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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: /'7 '•? -/ 9 Permit Number: • Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Building Permit Application PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Commercial Residential Address: SAD /RYrtL %>'4,7 Zk Property Tax ID #: '? `14 - - � 7/ 0,0 -44 Lot No. Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Block No. L-/lzc- d - ( LIke 3.5 1,7A Cr_rjt o„, /o/t./ CONSTRUCTION INFORMATION: Addit' naI work to be performed under this permit -check all that apply: 1. Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: ��// Name Dd rojm 4 ✓Qih.Q /Lo u s--r— Name: Curtis Sammons Address: 'PC Leo I `7/ Company: Custom Air Systems, Inc. eo W Q n. 7 ems— City: hog -State': OP% Zip Code: t OE /pj 0 Fay: C� na_ja, Phone No. j 7 9 4 r7 7a a r J/1- $� 6> 7113, 1615 SE Village Green Drive Address: 9 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 . -a.— vw1x1 ULuun a ac_14JU Ur more, a KtLLJKUtU IVOilce OT LOmmencement Is required. 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: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: City: Zip: Phone: 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 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 weru vne tR LENDER no eN ATTOPNFY RFFnRE 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 cGt GL COUNTY OF )"6 o�GL� 9 The forgoing instrument was acknowledged before me this 6; day of V,"Xc- 2011� by The forgoing instrument was acknowledged before me this �_ day of 20 by T I S YeWX0n..5 C�GIRTIS ,S�` iy'-)/)S Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known j OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public- State of Korida) (Signature of Notary Public- State of Flori� t►R?WBt �+ o,CHRISTINE B E �t�rt E'S25�6 r Commission No. * f MY COMMISSION# rot: „ °sic CHRISTINE B EN �Stl � MY COMMISSION # cII� fission No. ®Sa S�6 * J off" a�c� EXPIRES: AprI4 EXPIRES: '�p� Apn14, 21 pll� fended Thm Budget Not REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19 �0000©000�000r�00000©rooc—000co�—0000� Custom Air Systems Inc. 1615 SE Village Green Drive • Port St. Lucie, FL 34952 (772) 335-3232 • Fax ( 772) 335-1968 r u Proposal and Agreement J Customer Name f"- Phone - - Date Address r - 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. u Equipment Specifications 1{, J Make fit- `'1�Iodel Number(s) r J ICJ 1.�i J SEER EER AFUE Btuh Cooling_ Btuh Heating CFM J Instal at' �haH cl e: R 1 J Y � II Ij II I L l X in boxes = Yes II New Amp disconnect Remove existing e cip ipment from premises New condensate drain system New Amp electric service Install energy saving setback thermostat New condensate pump L J = New low voltage wiring New copper wire from to ❑Install aux. condensate drain pan I� J _ New weather resistant equipment stand L-- Make air tight plenum transition ❑ New high efficiency air filter L N.ew reinforced equipment pad _ new supply diffuser(s) ❑ New humidification system [ E: New vibration isolation pads ` New duct run from to ❑ New return air filter grill (j J New properly sized refrigerant lines -' Noise reducing flexible duct connector ❑ Meet all code requirements n jNew clean, dry ACR copper tubing Balance for uniform supply air distribution Complete system start up I' L. Insulate refrigerant suction line(s) = Provide for external combustion air C' year parts warranty If r Install refrigerant drier(s) New gas piping from to C year labor warranty L - Evacuate refrigerant system ❑C New vent pipe and cap ❑ year compressor warranty L Charge to manufacturer's specs ❑ Clean work area to customer's satisfaction year service agreement lj L Meet all federal, state & local laws n Condensation overflow safety switch 7 ❑ Hurricane Fasteners for outdoor unit r - Option (below) � Total Investment 5 J r JTaxes r S L; S Total Amount r J Down Payme,it S Balance Due S rLr I Terms: 1 (Cuss rter) Approval (C. Date qtance Date -By -: f' �r000000c000000�o�000000coor000000�