HomeMy WebLinkAboutBuilding Permit ApplicationALLAPPTICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:ZlLSll Permit Number:
Building Permit Application
Planning and Development Seruices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-t553 Fax: (7721462-1578 Commercial Residential
Address:
Legar Description:bOn tsfl VCS
Lot No.
Site Plan Name:Block No.
Project Name:
Setbacks Front Back:_ Right Side:Left Side:
4 UTr:n \As<ea flr(;q< Unr\-
5b+
permrt -E
E
HVAC
Electric
Gas Tank
Plumbing
[u., Piping Shutters
Generator
n *,noo*s/Doors
tr_nsprinklers I
Total Sq. Ft of
Cost of Construction: S bD Building Height:
It valu. of construction ii 52500 or more, a RECORDED Notice of Commencement is required.
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Phone No.
E-Mail:
Fill in fee simple Title Holder on noc page ( if different
from the Owner Iisted above)
zip'c@rsrW
E-Mail: \ ;lH4 IAf,tJ t Y g"U f Il(n! r'
State or County L-l-cense:
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. Lucie Countv makes no reoresentation that is srantins a permit will authorize the permit holderto build the subject structure
ilhiitr-ii in coirHiti riiith inv iriofiAEkt Horiie dwfieiiAiHotiation rules. bvlaws or and covenants that may. restrict or prohibit such
structure. Please consult with liour Home Owners Association and revii:w'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
beiore the first in!'pection.'lf y6u intend to obtain financing, consult with lender or an attorney before
commencins work or recordi Notice of Com mencement.
Rev.8lzlL7
Name of per€gn making statement
Personally Known .A-- OR Produced ldentification
Type of ldentification
Produced
Contractor/License Holder
The htgoing instru
this'Z-D 6s, oi
(Signature of Notary Public-
Er?ires: 0C[ 28, ?018
Signature
STATE OF
COUNTY OF
Contractor as Agent for Owner
Name of pe6qn making statement
Personally Known' .F OR iroduced ldentification
ine instrument was acknowledeed before me
aJv or {-e0" .zo_lbuv
Type of ldentification
I(onger
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SEA TURTLE
REVIEW
DATE
RECEIVED
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AHRI Certified Reference Number : 7615305 Oate :02-27-2018 Model Status :Active
Old AHRI Reference Number :
AHRI Type : SP-A
Series : NUTONE PTRE SERIES
Outdoor Unit Brand Name : NUTONE
Outdoor Unit Model Number (Condenser or Single Package) : PTRE-048K
lndoor Unit Brand Name :
lndoor Unit Model Number (Evaporator and/or Air Handler) :
Furnace Model Number :
Region :All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, Hl, lD, lL, lA, lN, KS, KY, LA, MA, MD, ME, Ml, 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. TETTitOT|ES)
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 centrat air conditioners can only be installed in regfon(s) for which they meel the reoiona! efficiency
coollng eaFddty (A!l]1,Single or High Stage (95F), btutt::: 47000.,: ,,,:,ir:-,':'::,:
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
markeied 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
sellino or offerino for sale.
nZiinEJina'iZie"aciomo-anied bv WAS indicate an involuntary re-rate. The new Dublished ratino is shown alono wit
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certiflcate and makes no representations, waflanties 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 Certiflcate, Certified ratings are valid only for models and configurations listed in the
directory at www.ah{ldlre*tory,org.
TERMS AND CONDITIONS
This Certifieate and its contents are proprletary products of AHRI- This Csrtiflcate shall only be used for individual, p€rsonal and
confidential re{erence 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 6onfidential reference.
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at $rwt{,.ahridlrectory.otg, click on "U6liry Ssrtilleate' link
and enter the AHRI Certified Re{erence Number and the date on which the eertificate was issued,
whieh is listed ebove, and the Certificate No., which is listed at bottom right.
@201 SAir-Conditioning, Heating, and Refrigeration lnstitute
alR"cst{Dtfl oililtG, HEATIN6.
& Rf; TRIOTRANOil IHiTIIUTE
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CERTIFICATE NO.:1 3 1 64235492985476O. rr i ;,: