The URL can be used to link to this page

Home My WebLink AboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: J A N G a 0i 0 Permit Number: _ iJ • 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: /l/ 0 3 R4% Ile,- 1Cd Property Tax ID #: LF) 3 - ?OD - Ct/e S"DAD Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: L 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: i Cost of Construction: $ `/ 5 Utilities: —Sewer _ Septic Building Height: OWNERAESSEE: =CONTMUI DR: Namente4._t Z e� • C74 Qt Name- Curtis Sammons Address:- Ila3 /ylu/� r �/C�% Company: Custom Air Systems, Inc. City: F4 It 1-eZ State: FG Address: 1615 SE Village Green Drive Zip Code: ,/7/,//F Z2- _ Fax: City: Port Saint Lucie State: FL Phone No. 77W 41 �577 77a da ii?I�l Zip Code: 34952 Fax: 772-3351968 E-Mail: Phone No 772-335-3232 Fill in fee simple Title Holder on next page (if different E-Mail custairsys@aol.com from the Owner listed above) State or County License CAC051810 I 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: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: 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 SFFE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." .) A.— (), 'k- — Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA (� COUNTY OF "f"6 ocuG( STATE OF FLORIDA COUNTY OF St kLecc_ The forgoing instrument was acknowledged before me this 6 day of J;P AJ 20 40 by The forgoing instrument was acknowledged before me this 6 day of 2040 by �vsnT/S ib R T! S Sf}`r1 M f� S Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Type of Identification Personally Known OR Produced Identification Type of Identification Produced Produced 21 ry (Signature of Notary Public- State of fforida ) r CHRISTINE B E �� Commission No. vt D52S 6 * # My EXPIRES: AprJ 4, (Signature of Notary Public- State of Floris ISH r°. • �� CHRISnNE B ENGL � DS MY COMMISSION* GG sson o. a 5 `i fiiNJc% 21 EXPIRES: April 4 Bonded Pn BWgN Not REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 211119 b2W kvices Loan -4� , 35f3l /y/S p Plt Custom Air Systems Inc. 1615 SE Village Green Drive - Port St. Lucie, FL 34952 (772) 335-3232 - Fax ( 772) 335-1968 Proposal and Agreement Customer Name Address ///y cJ 114eez City, State, Zip `2 3 30toQ0 Phone %7Z` ��l J 6�� i Date 7?v�3r 'q2u Y Job Address Work Phone(s) We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal. Make SEER EER Equipment Specifications Model Number(s) AFUE Btuh Cooling Btuh Heating CFM Installation shall include: 4A±'� 9 j A-0rZ ❑ 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 all federal, state & local laws ❑ Option (below) Alo S%b X in boxes = Yes ❑ Remove existing equipment from premises ❑ New condensate drain system ❑ Install energy saving setback thermostat ❑ New condensate pump ❑ New copper wire from to ❑ Install aux. condensate drain pan ❑ Make air tight plenum transition ❑ New high efficiency air filter ❑ new supply diffuser(s) ❑ New humidification system ❑ New duct run from to ❑ New return air filter grill ❑ Noise reducing flexible duct connector ❑ Meet all code requirements ❑ Balance for uniform supply air distribution ❑ Complete system start up ❑ Provide for external combustion air ❑ year parts warranty ❑ New gas piping from to ❑ year labor warranty ❑ New vent pipe and cap ❑ year compressor warranty ❑ Clean work area to customer's satisfaction ❑ year service agreement ❑ Condensation overflow safety switch ❑ ❑ Hurricane Fasteners for outdoor unit ❑ Total Investment $ Y Q & vt 4 AV/ &7ml i,/an/ o Terms: Acceptance (Custo L By t.fi ye eo 0 dt /) Approval (Company) By Taxes $ Total Amount $ Down Payment $ Balance Due $ Date