender or an attorney before commencinzwork or recording our Notice of Commencement. a / Lessee/Contrad:tor as Agent for Owner Sign jtractdr/License Wolder STATE OF FLORID COUNTY OF 1 wx 1=h 5worp to (or affirmed) and subscribed before me of V physical Presence or Online Notarization this ,, y day of ^yyLP H . 2020 D Name of oerson snaking statement. personally Known . (_ OR Produced Identification Type of Identification P ZZed - 'L Lows WVA S B ram - maze Or FWM (Signature of Notary Public- S , missim N HN 207 t My Comm. ExR� May 21, 2024 Commission No. 6 l Na,rV AM. REVIEWS I FRONT IZONING SUpERViSOfiCOUNTER REVIEW REVIEW STATE OF FLORIQJA COUNTY OF fd3s ►--Gb - Sworn to (or affirmed) and subscribed before me of _✓ Physical Presence or Online by ation this 3 day of _)RA � Name o person snaking statement. Personally Known rjL/ OR Produced identifkatIM Type of identification Produced (Signature of Notary Publt- scare of F a. Commission No. 22 227 PLANS I REVIEW VREVI W N S REV( REVIEW All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: J—<----,- t Permit Number: IM Ll �S�liLS ° 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: C) PINE LAKES BLVD 1 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 ATLANTA State:�,� Address:6810 COUNTRY PL RD City. 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 LicenseCAC1815149 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. ti■n% CERTIFIED' irer.,t®ry.®rg Certificate of Product Ratings AHRI Certified Reference Number: 201423807 Date: 03-04-2021 Model Status: Active Old AHRI Reference Number: 8711412 AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: GSX14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140251 L* Indoor Unit Model Number (Evaporator and/or Air Handier): AWUF25XX16A* Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, 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 GOODMAN 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 (9517), btuh : 22000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.20 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 atono 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 responsibilityor, 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 ridirectory.org. Ulm 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.ahrldirectory.org, click on "Verify Certificate" link .e 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. FCERTIFICATE NO.: 132593479575220517 ©2021 Air -Conditioning, Heating, and Refrigeration Institute wCERTIFIEawl��� D_ Certificate of Product Ratiqgs AHRI Certified Reference Number: 201423807 Date: 03-04-2021 Model Status: Active Old AHRI Reference Number: 8711412 AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: GSX14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140251 L" Indoor Unit Model Number (Evaporator and/or Air Handler) : AWUF25XX16A" Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, 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 GOODMAN 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 : 22000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.20 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 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, 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 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 The of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; — . P� so , 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.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. 1` 132593479575220517 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: