HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /D - /I - i I 9Permit Number:
J
i
- Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ?
Residential
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial 1
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
V1711 (frCe11 cO!�'V
Address: 1711
.&!%C
Property Tax ID #: c jda - A33 - 001 3 - Lot No.
Site Plan Name: Block No.
Name:
Project
DETAILED DESCRIPTION OF WORK:
L/.Iv,- Lllte ; %5�
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: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name—' (tel
Name: Curtis Sammons
Address: 75 ?15' Rccr-
Company: Custom Air Systems, Inc.
City: 8E r 146 1C� State: JP19-
Zip Code: J Fax:
Phone No. a kp 16 - a5-7 3S
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 $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:
FRONT
COUNTER
DESIGNER/ENGINEER:
Name:
— Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
MANGROVE
REVIEW
Address:
City:
Zip: Phone:
State:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
— Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the worK anu Instal, al,V„ as
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
structure. Pleaslict e consult th with pypoiur Hle Home Owners Association ome Owners Association and review your deed or any bylaws or and restrictions nts that wh ch may arestrict or pl. prohibit such
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."
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF X16 ocLCG-� COUNTY OF �U/'!
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged -before me
this e / day of — ,f20�,J by this f day of 061L01_)Q by
�12dig77S S�n1m0n-5 - 6IRTIS 5mh?D S
Name of person making statement. Name of person making statement.
Personally Known 1 OR Produced Identification
Type of identification
Produced
'X }
(Signature of Notary Public- State of Florida )
D 5 2 SY 6 ot►�r p� CHRISTINE B EM
Commission No. * MY COMMISSION 9 G
s+ c�
EXPIRES: "4,
Personally Known OR Produced Identification
Type of identification
Produced
(Signature of Notary Public- State of Flori
t , � CHRISTINE B E
0
'IS
li � D s a 5 * MY COMMISSION
Ap A
mission No. a� c� ��_�
)21 �1FOF}yo� BordedThuBudgetN
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 1
CUSTOM AIR SYSTEMS INC. SALES * SERVICE * INSTALLATION. CAC051810
1615 SE. VILLAGE GREEN DR. PORT ST. LUCIE FL.34952
335-3232 465-0559 562-2777 FAX (772)335-1968
CARRIER * RHEEM * GOODMAN * TRANE * AIR CONDITIONERS
KITCHENAID * WHIRLPOOL * APPLIANCES
October 11, 2019
NAME: JOHN GRIM
PHONE: 772-828-3200
FAX:
EMAIL: tom@housecheckfl.com
JOB NAME/ADDRESS: 7374 PINE CREEK WAY, PGA, PSL 34986
HAS 3 TON SYSTEM. AIR HANDLER IN ATTIC. LIMITED SPACE. # 6 COPPER WIRE TO A/H. 10 KW
ELECTRIC STRIP HEAT. 60/30 SQ D QO BREAKERS. 40 X 48 SLAB AREA.
NOTE: HAS ABOUT 6' OF SQUARE DUCT BOARD DUCT IN ATTIC BY AIR HANDLER THAT IS
PARTIALLY CRUSHED. REPLACING THIS IS INCLUDED IN BID.
WE PURPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 3 TON RUUD 15.5 SEER SYSTEM WITH 10 KW ELECTRIC STRIP HEAT
RA1436, RBHP21
(EQUIPMENT QUOTED IS BEST FIR FOR AIR HANDLER AREA)
2. CONNECT TO EXISTING REFRIGERANT LINES (FLUSH LINES)
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED)
4. DIGITIAL THERMOSTAT
5. PERMIT (INSPECTION BY BUILDING DEPARTMENT REQUIRED)
6. CONNECT TO EXISTING DUCT SYSTEM
7. SLAB
8. REPLACE CRUSHED DUCT BY AIR HANDLER (ABOUT 6' SQUARE DUCT BOARD)
9. NEW EMERGENCY DRAIN PAN
10. ONE YEAR LABOR WARRANTY
11. FIVE YEAR RUUD PARTS WARRANTY.
10 YEAR PARTS WARRANTY TO ORIGINAL OWNER IF SYSTEM IS REGISTERED WITH MANUFACTURER
WITHIN 60 DAYS OF INSTALL. 10 YEAR PARTS WARRANTY DOES NOT APPLY TO RENTAL
PROPERTIES.
FOR THE SUM OF: $ 5,290.00 INITIAL
ADD TEN YEAR LABOR WARRANTY.
YEARLY MAINTENANCE REQUIRED.
FOR THE SUM OF: $ 1,240.00 PLUS TAX INITIAL
A
QUOTE GOOD FOR 30 DAYS. TO BE PAID: AT TIME OF SERVICE. /
ACCEPTED/
...''L '............ SIGNED..... ..... ..........
S J IS
CUST AIR S STEMS INC.