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Home My WebLink AboutCCF09302019_00000All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9 -moo �/ Permit Number: Ji -- Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Address: //0/ ©05/ 19Qa &1&b o/v '-C"' Property Tax ID#: 02�� 3 �ll'fi��S—®ODfs Lot No. Site Plan Name: Block No. Project Name: I DETAILED DESCRIPTION OF WORK: j CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: r Mechanical Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ t'_, 6 r-� r Utilities: —Sewer —Septic Building Height: OWNER/lLE/SSEE: CONTRACTOR: / Name %�ju� /ilCt� /CG ��lb �z Name: Curtis Sammons Address: /0 OD J/ Q2l Company: Custom Air Systems, Inc. City: IDAt C� Zip Code: J y? 5'5 Phone No. 76 S — State: L Fax: 171,1 % Address: 1615 SE Village Green Drive City: Port Saint Lucie State: FL Zip Code: 34952 Fax: 772-335-1968 Phone No 772-335-3232 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail custairsys@aol.com State or County License CAC051810 If value of construction is 52500 or more, a RECORDED Notice of Commencement is requirea. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I DESIGNER/ENGINEER: _ Not Applicable Name: Addre-. City: Zip: Phone State FEE SIMPLE TITLE HOLDER: — Not Applicable Name: Address: Citv: Zip: Phone:_ MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY Name: Address: City: Zip: Phone: Not Applicable State: _Not Applicable 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 WrrH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA (f1 p XY— STATE OF FLORIDA p COUNTY OF COUNTY OF oL LLCc o`ILCC� The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 30 day of S-e p - 20_!f by this JC day of '�C/J t , 20 // l by �2IR T/S 5fn1i10n.5 eURT1S 6A177h?O/7S 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 (Signature of Notary Public- State of orida) (Signature of Notary Public- State of Flori r r /�^ I ot►; CHRISTINE B Commission NO.V7U7 525�6 r '�SION� * * B rot: ,, u�o CHRISTINE Eh // mission No. MYCOMMiSS10N# E)PIRES:Aprl `or EXPIRES: Apn14, 21 � �` pe„ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19 ®o� Custom Air Systems Inc. 161$ SE Village Green Drive - Port St. Lucie, FL 34952 772) 335-3232 - Fax ( 772) 335-1968 o Proposal and Agreement�l q hone a an 7�Pi 7(O Date9� , / Customer NameAl — Job Address /f Address 04-1�� City, State, Zip ' Work Phone(s) We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal. Equipment Specifications Make A4Cn7 1 C i i"e-- Model Number(s) O SEER EER AFUE Btuh Cooling d Btuh Heating_&L l - CFM Installation shall include: X in box es ❑ New Amp disconnect Remove existing equipment from premises ❑New condensate drain system ❑New Amp electric service ❑ Install a hermostat ❑ New condensate pump El Install aux. condensate drain pan ❑ New low voltage wiring ElNew copper wire from to ❑ New weather resistant equipment stand ❑ Make air tight plenum transition ❑ New high efficiency air filter ❑ new supply diffuser(s) ❑ New humidification system New reinforced equipment pad ❑ Ne return air filter grill New vibration isolation pads ❑ New duct run from New properly sized refrigerant lines [INoise reducing flexible duct connector eet all code requirements El New clean, dry ACR copper tubing ❑ Balance for uniform supply air distribution Q� system start up ❑ Insulate refrigerant suction lines) ❑ Provide for external combustion air ❑ year parts warranty ❑ Install refrigerant drier(s) ❑New gas piping from to rranty ❑ =ar labor warranty ❑ Evacuate refrigerant system ❑ New vent pipe and cap ❑ year compressor wa i- Charge to manufacturer's specs VClean work area to customer's satisfaction ❑ year service jagreement Condensation overflow safety switch Meet all federal, state &local laws El /� C Hurricane Fasteners for outdoor unit Total Investme ❑Option (below) Gi) D Taxes-� _ J� P Total Amount $ Down Paymeat $ Balance Due $ Terms: Ap (Comp ,;r (jl Acceptance stomer) i' Dat4iL A Date By I i ®®