HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Gl' -.7o/ / g Permit Number:
ounuing rermil< Applicavon
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 r J/
Phone: (772) 462 1553 Fax: (772) 462-1-578 Commercial Residential
PEKMI I APPLICA I ION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IM_ PKUVtM1=N I LUCA I ION:
Address: 9yay /44,e4cl 4,Le,
Legal Description:
Property Tax ID #: J.3; 2 - SOoZ - 41!�0 211-!8 Lot No.
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DE IAILED UESCKIP I ION OF WORK:
LI/tc- 1"' L11t y7', 16S,af 6JAr»5e /9%t''i
Block No.
CONSTRUCTION INFORMATION:
Additi na vror to -be e�med under fhis permit - �ec-k all- tap-ply:
VAC Gas Tank ]Gas Piping Shutters F]Windows/Doors
Electric M Plumbing Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ % �6
OWNERAESSEE:
Address: 9`%d LI A v-e n e l
Sq. Ft. of First Floor: _
Utilities: 0 Sewer a Septic
City: Ro R r S-r Z v� i -p- FL 3 4 State: F4-
Zip Code: 3 y g 6 Fax:
Phone No. 7�a �la'085�-
E-Mail: Ct 33 ret9 �s�, kD�
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Building Height:
Name: Gt' �f �>�rllDs1cn
Coco pang: & u 3-re_, rvt
Address: aQ r ee rk L�
City: PO P-T St . L v c t State -
Zip Code: a`Fg52. Fax:
Phone No. `/ "--I 3- 3 3 S
E-Mail• C u S t eL i t
State or County License: O `> ! F ! )
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMEN IALCONS I RUCHON LIEN LAW INI-ORMAI ION:
DESIGNEIfjENGtNEER. Not Applicable
I MORTGAGE COMPANY- _ Not Applicable
Name:
f Name:
Address:
address:
City: State:
City: Sate:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Dame: i
Address:
Address:
City:
City '
Zip: Phone:
Zip: Phone:
I certify that no .,fork or installation .gas commenced prior to the issuance of a permit
SL Lucie County makes no representation that is granting a Fermitwill authorize the permit holder to build the subject structure
which is in conflict % pith any applicable Home Owner s Association rules, bvLn-.s or and covenants that may restrict or prohibit such
structure_ Please consult Ah your Home Owners Association and review your deed for any restrictions vjhich 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 i nth the approved plans, the Florida Building Codes and St_ Lude County Amendments.
The follorling building permit applications are ekemptfrom undergoing a full concurrency review: room additions,
accessory structures, suvimmng pools, fences, :wafts, signs screen rooms and accessory uses to another non residential use
WARN iNG 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 your Notice of Commencement.
s
Signature ature of Ovmerj essee; Contracor as Agent for Owner Signature of Contractor/License Holder
`I
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF - COUNTY OF _
The forgoing instrument was ackno�.�ledged before me I The forgoing instrument was ackmo.;,edged before me
this "; day of �?✓ . 2fl _bra this - i ti' d3�j of _ [� . 20 ; `i by
i
(Name of person acknc.:ledgino j (Name of person. ackno.iledging )
: = � - =-. - ' .- ..'• V � (Signature of Notary =.^-
(Signature of Notary Public- Statz- of �!criria j- ( ( rY Public -State o ieri= �
Personally Knowin OR Produced Identification Personally Knotvn OR Produced Identification
Type of Identirration Produced Type of Identification Produced
Commission No. CH1135 R mission No. t
MYCONAIIISSIMS r3easmEWffMAWf�`
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e�iba aaoe�ati,n,ti ►astafrse+axs r .I � MY tOV#f'Ga3RaC�3-
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REVIEWS
FRONT ZONING SUPERVISOR i PLANS VEGETATION
SEATURTLE
MANGROVE
COUNTER REVIEW REVIEW s REVIR+V REVIEW
REvlEth'
REVIEW
DATE
COMPLETE
INITIALS
1 -----
CUSTOM AIR SYSTEMS INC. SALES * SERVICE * INSTALLATION * APPLIANCES
1615 SE. VILLAGE GREEN DR. PORT ST. LUCIE FL.34952
335-3232 465-0559 562-2777 FAX (772)335-1968
CAC051810
LENNOX * CHAMPION * CARRIER * RUUD * TRANE * AIR CONDITIONERS
August 26, 2019
NAME: JAMES ERB
ADDRESS:
PHONE: 772-812-0882
EMAIL: �d33ret9@comcast.net
JOB NAME/ADDRESS: 9424 AVENEL LN, PSL 34986
HAS 4 TON SYSTEM WITH 10 KW ELECTRIC STRIP HEAT. A/H GARAGE HUNG.
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 4 TON SYSTEM WITH 10 KW STRIP HEAT. (SEE OPTIONS BELOW)
2. CONNECT TO EXISTING REFRIGERANT LINES (FLUSH LINES)
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED)
4. DRAIN LINE SAFETY FLOAT SWITCH
S. PERMIT (INSPECTION BY CITY REQUIRED)
6. CONNECT TO EXISTING DUCT SYSTEM
7. DIGITAL THERMOSTAT
8. DRAIN PAN
9. ONE YEAR LABOR WARRANTY
10. FIVE YEAR LENNOX/CHAMPION/RUUD/CARRIER/TRANE PARTS WARRANTY.
11. 10 YEAR MFG PARTS WARRANTY TO ORIGINAL OWNER. EXCLUDES HEAT STRIP AND THERMOSTAT.
CARRIER 16 SEER SYSTEM. 24ABC648, FV4CNF006. VARIABLE SPEED AIR HANDLER
FOR THE SUM OF: $ 7,460.00 INCLUDING FPL $ 150.00 REBATE INITIAL r
CARRIER 17 SEER SYSTEM. 24ACB748, FV4CNB006. 2 STAGE, V—SPEED AIR HANDLER
FOR THE SUM OF: $ 9,400.00 INCLUDING FPL $ 150.00 REBATE INITIAL
CARRIER 14 SEER SYSTEM. 24ACC448, FB4CNF048
FOR THE SUM OF: $ 6,435.00 INITIAL
LENNOX 14 SEER SYSTEM. 14ACX048, CBA25UH048
FOR THE SUM OF: $ 6,120.00 INITIAL
TRANE 14 SEER SYSTEM. 4TTR4048, TEM4AOC48
FOR THE SUM OF: $ 5,660.00 INITIAL
RUUD 15 SEER SYSTEM. RA1448, RH1P4821
FOR THE SUM OF: $ 5,345.00 INITIAL
CHAMPION 14 SEER SYSTEM. TC4B4821, AP48CX21
FOR THE SUM OF: $ 5,160.00 INITIAL
LESS 5% IF PAID WITH CHECK.
QUOTE GOOD FOR 30 DAYS. TO BE PAID: AT TIME OF SERVICE.
ACCEPTED ........................... SIGNED..... .........
JAMES JARV , CUSTO IR SYSTEMS INC.
Construction industries recovery fund: Payment may be available from the construction industri recovery fund if ou lose money on a project performed
under contract. where the loss results from specified violations of Florida law by a state -licensed contractor. for information about the recovery fund and tiling
a claim, contact the Florida construction industry licensing board.
Phone: 850487-1395 mailing address: DBPR customer contact, 1940 N. Monroe St., Tallahassee, FL. 32399-0786