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Home My WebLink AboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date S Permit Number: S' COLI NT Y Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: PROPOSED Building Permit Application Commercial Residential Address: a /1/0 0, /'-u '(C�x¢, Property Tax ID tt: d Y;7 V Lot No. Block No. Site Plan Name: Project Name: DETAILED DFSSCRVO►tb F WORK: CONsTRucn + o T+o Additional workto 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: Cost of Construction: $ Llo � .S O Sq. Ft. of First floor: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE:_ 'CONTRACTOR: Name �ri� Name: Curtis Sammons Address: c2 O'G,1Company: Custom Air Systems, Inc. City: OIlt StateCeRT : L Address: 1615 SE Village Green Drive Fz 45� r02- x:x:�D 117'7A, CiY. tPort Saint Lucie State: FL Zip Code: d Phone No. 79°y �� X9%9. Zip Code: 34952 Fax: 772-335-1968 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 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: i 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 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 ` STATE OF FLORIDA COUNTY OF S6 U�-� COUNTY OF St VeU_Z1 _ The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this -Z 7 day of &W , 20 cdDby this a?Zday of ';'914tf�—, 20 aZe by 41 �_ift- TSS SRWXCIE.5 Cft,,RT1Y 6fm/MOfi 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 I Produced (Signature of Notary Public- State of Flori at: e „ Ue��o CHRISTINE B E ISH 6i a 1;5a 5 MY COMMISSION a mission No. o c� EXPIRES:Apel 121 ��n. �, o�� Bonded Tlvu Budaet Ne (Signature of Notary Public- State of fforicla ) Commission No.Uirr D525�6 * REVIEWS I FRONTZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED CHRISTINE B ENI MY COMMISSION B G EXPIRES: April 4, SUPERVISOR I PLANS I VEGETATION i SEA TURTLE I MANGROVE REVIEW REVIEW I REVIEW REVIEW REVIEW M Custom Air Systems Inc. Cori 1615 SE Village Green Drive • Port St. Lucie, FL 34952 (772) 335-3232 • Fax ( 772) 335-1968 Proposal and Agreement ._ .2 �r - ; 77z i5 �Lrr✓� ��'llC:.>Z. i 4:1Customer Name Phone 732 - Y)7- )qq Address Job Address City, State, Zip Work Phone(s) Ask) 0 Date We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal. Make Model Number(s) Equipment Specifications SEER EER AFUE Btuh Installation shall include: Btuh Heating CFM ❑ Charge to manufacturer's specs ❑ Clean work area to customer's satisfaction ❑ year service agreement ❑ Meet all federal, state & local laws ❑ Condensation overflow safety switch ❑ O ❑ Hurricane Fasteners for outdoor unit ElTotal Investment ❑ Option (below) $ /y Taxes $ / Total Amount $ ter T' 1 Down Payment $ r!fJ`I r' Balance Due $ Terms: Acceptance (Customer) Approval (Company) By Date By Date - 0 0 [ ate00[ 0,E 0j 0000r0000c�000�000000 co� d X in bo s = Yes ElNew Amp disconnect ❑ Remove existing equipment from premises ❑ New condensate drain tem El Install energy saving setbaclk\thermostat L7 New condensate p p ElNew Amp electric service ❑ 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 New reinforced equipment pad ❑ new supply diffuser(s) ❑ New humidification system ❑ New vibration isolation pads ❑ New duct run from to ❑ New return air filter grill New properly sized refrigerant lines ❑ Noise reducing flexible duct connector ❑ Meet all code requirements ❑ New clean, dry ACR copper tubing ❑ Balance for uniform supply air distribution ❑ Complete system start up ❑ Insulate refrigerant suction line(s) ❑ Provide for external combustion air ❑ year parts warranty ❑ Install refrigerant drier(s) ❑ New gas piping from to ❑ year labor warranty ❑ Evacuate refrigerant system ❑ New vent pipe and cap ❑ year compressor warranty ❑ Charge to manufacturer's specs ❑ Clean work area to customer's satisfaction ❑ year service agreement ❑ Meet all federal, state & local laws ❑ Condensation overflow safety switch ❑ O ❑ Hurricane Fasteners for outdoor unit ElTotal Investment ❑ Option (below) $ /y Taxes $ / Total Amount $ ter T' 1 Down Payment $ r!fJ`I r' Balance Due $ Terms: Acceptance (Customer) Approval (Company) By Date By Date - 0 0 [ ate00[ 0,E 0j 0000r0000c�000�000000 co�