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HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q? Date: �-& / Permit Number: own rnt I i\ Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: Building Permit Application Commercial Residential PROPOSED IMPROVEMENT LOCATION: Address: 144e p,�1-L�p"�Q� Ct /c Property Tax ID M. 41 `I L, () q " � �o�Goo - Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: t 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: Nam C)SCu') Name: Curtis Sammons Address: / a /l Company: Custom Air Systems, Inc. City: Ajew �Ier•ny n State: k J1 Zip Code: 0%97 (o Fax: Phone No. 2 73 — 32& ! - n-2-10-- 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 It 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. j 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 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 COUNTY OF �f"6 ZL CG_�, STATE OF FLORIDA COUNTY OF f The for oing instrument was acknowledged before me this C , day of OCCe/jJlu� , 20�by The forgoing instr ent was acknowledged fore me this � ' day of �y 1S 5, 6WinGn.5 LURTlS h?D/)S Name of person making statement. Name of person making statement. Personally Known _ OR Produced Identification Type of Identification Produced Personally Known OR Produced Identification Type of Identification Produced G 2 '�• (Signature of Notary Public- State of Florida) �t ot�Y t CHRISTINE BEN Commission No.�("rt�52S`l� of * * MY COMMISSION # G EXPIRES:Apn74, (Signature of Notary Public- State of Flori ISM roe; . a��t.� CHRISTINE B EN v issionNo.GcGtOsaJr� *MoMYCOMMISSION# 021 Po EXPIRES:April4 .nded T,_ 1, get REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED ev. 2546 hoes In lPD 4-, OOK fj-'j1tZ Custom Air Systems Inc. 1615 SE Village Green Drive - Port St. Lucie, FL 34952 (772) 335-3232 - Fax ( 772) 335-1968 Proposal an Ar p d Agreement CustomeSName, �r1 .5� �� 1i1 Phone Address City, State, Zip tic GATc 336- ��� y -73- 2G7-OS-5-4 Date /; Job Address -�W-r�Q►ik f pi, t "^ C r,'j Work Phone(s) We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal. Make Model Number(s) Equipment Specifications SEER EER AFUE Btuh Cooling Btuh Heating CFM Installation shall include: ❑ New Amp disconnect ❑ New Amp electric service ❑ New low voltage wiring ❑ New weather resistant equipment stand New reinforced equipment pad ❑ New vibration isolation pads New properly sized refrigerant lines ❑ New clean, dry ACR copper tubing ❑ Insulate refrigerant suction line(s) ❑ Install refrigerant drier(s) ❑ Evacuate refrigerant system ❑,.Charge to manufacturer's specs ❑'Meet aU, federal, state & local laws ❑ pptl`ot' (1i low) Terms ❑ Remove existing equipment from premises ❑ Install energy saving setback thermostat ❑ New copper wire from to ❑ Make air tight plenum transition ❑ new supply diffuser(s) ❑ New duct run from to ❑ Noise reducing flexible duct connector ❑ Balance for uniform supply air distribution ❑ Provide for external combustion air ❑ New gas piping from to ❑ New vent pipe and cap ❑ Clean work area to customer's satisfaction ❑ Condensation overflow safety switch ❑ Hurricane Fasteners for outdoor unit ❑ - Acceptan (Cu tomer By _ Approval (Company) M X in boxes = ❑ New condensate drain system ❑ New condensate pump ❑ Install aux. condensate drain pan ❑ New high efficiency air filter ❑ New humidification system ❑ New return air filter grill ❑ Meet all code requirements ❑ Complete system start up ❑ year parts warranty ❑ year labor warranty ❑ year compressor warranty ❑ year service agreement Total Investment $ Taxes $ Total Amount $ Down Paymeat $ Balance Due $ Yes Date �o©®®00000000 J