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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I o I Permit Number: ME Building Permit Application Planning and Development Services Building and Code Regulation Division j 2-300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: "� i I a C r> I ,1." lqr i r\_a_ C\ r PropertyTaxID#:L1��7l� DO6^3 Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION Of WORK: 1 CONSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: L- 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: $ �1 0 0 U Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Namear'01 i i Name: Curtis Sammons Company: Custom Air Systems, Inc. Address: 33 j q Co b(-1' /-, k C i i City: PO r � State: FL Address: 1615 SE Village Green Drive City: Port Saint Lucie State: FL Zip Code:3 Yq S Fax: Phone No. yL(D -72 L4" 3 LcS3 Zip Code: 34952 Fax: 772-335-1968 E-Mail: Al) V� 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 If value of construction is $2500 or more, a RECORDED Notice OT LOmmencement is rrquii ru. 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Fr .�. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA X6 zGL61' STATE OF FLORIDA COUNTY OF COUNTY OF The for oing instrument was acknowledged before me The for ring instrument was acknowledged before me �- � QZ this 1% day of F e b , 20 � by this day of Feb 20 by f h T / S Sf n1 Jn 6 n.S eu )? T1 S Sl�f�1 h?D S Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known �C' OR Produced identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Flori aQ puat CHRISTINE B EN Commission No. �ist ©525�G6 * f MYCOMMISSION#G rot; ,, .. 0 CHRISTINE B ISH nMY fission No. � gsa 5 �G * COMEXPIRES:ON#Q 4 11 ���` a� a� EXPIRES: Apro 4. 21 ov v�o���! Bonded itw Buda REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2///19 ILA Custom Air Systems Inc. 1615 SE Village Green Drive • Port St. Lucie, FL 34952 O (772)335-3232 • Fax( 772) 335-1968 O 0 Proposal and Agreement 4 Customer Name �� � Phone 7 7 � r S `�rL Z Address l O Job Address City, State, Zip as&Work Phone(s) m We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal. Equipment Specifications Make A/,WA.V:C Model Number(s) v L 30 SEER EER AFUE Btuh Cooling Btuh Heating CFM mbustion 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 ❑ New weather resistant equipment stand ❑ Make air tight plenum transition ❑ New high efficiency air filter e-1 ew reinforced equipment pad ❑ new supply diffuser(s) ❑ New humidification system vibration isolation pads ❑ New duct run from to ❑ New return air filter grill New properly sized refrigerant lines ❑ Noise reducing flexible duct connector ❑ Me all code requirements El New clean, dry ACR copper tubing ❑ Balance for uniform supply air distribution Com 1 system start up f I air ❑ year parts warranty El Insulate refrigerant suction hne(s) LiProvide or externs co U El Install refrigerant drier(s) ❑ New gas piping from to ❑ year labor warranty ❑l Ev acuate refrigerant system ❑ New vent pipe and cap ❑ year compressor warranty manufacturer's specs �1ean work area to customer's satisfaction ❑ year ser ice agr mentederal, state & local laws ❑ Co ensation overflow safety switch ❑ urricane Fasteners for outdoor unit �` Total Hues ent $ ❑ Option (below) ❑ Taxes $ OTotal Amount $ Down Paymeat $ Balance Due $ Terms: Acce tance (Customer) c� �\ Approval 22-�Z B Date G�=s By Da y— o©®o©®ro®®®r0000c—0000�