HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC�BLF INFO MU ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
A. Number:
REG t ,C. •,,
Building PermitApplication
Planning a . Development -
Building and Code Regulation Division
11 Virginia +venue,Fort PlercL FL 34982
. • + I• Commercial •
PERMIT APPLICATION FOR:
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Legal Description
Property Tax ID#::q 9
0iQ1 Lot No.
SetbacksSite Plan Name: Block No-
Project Name:
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OHVAC ! Gas Tank [:]Gas Piping .. r..
Electric Plumbing OSprinklers Generator
Floor:Total Sq.Ft of Construction- S"' Ft,of Pirst
• iUtilities',0Sewer USeptic Building Height:
In im
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Name
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City: i
Zip Code: m" �1 �t
. ,
Fill in fee simple Title Holder on next page(If different
from the
`��r • s
owner llsted
If value of construction Is ,0 or more,a RECORDED Notice of commencement is reclulred.
NOV-01-2017 WED 07: 51 AM CENTRAL SCHEDULING FAX No. 3212686138 P- 003/004
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: -.. ... Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: ._.... . -- City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDViT:Application is hereby made to obtain a permitto do the work and Installation as lndicated.
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 property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of w er/Lessee/Contractor as Agent for Owner Signature of C tr ctor/License Holder
STATE OF F=LORIDA,\ . Mc A C_ STATE or COUNTY OF ARIDA��
COUNTY OF._.. _. �]�-
The fo{going instr ment was acknowledged before me The forgoing instrument was acknowledg before me
this 1 day of �C '20 VI,by this day of��I�A1PY'(\ e, ,20_ by
e , fe
(y v CeA blT Ma a I
Name of person making statement Name of pe son making statement
Personally Known_"2�_OR Produced Identification T Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public- (Signa ire of Notary Public-State , ,lorida)
�jt� erine Konger ,! Catherine Konger
Ong FF17237�
Commission No Cammissfon No. ;r�`=_ bion#FF17Z37x
41 s OCr Z8,Z01.8 = pires.Oa 28,x018 NDED RU LLC BOND&p THRU
QST FLORIDAFI.o
�4 .a"'�,IST RInANOT LLC
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/9.7
i
NOV-01-2011 WED F: 51 AM CENTRAL SCHEDULING FAX No. 3212686138 P- 004/004
I�
CERTIFIED.
Certificate of Product Ratings
AHRI Certified Reference Humber: 7615305 Date: 11/112017
Product: Single-Package Air-Conditioner,Air-Cooled
Model Number:P7RE-048K
Manufacturer:NUTONE
TradelBrand name:NUTONE
Region:All(AK,AL,AR,AZ,CA,CO,CT, DC,DE, FL,GA, HI,ID, IL,IA,IN, KS,KY, LA, MA,MD, ME,
Ml,MN,MO, MS, MT, NC,NA, NE,NF1,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.
Series name:NUTONE P7RE SERIES
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Rated:as:fo,llows in act:orclance'.witli AHl l:Sta dard;21p124Q=2008.:fior linitary'.A1 =Cbndltiotilrig,Arid<'►1n.Sburce
Heat Pum'.Equipment and•;subl'ect to verificatlori ot:ratYng::aceuracy,byAHRI=ii sored;.ih'06p_66dq.(.lt)third
party testingl
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Ratings Wowed byan asterisk(')Indicate a voluntary rerate of previously published data.unless accompanied with a WAS,which Indlcetee an Involuntary rerate.
DISCLAIMER
AHRI does not endorse the product(a)listed on this Certincate and makes no representations,warranties or guarantees as to,and assumes no responslblllty for,
the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arlsing out of the use or performance of the product(s),or the
unaumorizad alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed In the
directory At www.abridiroctory.org.
TERMS AND CONDITIONS
Thls Certlflcate and Its contents are proprietary products of AHRI.This Certificate shall anly be used for Individual,pareonsl andnat
confidentlal reference purposes.The contents of this Certificate may not,In whole or In part,be reproduced;Copled;dlssemied;
entered Into a computer database;or otherwise utilized,In any form or manner or by any maana,except for the user's individual,
pemonol and confidential reference. AIR-CONDITIONING,HEATING,
CERTIKICAYE VERII=ICAMON a IIERRIRERATIGN INSTITUTE
The Information for the model tiled on this cartlflcate can be verified at www.ahridiroctofy.org,Click on"Verify Certificate"Ilek .vc Rmaku life better°'
and enter the AHRI Certified Reference Number and the date an which the certificate was Issued,
which Is listed above,and the Certificate No.,which Is listed at bottom right
131 (l.332459015
0201.4 Air`Condltianing,Heating,and Refrigeration Institute ,r.-::���,= �r����: