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Home My WebLink AboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: / -7/ oZ O Permit Number: • 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 I Address Property Tax ID #: Site Plan Name: Project Name: _ Building Permit. Application Commercial Residential 'fl1tEME 1T L EER 1,7,5- J' �✓a � ��-� Lot No. Block No. DETAILED DESCRfF�'f r•nt►>tcnxt�t'T�1�€Ft3[li}'Elf3t = _ . Additional work to be performed underthis permit— check all that apply: /`Mechanical _ Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers _ Generator Windows/Doors Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First floor: Cost of Construction: 5 S i Utilities: —Sewer —Septic Building Height: OWNER/LESSEE; . NameoiJ" u -z x fo r Name: Curtis Sammons Address: Company: Custom Air Systems, Inc. City: /�02tS'�/� State: fL I Address: 1615 SE Village Green Drive Zip Code: �P✓a Fax: City: Port Saint Lucie State: FL Phone No. 7702 �/d ,�D �! 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 custdirsys@dol.cam 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: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Applicable Name: Name of person making statement. _Not Name: Address: Personally Known <' OR Produced Identification Address: City: Produced City: Zip: Phone: Zip: Phone: UVV IvtK/ LUN I KALI UK 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. ff YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTARNFY RFFn1; F oFenommc- yn..o amva -c nc ..�..� n nc v. y r/ L� Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA� COUNTY OF za6_t'� STATE OF FLORIDA kle X1 .6 COUNTY OF t% The for oing instrument was acknowledged before me this day of /9U0 20.o? 6) by The for oing instrument was acknowledged before me this day of ofdq 202c) by f LLJ� T/s S�� GnS LjUgT1YS�}f�meI /)S Name of person making statement. Name of person making statement_ Personally Known _� OR Produced Identification Personally Known <' OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public- State of onda) rr (Signature of Notary Public- State of Flon CHRLSTIM B EN �I _ Commission NoAa 6)525V:, tom '"' f es* mission No.a& 85a 5'q 4P. MYCOIA9SMAIf EXP�tES:Apri o' `oma DRRES-.Agi4. 41; off` lhn &dget REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED nc v. y r/ L� Custom Air Systems Inc. 1615 SE Village Green Drive • Port St. Lucie, FL 34952 (774835-3232 • Fax( 772)/3,35-1968 IV Proposalvnd Agreement Customer N-� S ame Address SCa�� °7 ' tom$ S Cil �Gf Qfi ,L City, State, Zip qqgf We will furnish, install and service the equipment listed below Phone �I Job Address Work Phone(s) O at the price, terms and conditions outlined on this proposal. Equipment Speci/LC ' Make G'� G� Model Number(s) 0 SEER—Lt--j :.,j _EER ,AFUE Btuh Coolin6 H-fV,� Btuh Heating_ CFM Installation shall include: ❑ 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 ❑ C4 E] Option (bel 4,;— ❑ ,i A. ❑ 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 Hpxrica4 Fasteners for outdoor unit .,X,/ i/ i Terms X in boxes = ❑ 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 Yes Total Amount $ Down Payment $ vYG�, Balance Due $ tT Approval Date By Date 4, o®®®®®®®®®®®®®®®®®t