HomeMy WebLinkAboutBUILDING PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -�d Permit Number:
a�
` Building Permit.Application
Planning and Development Services
Building and Code Regulation Division
2,300 Virginia Avenue, Fort Pierce FL 34982 Residential
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT TYPE:
1 PROPOSED IM,
aoC)
.00ATION:
C.o f n C-4-
Address. I— — —
Property Tax ID #:
Site Plan Name:
Project Name:
DETAI
3 DESCRIPTION OF WORK
i s c<. n cc r Pr, c �O. /o/1
L /lf c_ / 1. // yra % yS 0 .S
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit— check all that apply:
Mechanical —Gas Tank Shutters Windows/Doors —Gas Piping _ —
_ Electric _ Plumbing — Sprinklers — Generator — Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First floor:
l/2 9 Utilities: Sewer Septic Building Height:
Cost of Construction: $ — —
OWNER/LESSEE:
Name `e r
I Address:;)Wy- /I-}L1
City: PA
►rv4 Cpl State:��—
Zip Code:,U(4 Fax:
Phone No. C of %GCo Q—
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRA�:
Name: Curtis Sammons
Company: Custom Air Systems, Inc.
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 custairsys@aol.com
State or County License CAC051810
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea.
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."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
J
STATE OF FLORIDA G
COUNTY OF � dcl,C1'(
COUNTY OF 0GCG—Q-
_ _
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of MA 0`C,Gl 20� by
this,10 day of 11'j q nG Lt 20?-0 by
T S Yft art X 0 nS
CMG[ R TI S 6�A t?O S
Name of person making statement.
Name of person making statement.
Personally Known �� OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of fforicla)
(Signature of Notary Public -State of Floor CHRISi1NE6
oupr r, CHRISTINE B
Commission No.LtGrDS2S�16 : ' MY�t
•
r •.. � MY COWNSSION>I
mission No. 17Sa 5�6
pa EXPIRES:
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 277719
CUSTOM AIR SYSTEMS INC. SALES * SERVICE * INSTALLATION * APPLIANCES
1615 SE. VILLAGE GREEN DR PORT ST. LUCIE FL.34952
335-3232 465-0559 562-2777 FAX (772) 335-1968
CAC051810
CARRIER * RHEEM * GOODMA_N * TRAN'E * AJR CONDITIONERS
KITCHENAID *WHIRLPOOL * APPLIA�
February 28, 2020 Vt
NAME; RARL CHANDLER e � (�
ADDRESS: l/✓�
PHONE: 610-389-7862 '^�
EMAIL: KCHANDLER74@MSN.COM Yj
�T CITY
34990
JOB NAME /ADDRESS: 2004 NW ROYAL FE19ARBOR RIDGE, PALM
MAIN UNIT IS 2006, 4 TON HEAT PUMP SYSTEM. AIR HANDLER IN ATTIC.
60/60 SQ. D. QO.
BREAKERS. 42 X 48" SLAB.
LIMITED ACCESS/SPACE TO GET AIR HANDLER INTO ATTIC. QUOTING BEST
FIT OPTIONS
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING-
1. 4 TON 14 SEER HEAT PUMP SYSTEM WITH 9/10 KW BACKUP HEAT STRIP
(SEE OPTIONS BELOW)
2. CONNECT TO EXISTING REFRIGERANT LINES (FLUSH LINES)
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS
NEEDED)
4. DIGITIAL THERMOSTAT
5. PERMIT (INSPECTION BY BUILDING DEPARTMENT REQUIRED)
6. CONNECT TO EXISTING DUCT SYSTEM
7. NEW EMERGENCY DRAIN PAN
8. ONE YEAR LABOR WARRANTY
9. FIVE YEAR RUUD/CHAMPION PARTS WARRANTY. (10 YEAR
CHAMPIONN4 TON 14 SEER HEAT PUMP SYSTEM
TH4B481"S AVC48CX21 l/
,
FOR THE SUM OF: $ 6,260.00 INITIAL
LABOR WARRANTY. ANNUAL MAINTE REQUIRED.
ADD 10 YEAR CHAMPION
FOR THE SUM OF $ 650.00 PLUS TAX INITIAL
RUUD 4 TON 14 SEER HEAT PUMP SYSTEM
RP1448, RH1T4821
FOR THE SUM OF: $ 6,325.00 INITIAL
ADD 10 YEAR RUUD LABOR WARRANTY. ANNUAL MAINTENANCE REQUIRED.
FOR THE SUM OF $ 1,240.00 PLUS TAX INITIAL
WE OFFER A 596 DISCOUNT ON SYSTEMS ONLY IF PAID WITH CHECK. DOES NOT APPLY TO EXTENDED
WARRANTIES.
QUOTE GOOD FOR 30 DA . TO PA : AT TIME OF SERVIC ./ ()- '
����jSIGNED .rOMAIR
.... ........... .........
ACCEPTED.. .....-...... . J is
SCU S STEMINC.
Construction industries recovyfund:Paymentmaybeavailablefromtheconstructionindu tnesrecovayfund ifvoulose money onaproject performed
a
under contract, where the loss results from specified violations of Florida law by a state -licensed contractor. for information about the recovery fund and filing
a claim, contact the Florida construction industry licensing board.
Phone: 850-487-1395 mailing address: DBPR customer contact,1940N. Monroe St., Tallahassee. FL. 32399-0786