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HomeMy WebLinkAboutbuillding pemitAll 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 PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Address: 1 S) 1 Vej- D of K �— C� Property Tax ID #: 3c� [ 1-( - 5 d - a --)L �l Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: j CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: ('Mechanical Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Cost of Construction: $ Sq. Ft. of First Floor: _ Utilities: —Sewer _Septic Windows/Doors Roof Pitch Building Height: OWNER/LESSEE: CONTRACTOR: h n NameLawre/te d G�t �L��/1 IL7rO(,c�f1_ Name: Curtis Sammons Address: I IV'es CA k �--✓ , Company: Custom Air Systems, Inc. City: Jh Ct *\ of Lc> C6 (f— State: Zip Code: 3ug1 a— Fax: Phone No. 5 b b 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 }z5uu or more, a KtLUKUCU rvouCC ui . cy.,.. 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 Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Name: Address: Citv: Zip: Phone: _ Not Applicable State: BONDING COMPANY: _Not Applicable Name:_ Address: City:_ 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 contlict 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 wrru vn"n i runrD nu AN ATTORNEY REFORF RF[ORnINC YOUR NOTICE OF COMMENCEMENT." Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA (� zucF � STATE OF FLORIDA COUNTY OF J COUNTY OF V1'6 The forgoing instrument was acknowledged before me The forgoing instrume,nt� was acknowledged before me this a3 day of OG+L� bPs 120 / Q by this � day of C^)C_,yVb eY 20O by L'267-/S S�MinGns euRTIY 6//711'10f 5- Name of person making statement. Name of person making statement. Personally Known X OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Floros 10et� CHRISTINE B 8 Commission No. �Gi 0 5 zS�l6 * f MYCOMNtNa1 oc►�; rye CHRISEFAprl I ��� o MY COMMISSK)N # mission No. Gi ra D S a S 6 * EXPIRES: m � t 21 s'�aF FA Q S01eled Tin B'"19d Nd REVIEWS FRONT ZONING BudW NO SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19 oo�© ( (4-, Custom Air Systems Inc. S\� 1615 SE Village Green Drive • Port St. Lucie, FL 34952 �r (772) 335-3232 F x ( 772) 335-1968 roposal and Agreement ' Q..Sr --ate-/ Customer Name L 06,J rep,- e, 467d f-P� AVM' Phone UJ Date)' Address 1 ! IX44;1 fAtV--LA fli Job Address 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. 4ACC Aj-'\ —� Equipment Specifications Make VVW Model Number(s) �rLJ t 03K SEER EER AFUE Btuh Cooling3S� Btuh Heating 6U*1 CFM Installation shall include: 1 X in boxes = Yes ❑ New Amp disconnect ❑ Remove existing equipment from premises ❑ New condensate drain system ❑ New Amp electric service ❑ Install energy saving setback thermostat ❑ New condensate pump ❑ New low voltage wiring ❑ New copper wire from to ❑ Install aux. condensate drain pan C New weather resistant equipment stand ❑ Make air tight plenum transition ❑ New high efficiency air filter New reinforced equipment pad ❑ new supply diffuser(s) C New humidification system ❑ New vibration isolation pads ❑ New duct run from to ❑ New return air filter grill C New properly sized refrigerant lines ❑ Noise reducing flexible duct connector ❑ Meet all code requirements ❑ New clean, dry ACR copper tubing ❑ Balance for uniform supply air distribution ❑ Complete system start up ❑ Insulate refrigerant suction line(s) ❑ Provide for external combustion air ❑ year parts warranty ❑ Install refrigerant drier(s) ❑ New gas piping from to ❑ year labor warranty ❑ Evacuate refrigerant system ❑ New vent pipe and cap D year compressor warranty ❑ Charge to manufacturer's specs ❑ Clean work area to customer's satisfaction ❑ year service agreement O Meet all federal, state & local laws ❑ Condensation overflow safety switch D ❑ Hurricane Fasteners for outdoor unit Option (below) Total Investment $ G�PC j Taxes $ - - - Total Amount $ Down Payme.,t $ Ae e Y- Balance Due $ Terms: 1 Accept nce (Custome Approva ny� i By u. 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