HomeMy WebLinkAboutScan_2019-08-02-052050499All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COUNTY
F L O R 1 D A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential
Address: .3 (o\ 3 W ts-r C H t= 5 �-E iZ Cc)i zr
Property Tax ID#: 301a5 - 10S - 0b-1-1 duo- 8 Lot No.
Site Plan Name: SAVA►a u A C>`�b 1�LA� pti.As��hrt�� Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
�V 1 ,6,) �, i k,
�i 61 �A,,� P'7 k'C- oyet 1� �r Told l4 �E�J2 j�/�cK,ygd_ IVI�
i 0 'e_� Ye"-F
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ L00
lLt'9 D - 0
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name _yOkri (Vtc_o1s i
Name; 1L6-C ALme,d,4
Company: O(ey,v Ai(L-
%CNA; 0Lc)-: l/6
Address: 3(013 WesTcl-IES'TiR C
City: �Ot: - 5} L-U ctu-_ State: t7L
Address: 1S7& A464M6kt,R-
CI9c(-c_.
Zip Code: 3496.Z Fax:
City: ,py'T C u ciC
State: Fe--
Phone No. 5 8S �'.s q - -1 3 s I
Zip Code: Fax: -773s5- 1962-
Phone No 77� 335- �Lo6I
E-Mail: • NtCoCosl O �jAcom
Fill in fee simple Title Holder on next page ( if different
E-Mail CC-eAJ is 79
1966 • com
from the Owner listed above)
State or County License CA -
Co g-9 G,66
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
SignT Owner/ Lessee/Contractor as Agent for Owner
Sig u "f?Contractor/License Holder
STATE OF FLORIDA
COUNTY OF C.
STATE OF FLORIDA
COUNTY OF L, C_ fG. AA/
The forgoing instrument was acknowledged before me
this day of !'Aue},�s i 20 . . by
The forgoing instrument was acknowledged before me
this . day of 20_ by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
2ar'J"_ \ MaIL
S
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
Com L&I)
' • SANDRA WALSH
%Y'N,f" SANDRA WAL'SH
Q ate of Fin Pub.
REVIEWS
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# GG 197984
15EAnTMT>I§Fs
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19
1578 Niemeyer Circle
Port St. Lucie, FL 34952
PROPOSAL AND AGREEMENT
A/C Sales Service Installation
By Jeffrey Almeida - Lic # CA-0058660
(772) 335-2061
Fax 335-1802
O L A"-- co-nn
CUSTOMER NAMEN 1 C-o 10 S 1 PHONE --!K 'd'9 - 13S I DATO a a i
ADDRESS 35-13 W&54cr-I e-s$ru2 L JOB ADDRESS 34613 W65s chgs7eA eT
CITY, STATE, ZIP %e-T 5A Lvug rL 3415Z WORK PHONE : r3S`3- '73Sd
We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on all pages
of this proposal.
EQUIPMENT SPECIFICATIONS
Make 9'P, t Gb ® Al O-L Model Number(s) ® 14
SEER EER BTUH Cooling BTUH Heating CFM
Installation shall V t
include: L F-A 9, u nLt+=c ► ��d4E ;Z40LAc.L 8,.1Ji IP—S �AGKAc,C
11e 0�owr,
cc,rua)tc.-�-e4 1 1Nc� �veJC Lj-.)®rL.�G
X = Yes
New Amp disconnect
New low voltage wiring
New reinforced equipment pad
New vibration isolation pads
New properly sized refrigerant lines
New, clean, dry ACR copper tubing
Charge to manufacturer's specs
Insulate refrigerant suction lines
Install refrigerant drier(s)
Evacuate refrigerant system
Remove existing equipment from premises
Install new 1A i,� thermostat I --109
New copper wire from to
Complete system start up
Make air tight plenum transition
New dehumidistat
New supply diffuser
New duct run from to
New return air filter grill
Noise reducing flexible duct connector
Clean work area to customer's satisfaction
New condensate drain system
Install aux. condensate drain pan
New high efficiency air filter
eet all code requirements
l 0 year parts warranty
1 year labor warranty
—L year compressor
year service agreement
Option (below) Alternative (below) Is { _ Is not) included in price
Installed Price $ r`Q C,g Ct
Terms: '^ d �c.0 5 y eke ri, , $
ed L 1 ®y - c' Taxes $ .,;1c`v'�a�d
Total Amount $
Down Payment $
Balance Due $ `jL� Q Vo
Acceptance by:
. Approved _
Date `Y -� % by: Date: ° �'
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