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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: "J`- � ) Permit Number: 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: 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: kMechanical _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: 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: ° Address:6810 COUNTRY PL RD Zip Code: 30326 Fax: City: WPB State: FL 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGN ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE i1OLDER: _Not Applicable BONDING COMPANY: Not Applicable Name' Name- Address: Address: Zip Phone: ZIOp° Phone: f 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. m no representation that is granting a ppe�rtmmit will authorize the rmit holderto build the subject structure whit is in kt a ale Home Owners Association rules,bylaws�►r and covenants �t may,r or prahlblt such structure. ease consult K�r Nome Owners Association and review your deed for any n3strktiens 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 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 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 posted on the jobslte before the first inspection.If you intend to obtain financing;,consult with lender or an attornev before commencing work or recording your Notice of Commencement, i Signatu r/Lessee/Contractor as Agent for Owner Signs ntractor/License Holder STATE OF FLORID STATE Of FLORMA COUNTY OF 1 inc !3 COUNTY O u ►"Zh to(or affrmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization `''Physical Presence or Online Notarization this, day of YfAAezh .2026 by +�day of _ 2020 by &Mg-ladjujil Name of Oerson making statement. rson making statement. Personally Known�,!�_OR Produced Identification Personally Known�I OR Produced Identification Type of Identification Type of identification ProducedProd ICSN�l b,U CpL71 aQDGfaS N (Signature of Notary Punic-S mr,so r HN 26d7 (Signature of Notary Public-State of M Comm.E*aMay 1,224 A.•n nb Commission No.No. ( a512Maiaa LitiN%cM-0a laalre4ai lraI iw ,atlwna d are, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ANRLI CERTIFIED EJ7 I Certificate of Product Ratings AHRI Certified Reference Number:201407615 Date:03-04-2021 Model Status:Active Old AHRI Reference Number:8631966 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):GSX140241 L' Indoor Unit Model Number(Evaporator and/or Air Handler):AWUF25XX16A' 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 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) :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. Rat ngs that are accompanied by WAS indicate an involuntary re-rate. The new Dublished ratina is shorn alona 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 Ulm 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, ILI 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 male Site 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.: 132593475068330883 Certificate of Product Ratings AHRI Certified Reference Number:201407615 Date:03-04-2021 Model Status:Active Old AHRI Reference Number:8631966 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):GSX140241 L' Indoor Unit Model Number(Evaporator and/or Air Handler):AWUF25XX16A" 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 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) :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. Ratinos 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, 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 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, &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. ©2021 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 132593a75068330883