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PINELAKES 7622
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5 — QS7-- Z Permit Number: 9 4 ° ° Building Permit Application Planning and Development Services X Building and Code Regulation Division Commercial Residential 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�, ( (I Property Tax ID #. 342259600070006 Lot No. Site Plan Name: PINE SUMMIT Block No. Project Name: PINE LAKES PRESERVE F-PETAILED DESCRIPTION OF WORK: EXACT CHANGE OUT OF A 2 TON A/C SYSTEM i m °fin I�(X l �-►'r�� 1 Q;1 '-I S� �Y�' 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: OWNERAE5SEE: 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: tonlp artnersinc.com Phone No561-371-0971 E-Mail: kwashinbel 9 @ 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 construction is 2500 or more, a RECORDED Notice of Commencement is required. Ll�fvalue of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. S-pplihWAL CONSTRUCTION LIEN LAW iNFORMATfON: Name: Address: City: Stater Zip: Phone MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE MOi.DER: _• Not Applicable I BONDING COMPANY: Not Applicable Name: Address: City: ZIP: Phone: — Name: Address: City: Zip: Phone: OWNER/ CONTRACTOR AFFIOVIT: Application is hereby made to otltain a permit io ao ine vvvrR aitu ,,,,w,w..........._.----_. 1 certify that no work or installation has commenced prior to the issuance of a permit. St. Lucia makes no representation that is granting a permit will authorizEdro; ermit holder l build the subject structure which;5 in�ict with aw�cable Horst Owners Association rules, bylawsnovenants thot may r may ap Prohibit such structure. consuh your Home Owners Association and review your any restrictions wh� P1y that I in all In aerordance with the approved plof ans requested da Build Building Codes i do andaS.Lucie County AmendmentsPerform the work 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-residentiai use WARNING TO OWNER: Your failure to Record a Notice of Commencement may rewlt in paying thrice 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 . . - - - _-_____ _.__ ..._.d......a, ^ralnn unur antira of Cernmencement. --- Signaturt Lessee/Contractor as Agent for Owner • .0jo RD1111111111111M p . c _- 5wrorp to (or affirmed] and subscribed before me of V Phydcal Presence or Online Notarization this . 2. day of -J�h . 202t �dKs l004 Ir�ns Name of 1mrson making statement. Personally Known ._ ,�_ OR Produced Identificarion Type of Identification P7Z ed e.— —it 6k- t. L0,09 ROMIK N (Signature of Notary Pub*Rtw" i isbn �r Hkmy Comm. ExPimnta121. 202. Commission No. _Nnsry Mw+, REVIEWS FRONT ZONING SUPERVIX COUNTER REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. b/Wau Signs re "ntractor/License Holder STATE OF FLORA COUNTY OFT swam to (or affirmed) and subscribed before me of 'r Physical Presence or Online Notarization this 3 day of )RA jj.T... 2021111 by Name ofperson making statement, Personally Known OR Produced identification Type of identification of Notary Public- state Commission No, A$rk;�t R I PLANS REVIEW I vREV EWON S REVIEW E "RNGROVE OE Certificate of Product Ratings AHRI Certified Reference Number: 9487254 Date : 03-04-2021 Model Status : Production Stopped AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series : 14 SEER N SERIES R410A AC Outdoor Unit Brand Name: TEMPSTAR Outdoor Unit Model Number (Condenser or Single Package) : NXA424(A,G)KC** Indoor Unit Model Number (Evaporator and/or Air Handier): FMA4P24**A* 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 TEMPSTAR product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 2101240 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 : 22800 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 $"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 (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.ahridlrectory.org. TERMS AND CONDITIONS A RJR* � This Certificate and its contents are proprietary products of AHRI. This Certificate shall only he used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; �. on 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, & REFRIGERA71ON 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. 132593469946935244 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: Certificate of Product Ratings AHRI Certified Reference Number: 9487254 Date : 03-04-2021 Model Status : Production Stopped AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: 14 SEER N SERIES R410A AC Outdoor Unit Brand Name: TEMPSTAR Outdoor Unit Model Number (Condenser or Single Package) : NXA424(A,G)KC** Indoor Unit Model Number (Evaporator and/or Air Handler) : FMA4P24**A* 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 TEMPSTAR 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 : 22800 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 ratina is shown alona with the previous (i.e. WAS) ratina. 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; 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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132593469946935244