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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �-�6� Date: . Permit Number: • Building Permit Application Planning and Development Services 3uilding and Code Regulation, Division 2.300 Virginia Avenue, Fort Pierce FL 34982 v/ Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT TYPE: !, PROPOSED IMPROVEMENT LCKAT#> DD pp l _ Address: /�y �7 r / Property Tax ID #: ;�'s/�.� -� /t�✓ `G��so�v ' !J Site Plan Name: Project Name: DETAILED_DESCRIPTtbt4: WORK CONSTR�ItTIE? F{tF/TlOI Additional work to be performed under this permit- check all that apply: ,-zMechanical _ Gas Tank —Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Cost of Construction: .$ Sq. Ft. of First floor: Lot No. Block No. Windows/Doors Roof Pitch Utilities: —Sewer _Septic Building Height: OWNER/LESSEE:=C£3lIET4}R: t1 rName Name: Curtis Sammons i Address:,'? / dg, LP,Y "41 �t M C- l i Company: Custom Air Systems, Inc. j City: P02T 617 kQ, Ci tv State: r7 L j Address: 1615 SE Village Green Drive Zip Code: J S2-- Fax: City. Port Saint Lucie State: FL Phone No. fre Sff y/fd Zip Code: 34952 Fax: 772-335-1968 E -Mail: Phone No 772-335-3232 Fill in fee simple Title Halder on next page ( if different 1 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. 2546 &AS 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-.— hone:FEE FEESIMPLE 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 WITHYOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." C �rlJ-/tl'- Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDAp COUNTY OF JA oC t .0 STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this _&Z day of � 20 a,; by The forgoing instrument was acknowledged before me this �7day of 71 i 20 nZe by .'[-//i TIS SAll Xel- ns eu, Tls Name of person making statement. Name of person making statement. Personally Known ' OR Produced Identification Type of Identification Personally Known it OR Produced Identification Type of Identification Produced Produced (Signature of Notary Public- State of fforida) ��++ 'I o��Y PLS CHRISTINe B E Commission No.CtGt ©52S`l% 4p". - f MyCOMMISSION#G EXPIRES: Apri14, (Signature of Notary Public- State of Flori i I CHRISTINE B ENIP 1 { r°s: " I. WWission No. 05a 5 �f 6 *ow} MY COMMISSION G .2 21 m'Ir EXPIRES: ApM 4 2 1P i� Borded Thu Budget N REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2546 &AS r-lfv1 �sA t e I �o®©®®®®000©oor—oor�000®o©oo©oo®®� Custom Air Systems Inc. 0 1615 SE Village Green Drive - Port St. Lucie, FL 34952 O (772) 335-3232 - Fax ( 772) 335-1968 v Proposal and Agreement Customer Name—J(] -e Phone D Address 1 4,, Job Address C/—',, City, State, Zip :•f Phone(s) C We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal. Equipment Specifications (� L Make jVX' Q 1_r :�r Model Number(s) SEER EER AFUE Btuh Cooling010 Btuh Heating �FM Installation shall include: 11 GI ^ `l'^^I , Lx j ` H (�( X in boxes = Yes ll El New Amp disconnect emove existing equipment from premises ❑ New condensate drain system ll ❑ 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 f C New weather resistant equipment stand ❑ Make air tight plenum transition ❑ New high efficiency air filter l ❑Flew reinforced equipment pad ❑ new supply diffuser(s) ❑ New humidification system I -EfN w vibration isolation pads ❑ New duct run from to ❑ N turn air filter grill ❑New properly sized refrigerant lines ❑Noise reducing flexible duct connector Il code requirements I ❑ New clean, dry ACR copper tubing ❑ Balance for uniform supply air distribution om stem start up ❑ Insulate refrigerant suction lines) ❑ Provide for external combustion air ❑ year parts warranty ❑ Install refrigerant drier(s) ❑ New gas piping from to ❑ r labor warranty ❑ Evacuate refrigerant system ❑N vent pipe and cap ❑ year compressor warranty Charge to manufacturer's specs a- C work area to customer's satisfaction ❑ year serv'ce ag Bement Bet all federal, state &local laws IWConde ation overflow safety switch ❑ rricane Fasteners for outdoor unit III ❑ Option (below) ❑ Total Investment 3duTotal Taxes $ Amount $ Down Payment $ Balance Due $ Terms: Acceptance (Customer) Approval (Co ny) By Date By Date J