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Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: COUNTY Planning and Development Services Building and Code Regulation Division 2.300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: Permit Number: Building Permit Application W Commercial Residential PROPOSED IMPROVEMENT LOCATION: I Address: J105 60+n Ho( -e' D. - Property Tax ID It: Lot No, Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK CONSTRUCTION INFORMATION: _ Additi al work to be performed under this permit - check all that apply: Mechanical _ Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: -s Cost of Construction: $ 4 / 0 Generator Sq. Ft. of First floor: Utilities: —Sewer —Septic Windows/Doors _ Roof Pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name a1afttt sherftla rL Name: Curtis Sammons Address: 310 5 &-A _D C City: IoR� Si �Dr t•e- State: L Zip Code: ,�445a 317% Fax: 'r Phone No. 'ro2 oJf13 �d S / Company: Custom Air Systems, Inc. 1615 SE Village Green Drive Address: 9 City: Port Saint LucieFL State: Zip Code: 34952 Fax: 772-335-1968 Phone No 772-335-3232 E -Mail custairsys@aol.com E -Mail: Fill in fee simple Title Holder on next page ( if different I from the Owner listed above) State or County License CAC051810 14 1 -1 _ A -- -- -- - -- •-•• • y - a «%JRWrLJ NOUce or commencement is requwrea. 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 AFF IDVIT: 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." Ot Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF\A 0(C,E COUNTY OF tL f The forgoing instrument was acknowledged before me I The for oing instrume t was cknowledged before me this day of �� L , 20 aLI by this 07clay of 20 aZd by tl /LW T/S JR2102Or1S I �L>'RTIS 6/ly ?OSS Name of person making statement. Name of person making statement. Personally Known J� OR Produced Identification Personally Known k OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public- State of fforida) (Signature of Notary Public- State of Flori p /I .09Y PuoiCHRISTINE B EN ISii I CHRISTINE B EI Commission No. �Gt �52s�6 rlf nission No. 9$a 5q6#� MYCOMMISSION # MY CQMMISSIQN G w c EXPIRES: APO 4. 21 o� EXPIRES:April 7 OP i �COW c�ipaft-0-11ar, &wb r rar. a Oi fl. Bonded Thru Bud 9a Na REVIEWS FRONT ZONING SUPERVISOR PLANS I VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7/19 5h, LE' Custom Air Systems Inc. 1615 SE Village Green Drive • Port St. Lucie, FL 34952 �� f h (772) 335-3232 • Fax ( 772) 335-1968 "l Proposal and Agreement J Customer Name Address 3/0 S� `F j -/,,c D Phone 7))-3�S Dat y3 -a- / �- )°1`' Job Address City, State, Zip SFS ✓ C"'& PSL ? Z Work Phones) We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal. Make SEER Equipment Specifications Model Number(s) — EER AFUEBtuh CoolingT_ Btuh Heatin CFM IyA.3 j ��^ (�✓Ar,T3 o-,53,SzA$ lfojt I-%Av` SO c �►'b iU SSCP"( �ohti/ a — ❑ 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 ❑ QPti�be �) PC/ I& yh��pPS ,,� / O Lf /7 1.1) PAT - Vv s S 14 l yse�i 101 c F,94A0y3 lc r-77 s EY Remove existing equipment from premises ❑ Install energy saving setback thermostat ❑ New copper wire from to C?114ake 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 ❑ , ondensation overflow safety switch Lr Hurricane Fa ten rs f r outdoor unit ❑��r p✓c-�S rQ✓-n Terms: p (iLC CX'o /L9� 30 PA Acceptance (Customer) vl X in boxes = Yes ❑ 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 ❑ Com Tete system start up atCo ❑ year parts warranty PrJ 0 labor warranty ❑ year compressor warranty ❑ year service a ree nt O ��rFL Ju/h` Total Investment $ Taxes $ W Dn�/n QlA�TS Total Amount $ Um IV, -coed Down Payment $ 0 Balance Due $ o/L Se r.11C c - Approval (Company) By Date By Date