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HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �4 a-0 Permit Number: • Building Permit. Application Planning and Developmenr Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resieential PERMIT TYPE: DETAILED DESCRfiYnbN i FW0RK CONSTRUCTION fN OR 1IMANPM. _ Additional work to be performed under this permit — check all that apply: ZMechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator — Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ .����a' `�0 Sq. Ft. of First floor: _ Utilities: _Sewer _Septic Building Height: OWNER/LESSEE litil }R. Name �►'i4 Name: Curtis Sammons Custom Air Systems, Inc. Address: t-/ai M TraviI_J1 l AL`e— Company:y city: PQ rf 5 State: FL Address:1615 SE Village Green Drive j Zip Code: y� Ci 7 52,3 Fax: City: Port Saint Lucie State: FL Phone No. 77oZ % ( a Zi p Cod34952 772-335-1968 j � % C o e: Fax: E-Mail:. I Phone No 772-335-3232 i 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 52S00 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. I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: — Not Applicable Name: Address: City: State: Zip: Phone MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: Cry: 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 MIPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. ff YOU YNTEND TO OBTAW 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 L STATE OF FLORIDA COUNTY OFyf'6 zaez_� COUNTY OF & veG /. e The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this a day of . 20 9L0 by this .2 day of TtJn C . 20 A6 by &R T/S J't n1m0n.5 eUqTlS 5MMej 1S Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Florida ) <►J`T CHRISTME B EN Commission NoA& 0525-416 ' * NYCOMAWOM#( a DMESAgI4 REVIEWS FRONT I ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED Personally Known >C OR Produced identification Type of Identification (Signature of Notary Public- State of Flon ro ; .... CHRISME B B ISH mission No. MYCONANS.4KINt r21 vl E�ES:Apd- ''td�o ew,asaThrneuWgdtk SUPERVISOR OR( PLANS ! VEGETATION I S E I MANGROVE REVIEWREVIEW REVIEW ®o®o®o©000000r�0000®®0000000®o� 0 Custom Air Systems Inc. 1615 SE Village Green Drive • Port St. Lucie, FL 34952 (772) 335-3232 • Fax ( 77�)335-1968 0 o Proposal and Agreement cf Customer Name Phone .. Date L Address Job Address City, State, Zip Work Phone(s) L We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal. 0 Equipment Specifications l 0 Make Model Number(s) SEER EER AFUE Btuh Cooling Btuh Heating CFM Installation shall include: l I I � I 0 X in boxes =Yes ❑ New Amp disconnect ❑ New Amp electric service ❑ New low voltage wiring D ❑ 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 ❑ Option (below) ❑ Remove existing equipment from premises ❑ Install energy saving setback thermostat ❑ New copper wire from to ❑ Make 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 ❑ Condensation overflow safety switch ❑ Hurricane Fasteners for outdoor unit ❑ ❑ 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 ❑ Complete system start up ❑ year parts warranty ❑ year labor warranty ❑ year compressor warranty ❑ year service agreement ❑ Total Investment $ Taxes $ OTotal Amount $ 0 Down Payment $ Balance Due $ Terms: Acceptance (Customer) Approval (Company) By �n Date By Date t�� _ �,�®ram©©c000©oroc=o©oo�oo®®®0000�