HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: LL:� / i X)i If( q a-[ J C)
PropertyTaxlD#: 23,-R-7- '
Lot No.
Site Plan Name: Block No.
Project Name:
I DETAILED DESCRIPTION OF WORK:
I 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: $ -,� 0 -7 0 - 0 C)
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name- Curtis Sammons
Address: f0'?
Company: Custom Air Systems, Inc.
0
City: Z,,--, nlo- State: _P/9-
Zip Code: 125Y�) Fax:
Phone No. '-21-7- -7c2!5--,:ZJ1(?L1
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
--------- ... -1 - uk — u �.ullllncimemeni is requirea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: --1
DESIGN ER/ENGI NEER:
Name: —
Address:
City:
Zip: —
Phone
Not Applicable MORTGAGE COMPANY: Not Applicable
I Name:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: —
Address:
City:_
Zip: —
Phone:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:_
Zip: —
Phone:
UVVlMtK/ LUIM I KALII UK AFFILIVII 11: 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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants 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 SrrE BEFORE THE FIRST IINSPEC-nON. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.�
Ot'#
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF & Z'ttz"�—& COUNTY OF J�t oca-eL'
The forgoing instrument was acknowleclgecl,,�efore me The forgoing instrument was acknowledged before me
this 1,5 day of �-6 k e.- 20 / T by this _/� day of Q—'44�b C/-_ 20 i c� by
/ L5 '5'� eta T1 Y
(ZhT
Name of person making statement. Name of person making statement.
Personally Known OR Produced identification Personally Known , 1, 1 OR Produced identification
Type of identificati7on Type of identification
Produced Produced
(Signature of Notary Public- State of �roricla )
r,VAY Put, CHRISTINE B EN
Commission No. �01 6),5 gs-46 IF,
My COMMISSION 0 C�
April 4,
(Signature of Notary Public- State of Flori CHRISTINE B E
ISH
&wission No. C, My COMMISSION #
E)SRES: April
121
BudW Nm
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
HPV 1///1%4
Custom Air SYStCRIS IfIC.
15 st" village '(3-mr, DI vorlSL i,acic, FI,X49,IQ
(772.1 .13i-3232 * Fw�, t 7721 X�5� 1968
.............
I and Ag-
Proposa
Customer
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Cilly, swo, Zip
AVC vvill fljrnish� ins4all a"d wrvicc the vquipMf,,At listed W
F(Itopmeni s 1)
Make Model Number(,s4�:e,:n._
SEER EER_ Bfiffi Cool'
Installation jiall incIrlde- +Z; f_%
Amp disconripct existing i�,qqipfvtent Prelm
New Amp electric, scrvic�: lnOall tllcrgy,,�dving �cftmv,�, thvrm�)�uj
L� New low voltage wiring N,- Copper wtm- ftom
E' New weather msistmit equipment sUnd C Make air tight pk�nuf�j trajjbjtjon�
New rcinfivcOf equipment pad new ,vpply diffilser(s)
E_; Ncwvibration istilation pa& f I Nr-w duct mn f-
j�jjt
L�New pPCOY slied refrigtnm bries Noisc redu,�jtjp I 1�,Ajbj,, cl
New clean, dry ACR copper tubing Balance for umform's
11 refriPr9fil suctioll line(s) priwicle f4t twe
rnal
drier(s) New ga,; plptq from,
v4cuole refrigerant sysleln
N
L;I<Carge to MAnufactumll,�. six" ��v
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