HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
y;zr7 _a04 0 Permit Number:
COU NT Y
Building Permit Application
Planning and Development Services
3uilding and Code Regulation Division
2.300 Virginia Avenue, Fort Pierce FL 34982
Phone: 1772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPftOVEME,QNfi
Address:
Property Tax ID QD� -at Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OP WORK:
CONSTRUCTION W
n
J1QN:
Additional work to be performed under this permit— check all that apply:
`' Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors
Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 22 77-c> O
_ Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First floor: _
Utilities: —Sewer —Septic
Building Height:
OWNER/LESSEE; _:
Name a r.Ck `/3enn�e C�,na���m4n
Name: Cur5sSammons
Address: V1 g brt l i JY
Company: Custom Air Systems, Inc.
City: Jou K¢ U n a. State: W r
j Address: 1615 SE Village Green Drive
Zip Code: Sy 6,� O Fax:
City: Port Saint Lucie State: FL
Phone No. fao X13-0 J 741
Zip Code: 34952 Fax: 772-335-1968
E -Mail: e4lQhd 1 (2 a77. APt
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 of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
H
2546
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 thepermit 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 p
�6
STATE OF FLORIDA .
COUNTY OF �([�(�
COUNTY OF oC GCC
t��
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 40 day of lpr, L 20 20 by
this ;V day of f p rr 20,V by
I'L r
i T/5 SRS 1X0nS
euRTlS 6Xkyh2D/)5-
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known ;`�' OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of orida)
(Signature of Notary Public- State of Flori
�'Jez,
��++ sir ��a
Commission No.Uir105256 20���,cj CHRISTINE B E
MYCOMMISSION/G
of , CHRISTINE B ENG
r � MY COMMISSION #
nission No. ®s a 5 6
G
*�f
EXPIRES: Apn14,
aa� EXPIRES: April
1 �'FOF c�°��� Bonded T1nu Budget Not
2
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19
H
2546
UTOM AIR SYSTEMS INC. SALES * SERVICE * INSTALLATION * APPLIANCES
1615 SE. VILLAGE GREEN DR. PORT ST. LUCIE FL.34952
2 335-3232 465-0559 562-2777 FAX (772) 335-1968
CAC051810
CARRIER * RHEEM * GOODMAN * TRANE * AIR CONDITIONERS„
KITCHENAID * WHIRLPOOL * APPLIANCES PC,A(T' i JAI ?S
March 30, 2020
NAME: PAT LANDREMAN , p
ADDRESS:C`ff
�5 ,��� �
PHONE : 920-450-3374
EMAIL: pblandl@att.net 7
JOB NAME/ADDRESS: 9973 PERFECT. \ L 34986
HAS 2 TON FRONT RETURN SYSTEM. HAS 25/25 CHALLENGER BREAKERS.
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 2 TON FRONT RETURN SYSTEM 5 KW HEAT STRIP. (SEE OPTIONS BELOW)
2. CONNECT TO EXISTING REFRIGERANT AND DRAIN LINES
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED)
4. DIGITAL THERMOSTAT
5. PERMIT (INSPECTION BY BUILDING DEPARTMENT REQUIRED) �3Q
6. CONNECT TO EXISTING DUCT SYSTEM 1
7. ONE YEAR LABOR WARRANTY
8. FIVE YEAR GOODMAN/CARRIER/RUUD PARTS WARRANTY.
9. DRAIN LINE SAFETY FLOAT SWITCH
GOODMAN EQUIPMENT. 14 SEER
GSX16024, AWUF250516 L_3_�> 3 s
FOR THE SUM OF: $ 3,450.00 I L--7 7` °" INITIAL i
ARCOAIE IPMENT. 14 SEER
R4A424GK FMA4P24
FOR TH S OF: $ 3,715.00 INITIAL
RUUD EQU T. 15 SEER
RA1424T2421
FOR S OF: $ 4,140.00 INITIAL
TRANS E NT. 15 SEER
4TTR402 '9V
TMK5AOB24
FOR T U OF: $ 4,240.00 INITIAL
**** LESS 5% OFF ABOVE PRICES IF PAID WITH CHECK.
QUOTE GOOD FOR 30 DAYS !'
TO BE PAID: AT TIME OF SERVICE. 1
.. :.���. -'�—
ACCEPTED ........................... S GNED 4- .�':G...._.._.
JAMES JARV I S
CUSTOM AIR SYSTEMS INC.
Construction industries recovery fund: Payment may be available from the construction industries recovery fund if you lose money on a project performed
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, 1940 N. Monroe St., Tallahassee, FL. 32399-0786