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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: a_z. Permit Number: Building Permit Application Planning and Development Services ' Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X_ PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 7�? �p L �3 Legal Description: COt�� \ iY 7@ / Ly}Q� \ c a �C$ Yl \i Ci .��'�� ni ,'�lQ-I�l a a3 �I (O, J Property Tax ID #: So) D-- )0-3 Lot No. `gym Site Plan Name:�t7 V j?SC, Block No. Project Name: y Qin Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: R-A1kea4 k--�WA CONSTRUCTION INFORMATION: IUIIGI WUIN LU Ul CI IVI11MU UIIUCI LIIO IJCI UML-LI HVAC Gas Tank E]Gas Piping Electric 0 Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ a x Shutters 11 Windows/Doors Generator L1 Roof = Roof pitch SFt. of First Floor: Utilities:lSewer ESeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name �fY1Q 1 C Name: ,L R. b � 09 1� Address: � UA LIE- Company: 1 r s4- City. --l- , a -S& n &CA State: F -L Zip Code: 3�}9 �; �I Fax: Phone No. 1-1 a Address: L C L' a City:`) A V }.Q Zip Code: I Phone NSR✓ – State: P*i . Fax. E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) tgll` E -Mail l t C M 1'T� ' (\�1 q 9 CD17� State or County License: � QC, 0S9 1+D_ If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: 4 City: V State: Zip: Phone: Address: City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which 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 your paying twice for improvements to your prerty. A Notice of Commencement must be recorded and posted on the jobsite before the first inspect io f you intend to obtain financing, consult wia lender or an attorney before commencingwork or r ordine vour Notice of Commencement. , . // s Signatu of Ow r Lessee/Contractor as Agent for Owner SigContractor/License Holder STATE OF FLORIDA,/� STATE OF FLORID COLINTYOF R7eoCOUNTYOF C ."��rA The f rgoing instrument was knowiedged before me The forgoing instrument was acknowledged before me this _clay of iii Gt'7, 20 [�by this -day of 1 ' 1rArc�,Yl 20 _1_J by (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public- State of Florida) (Signature of Notary Public -State of Florida ) Personally Known OR P' duced Identification Personally Known � OR Produced Identification Type of Identification Produced �_� Type of Identification Produced f'FRAP!C LEN ZARfC Commission No. FRM A@4 ELLEN ZARICK Commission No. o N FF 324185 o; V1111 �? Commission u FP 920185 ( f ly C imi. sion Expires Mv Cornnnis,.ma EA ilea = Revised 07/15/2014 — REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Michelle Franklin, CFA— Saint Lucie County Property Appraiser—All rights reserved. Site Address: Parcel ID: Account #: M ap ID: Use Type: Zoning: City/County: Ownership BT Investment Croup LLC 70 Aqua Ra DR Jensen Beach, FL 34957 Legal Description CASTLE PINES CONDOMII UNIT 2311 (OR 3697-2376) Current values Property Identification (OR 1571-492) PHASE IV Just/Market Value: $94,700 Assessed Value: $91,300 Exemptions: $0 Taxable Value: $91,300 Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF 0 8294 Mulligan CIR 2311 3327-502-0041-000-3 149078 33/27N 0400 AR -1 - CO Saint Lucie County Total Areas Finished/Under Air (SF): 1,312 Gross Area (SF): 1,761 Land Size (acres): 4.1 Land Size (SF): 178,640 This information is believed to be correct at this time but it is subject to change and is not warranted. m Copyright 2017 Saint Lucie County Property Appraiser. All rights reserved. Customer Order: 144665 Name Tom Voss Address 8294 Mulligan Cir Apt # A City Port Saint Lucie Cell Phone State FL ZIP 34986 Other Phone Date 3/18/2017 Date Scheduled 3/20/2017 We Propose To Furnish And Install A New 2 Ton 16 SEER Rheem 410A. 1 Digital Thermostat 1 Safety Float Switch 4 Hurricane Tie Downs For Condenser ( up to code ) 2 Locking Caps For Freon Valves 1 Flush Out Freon Lines To Prep For New R41 Oa Refrigerant 1 Liquid Line Dryer Vacuum Refrigerant Lines To Negative 30 Ensuring No Air In The Lines Before Start -Up Removal And Legal Disposal Of Old Equipment Chemically & High PSI Nitro Flush Existing Drain Line 1 Complete Mechanical Permit With The City 4 Vibration Isolator Pads Under Condenser 1 Up To 5' Of Refrigerant Lines As Needed (Suction and Liquid) 1 Up to 5' Of Armor Flex Insulation (Air Handler & Condenser) Properly Level Condenser Sealed Equipment Connections 1 plenum transition mastic Seal Inside The Plenum To Ensure No Air Leaks Sub Cooled/Superheat Refrigerant Charging Hooked Up To Existing Copper, Electrical, Drain Line & Duct Work Spray Foam Bottom Of The Line Chase 1 Garage Filter Rack "Any Electrical Upgrades Are The Home Owners Responsibility" "Balance Due Upon AC Start -Up" *50% Deposit Is Due Upon Arrival Of Installation And Balance Upon Completion' 'Price Is Only Valid 30 Days' 1 Year Labor Warranty (First 30 Days After Hours Warranty Emergency Service Included) 10 Year Factory Parts Warranty In Unit ti ersal & Heat Corporate Office 5460 Reese Rd #12, Davie, FL 33314 State Licensed # CAC058142 uahac.com (866) 999-2665 (COOL) Choose from one of 5 payment options. Option 1 :: Total Cost: $3,699.74 - Rheem 410A Rebate $100.00 Total Cost $3,599.74. 0% APR for 60 months with equal payments of about $60.00 with approved credit and terms. Option 2 ::Total Cost: $3,699.74 - Rheem 410A Rebate $100.00 -Instant Rebate $295.98 Total Cost $3,303.76. 2.99% APR for 60 months with equal payments of about $59.35 with approved credit and terms. Option 3:: Total Cost: $3,699.74 - Rheem 410A Rebate $100.00 -Instant Rebate $369.97 Total Cost $3,229.77. 0% APR for 36 months with equal payments of about $89.72 with approved credit and terms. Option 4:: Total Cost: $3,699.74 - Rheem 410A Rebate $100.00 -Instant Rebate $462.47 Total Cost $3,137.27. 5.99% APR for 103 months with equal payment; of about $39.03 with approved credit and terms. Option 5 :: Total Cost: $3,699.74 - Rheem 410A Rebate $100.00 - Instant Rebate $554.96 Total Cost $3,044.78. Cash, Check or Credit Card SPECIAL MANGER PRICE FOR OPTION 3 #5 IS $3000.00 - $100.00 RHEEM REBATE OUT OF POCKET $2900.00 FOR BUYING 2 CUSTOMER CANCELED OTHER UNIT PRICE GOES BACK TO NORMAL OPTION 5 ❑ Testimonial Video Release I Agree To Be Photographed And Videotaped For This Production By Universal Air And Heat Withou Receiving Compensation Of Any Kind. i Understand That This Footage May Be Used, As Deemed Appropriate By Universal Air & Heat For Future Productions Which May Be Viewed By Public And Private Sector Audiences Release Signature Customer hlt ; Technician SUB -TOTAL INSTANT REBATE UTILITY REBATE AND OR MANUFACTURE REBATE - DEPOSIT TRIP CHARGE TOTAL AMOUNT DUE $3,144.78 $100.00 $1,500.00 $1,544.78 Date: 3/18/2017 Customer Order: 144665 Name Tom Voss Address 8294 Mulligan Cir Apt # A City Port Saint Lucie Cell Phone State FL ZIP 34986 Other Phone Date 3/18/2017 Date Scheduled 3/20/2017 ❑ Testimonial Video Release I Agree To Be Photographed And Videotaped For This Production By Universal Air And Heat Withou Receiving Compensation Of Any Kind. i Understand That This Footage May Be Used, As Deemed Appropriate By Universal Air & Heat For Future Productions Which May Be Viewed By Public And Private Sector Audiences Release Signature Customer Technician ersal it & Heat Corporate Office 5460 Reese Rd #12, Davie, FL 33314 State Licensed # CAC068142 uahac.com (866) 999 — 2665 (COOL) SUB -TOTAL INSTANT REBATE UTILITY REBATE AND OR MANUFACTURE REBATE - DEPOSIT TRIP CHARGE TOTAL AMOUNT DUE $3,144.78 $100.00 $1,500.00 $1,544.78 Date: 3/18/2017 Customer Order: 144665 • MAKE ALL CHECKS PAYABLE TO UNIVERSAL AIR & HEAT All Services performed under the warranty policy will be provided by Universal Air & Heat during normal Business Hours, Monday to Saturday. Business hours being 8:00 to 5:00 p.m., Monday through Friday 8:00 am to 5:00 p.m. Saturday (update 1/21/2017) Warranty does not cover evaporator/condenser coil cleaning, fan blower wheel cleaning, air duct cleaning, drain line cleaning, sanitizing treatments, microbial treatments, anti microbial painting ducts, surface shield treatmen or u/v bulb replacements after a period of 30 Days from the date any of the above services have been performed. Warranty does not cover or include routine maintenance such as changing/cleaning filters, breaker tripping or replacing fuses. • It shall be at the discretion of Universal Air & Heat and its Technician to repair or replace defective parts, units or materials whenever is necessary. Any Nuisanc calls beyond the scope of this agreement will be charged at our normal service rate and/or emergency rates. • Any alteration or deviation from the proposed specifications or conditions involving extra cost of materials or labor will only be executed upon the written order fc the same and will become an extra charge over the sum mentioned in this contract. The terms and conditions set forth in this agreement are the only agreement between the parties, any inconsistent term or condition is not part of this agreement unless it is in writing and sighed by the customer and Universal Air & Heat • Title to the equipment and other materials will remain with Universal Air & Heat until all sums due us have been paid in full. • All balances not paid within 30 days of the bill date will be subject to a monthly service charge in the amount of 1.50% of the outstanding balance. Customer is responsible for all cost of collection, including reasonable attorney's fees in the event of non -payment. In the event that any person/customer files suit against Universal Air & Heat if such case is found in favor of Universal Air & Heat customer will pay all cost including reasonable attorney's fees. • Customers acknowledges and understands that the cleaning of A/C ducts and registers may present a danger to any persons or animals in the job site due to th release of potentially dangerous airborne particles (including mold and dust). Customer is solely responsible to provide for the safety of all persons, pets and things at the job site. Customer is solely responsible for any harm suffered by any person therein. Customer agrees to hold Universal Air & Heal harmless and indemnify Universal Air & Heat for any damages related to the cleaning, removal or replacement of ducts, registers or other equipment. Universal warrants existin drain line hookups for 30 days with new equipment installed or serviced. Universal Air & Heat will use nitrogen to blow out drain lines and assumes no responsibility for water damage of any kind. Update 7/2/2016 Customer acknowledges, understands and is fully aware that new high efficiency HVAC 14 seer anc above system's will require more frequent regular maintenance to any new or existing drain line and such maintenance is not included in this contract unless otherwise expressed in writing and agreed to by customer as well as a representative of Universal Air & Heat. Universal Air & Heat recommends flushing new or existing drain lines once every four months in efforts to achieve optimal performance and reduce the possibility of an accidental water loss occurring. Universal Aii & Heat is not responsible for any water damage, wall painting, framing, and wall covering, equipment delay or any other inconvenience other than that of mechanical failure. Universal Air & Heat agrees to use reasonable efforts to run dud work within existing walls, ceilings and soffits. Customer acknowledges that the work performed may require the construction of soffits or other enclosures to conceal ductwork or other equipment and customer shall pay for all cost associated with the construction of same. • Universal Air & Heat has the right stop all work if payments as set forth herein are not made upon the due date. Once any equipment/materials have been delivered at the job site, it is the residential/Commercial property owner's or the General Contractor's responsibility to care for them. • Universal Air & Heat can and has the option to pick up any parts, equipment, units, etc., if payments as set forth herein are not made upon the due date from ani and all properties, where such equipment, air conditioning units, and parts exist. • Any & All parts, equipment, supplies, etc., that have not been paid for shall remain the property of Universal Air & Heat until the balance is paid in full • Upon acceptance this proposal sets forth the entire agreement of job between both parties. Warranty: • We warrant new air conditioning equipment for a period of one year ( unless otherwise stated in the description above and signed by a rep from Universal Air & heat ) from the date of installation that material and labor furnished by us will be free from defects. • Universal Air & Heat warrants that for 30 days from the date of any repair, all products will be free from defects in materials workmanship — except the air conditioner system compressor which is also warranted for 1 or 5 or 10 years on the part only subject to brands and models of the manufacturer. Copies of warranties are provided upon installation of new air conditioning equipment. • Under this warrant, Universal Air & Heat has the first option to repair the equipment or provide replacement parts. • THE LIABILITIES SET FORTH ABOVE ARE IN LIEU OF ALL OTHER WARRANTIES AND LIABILITIES. EXPRESSED OR IMPLIED, IN LAW OR IN FACT, INCLUDING IMPLIED WARRANTIES OF MECHANTABILITY FOR PARTICULAR USE. Release Signature Date: 3/18/2017 Customer Technician This combination qualifies for a Federal E Efficiency Tax Credit when placed in sl between Feb 17, 2009 and Dec 31, Certificate of Product Ratin AHRI Certified Reference Number: 7940891 Date: 4/21/2015 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1624AJ1 Indoor Unit Model Number: RHIIT2417STAN Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Series name: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 24000 EER Rating (Cooling). 1300 SEER Rating (Cooling) 1600 IEER Rating (Cooling) "Ratings followed by an asterisk (') indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. 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.ah,ldirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and 10 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-CONDMONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the Model cited on this certificate can be verified at www.ahrldlrectory.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. F-- -- "- - ©2014 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO,; 130741249206023165 ! | _ ! ,, � @G�Gc _% |§§} $ §� §� ) §/\ >. ! ,, � @G�Gc _% |§§} $ §� §� M®DADE MIAMICOUNTY � PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES WR) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T (786) 315.2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) z w .miamidade.eov/eeonomv Rheem Sales Company, Inc. 5600 Old Greenwood Rd. Fort Smith, AR 72917 SCOPE: This NOA is being issued under the applicable Hiles and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER-Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Mechanical Unit Steel and Aluminum Tie -Down Clips for Grade and Rooftop Applications APPROVAL DOCUMENT: Drawing No. 15-2543GA and 15-2564RE, titled "Wind Load Certification of Mechanical Unit Cabinetry and Steel/Aluminum Tie -Down Clips: At tirade and Roof Mounted Applications", sheets 1 through 7 of 7, dated 05/14/2015, revised on 11/20/2015, prepared by Engineering Express, signed and sealed by Frank L. Bernardo, P.E., bearing the Miami -Dade County Product Control revision stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Section. MISSILE IMPACT RATING: None LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state, model/series, and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NCA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA #J 15-0903.08 and consists of this page 1 and evidence page E-1, as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M. Utrera, P.E. NOA No. 16-0712.07 Expiration Date: February 25, 2021 Approval Date: July 28, 2016 07f #mo Page 1 Rheem Sales Comnanv, Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS "Submitted under NOA # I5-0903.08" 1. Drawing No. 15-2543GA and 15-2564RE, titled "Wind Load Certification of Mechanical Unit Cabinetry and Steel/Aluminum Tie -Down Clips: At Grade and Roof Mounted Applications", sheets I through 7 of 7, dated 05/14/2015, revised on 11/20/2015, prepared by Engineering Express, signed and sealed by Frank L. Bennardo, P.E. B. TESTS "Submitted under NOA # 15-0903.08" 1. Test report on Uniform Static Air Pressure Test per FBC, TAS 202-94 along with marked -up drawings and installation diagram of Rheem RA Series Mechanical Units, prepared by American Test Lab of South Florida, Test Report No. 0323.01-15, dated 05/18/2015, signed and sealed by Stephen W. Warter, P.E. C. CALCULATIONS "Submitted under NOA # 15-0903.08" 1. Anchorage calculations prepared by Engineering Express, dated 11/20/2015, signed and sealed by Frank L. Bennardo, P.E. D. QUALITY ASSURANCE 1. Miami -Dade Department of Regulatory and Economic Resources (RER) E. MATERIAL CERTIFICATIONS 1. None. F. STATEMENT "Submitted under NOA # 15-0903.08" 1. Statement letter of code conformance to the Ss' edition (2014) FBC issued by Engineering Express, dated 08/24/2015, signed and sealed by Frank L. Bennardo, P.E. 2. Statement letter of no financial interest issued by Engineering Express, dated 11/20/2015, signed and sealed by Frank L. Bennardo, P.E. 3. Distributor agreement dated 11/12/2015. o7�t9�iG Carlos M. Utrera, P.E. Product Control Examiner NOA No. 16-0712.07 Expiration Date: February 25, 2021 Approval Date: July 28, 2016 E-1 , R CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD YYYY) `� has 3/22/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, Certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONNAME CT Al:Lsmary Tapanes CWI Underwriters LLC PHONE(954 449-@900 FAX (AL0,J90. Ext): ) _ -(AIC, No): (954)449-8901 5220 South University Drive, E-MAIL ADDRESS: rY Alism8 @cvriunderwriters. com Suite 101C INSURER(S) AFFORDING COVERAGE NAICN Davie FL 33328 INSURERANationwid_e_ Insurance Company of INSURED INSURER B Universal Restoration Inc., DBA: Heat INSURER C: Universal Air S Heat INSURER D: 5460 S.R.64 Bay 12 INSURER E: Davie FL 33314 INSURER F: CERTIFICATE THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN R TYPE OF INSURANCE ADDL�SUBR - - - - POLICY EFF POLICY EXP AN D POLICY NUMBER MWODNYYY MM/oDrmv LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A ICI DAMAGE 70 RENTED -AIMS -MADE X OCCUR I --- PREMISES (Ea occurrences) _�S 100,000 ' MPGLZ03007995975 i 11/9/2016 11/9/2017 MED EXP (Any one person) $ 5,000 _ PERSONAL$ ADV INJURY '.$ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X L PR L POLICY CTO- JELOC PRODUCTS - COMP/OPAGG -$ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE -UMI, $ Ea accident BODILY INJURY (Per parson) $ ANY AUTO AOS D BODILY INJURY (Par accident) I $ AUTOAUTOS HIRED AUTOS NON -OWNED AUTOS PROPERTYDAMAGE Per emldeM $ $ UMBRELLA DAB OCCUR EACH OCCURRENCE $ EXCESS LIAR ,-CLAIMS-MADE I AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION i PER0TH- ANDEMPLOYERS' DABILITY YIN I �,. STATUTE OR _ ANY PROPRIETORIPARTNEWEXECUTIVEj E.L. NT ACCIDE$ OFFICERIMEMBER EXCLUDED? IN/AI EACH -- -- _ -- (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT � $ DESCRIPTION OF OPERATIONS below I I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached N more space is required) CERTIFICATE HOLDER ST. LUCIE COUNTY BUILDING DEPT. 2300 VIRGINIA AVE. FORT PIERCE, FL 34982 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Gravier/ESTHER All rinhts ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD INS026 (201401)