HomeMy WebLinkAboutbuidling permitALL APPLIC BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application
Plonning and Development Services
Building ond Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (7721 467-L578 Commercial Residentia I /-"
Address:
Legal Description:lue./
Site Plan Name:Block No.
Project Name:
4\/n
\rHi-
permft -ADDIV:
tr
_n
HVAC
Electric
Gas Tank
Plumbing
nu., Piping Shutters
Generator
f,]*,noo*s/Doors
tr nsprint<ters tr [-l noot E Roor pitch
Total Sq. Ft of Construction:So. Ft. of First Floor:
Utilities: F ru*", E t"r.'Cost of Construction: 5
Property Tax lD #:
lf rriu" of construction is 52500 or more, a RECORDED Notice of Commencement is required.
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Zipcode: 3L{4V\9 r^*W
E-Mair : LXr'ftler \ Li(}fi IW\*' \ "Fill in fee simple Title Holder on nerft paCe ( if different
from the Owner listed above)
MORTGAGE COMPANY:_ Not ApplicableGINEER: _ Not Applica
BONDING COMPANY:
-Not
APPlicableFEE SIMPLE TITLE HOLDER:_ Not Applicable
OWNER/ CONTRACrOR 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 grantins a permit will authorize the permit holder to build the subject structure
irr,'it}"ii ii-cthitili r,iit-tr'i-r,v ir;iidEtd'Hijii;bwfi;;;Al3otiaiion iuies, 6iia*ioran{ covenants that may. restrict or prohibit such
iiruc[uie. please Coniult with tiour Home Owners Association and review'your deed for any restrictions which may apply.
ln 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 ipproved 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 indpection.'lf y6u intend to obtain financing, consult with lender or an attorney before
commencing work or recordi r Notice of Commencement.
Thejprgoi n g i nstrqm-ent. was acknowl ed ggfl .before me
thi;/4 day of l-Y{h I 2oll} by
\lule;1 {Ylorceite
Name of pe/son making statement
Personally Known X. on Produced ldentification
Type of ldentification
Produced-
ocr 2& 2018
1ST FLORTDA
(Signature of Notary Public-
Signature / Lessee/Contractor as Agent for Owner
The
Name of pepon making statement
Personally Known /\\ OR Produced ldentification
ocr 28,2018
BONDEDTHRU
lST FLORIDA I{OTARX, LLC
(Signature of Notary Public- S
VEGETATION
REVIEW
Rev.8/2117
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Dale:04-24-2018 Model Status :Active
AHRI Certified Reference Number : 761531 1
AHRI TYPe : SP-A
Series : AIRTEMP VPTRE SERIES
Outdoor Unit Brand Name : AIRTEMP
outdoor Unit Model Number (Condenser or Single Package) : VPTRE-048K
Region :
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'
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A[(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'
Territories)
Air-Conditiqgng & Air-Sorireb Heammp Equipment and subject to.rating r"31,,.y Uy AHdl-sponsored, tnO*p"na1m$teeruite:lig
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DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warlanties or guarantees as to, and assumes no responsibility for,
the product(s) listed on this Cefiificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the
unauthorized alteration of data listed on this Certiflcate. Certified ratings are valld only for models and configurations listed in the
directory at www.ehr!dlrectory,org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI- This Certifieate shall only be used for individual, personal and
confidential feference putposes, The contents of this Certiffcate may not, in whole or in part, be reproduced; copied; disseminated;
entered into a comput;r databasei or otherwise utilized, in any form or manner or by any means, except ,ot the user's individual'
personal and conff dential reference.
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be vetified at ww$.ahrldlrsdtory.org, click on "VeJity eertirieate" Iink
and enter the AHRI Certifled Reterence Number and the date on which the ceJtificate was issued,
Ala-c6ilrlfl ofillire, H E&!'ll{G.
& RETPIAIRAROH IT.ISII1UTE
tte rnake liJi: better*
whichislistedabove,andthecertificateNo.,whichislistedatbottomright.!"::.-:-
@2018Air.Conditioning, Heating, and Refrigeration lnstitute f CERTIFICATE NO':1316906038982]t67€Fr
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f,'Active', Model Status are those that an AHRI Certification Program Participant is currently producing ALID selling or offering for sale; OR new models that are being
marketed but are not yet being produced."produclion Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still