HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0' 2 - Permit Number:
Building Permit. Application
Planning and Development Services
Building and Code Regulation Division
2.300 Virginia Avenue, Fort Pierce FL 34982
Phone: 1772) 462-1553 Fax: (772) 462-1578 Commercial Resientiaf
PERMIT TYPE:
� PROPOSED IM
Address:,
Property Tax ID
Site Plan Name: _
Project Name: _
DETAILEi3:DECRfF'f`IFt�(3RiC:'
CONSTRU nOl
Additional work to be performed under this permit – check all that apply:
`Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:�J(� Sq. Ft. of First floor:
Cost of Construction: $ Utilities: —Sewer —Septic
Lot No.
Block No.
Windows/Doors
Roof Pitch
Building Height:
OWNER/ LESSI`E _
Name: Cuts Sammons
Nam rl�
Address: MCff�- Company: Custom Air Systems, Inc.
City: k State: Address: 1615 SE village Green drive
Zip Code: p Fax: City: Port Saint Lucie State: FL
Phone No. C4 b – (419 – ( :%A Zip Code: X952 Fax: 772-335-1968
j 772-335-3232
E -Mail: Halder on next page if different 1, E -Mail
Phone No custairsys@aol.com
Fill in fee simple Title p g
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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name.
Address:
Address:
City:
City:
Zip: Phone:
r
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."
l �rtJa�
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA :.,
COUNTY OF J'11 ycaet�- COUNTY OF t;r
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this d qday of �4 t f 20 24) by this W V day of/pcLq� r 20,2 � by
SW In Orr.S I(' ie Ti S S� is?O12 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 fforida )
Commission No.
�Y
REVIEWS
FRONT
ZONING
COUNTER I
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. Z77Tf9
CHRISTINE B EN
* MY COMMISSION 8 C
F EYPIRES:Apd4,
(Signature of Notary Public- State of Flori" a
o��' ° CHRISTINE B E
SH r .
4wission No. �Gr MYCOMMISSIONB
EXPIRES: A dr
'Fos nclt` Ballad Thru BUdgat Nc
I PLANS
SUPERVISANGRO
REVIEWOR I REVIEW I V REVIEW EGETATION I SEATURTEV EWLE M E EWVE
CUSTOM AIR SYSTEMS INC. SALES * SERVICE * INSTALLATION * APPLIANCES
1615 SE. VILLAGE GREEN DR. PORT ST. LUCIE FL.34952
335-3232 465-0559 562-2777 FAX (772)335-1968
CAC051810
LENNOX * CARRIER * RUUD * GOODMAN * TRANE * AIR CONDITIONERS
August 20, 2020 �`A
NAME: HOUSE CHECK
NAME: TOM
PHONE: 772-828-9455
EMAIL: tom@housecheckfl.com capohle@hotmail.com
JOB NAME RICHARD & CATHY POHLE
ADDRESS:8316 RIVIERA WAY PSL FL 34986
HAS 3 TON HEAT PUMP SYSTEM WITH 8 KW HEAT STRIP. AIR HANDLER IN CLOSET
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 3 TON HEAT PUMP SYSTEM (SEE OPTIONS BELOW)
2. CONNECT TO EXISTING REFRIGERANT LINES
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED)
4. DIGITAL THERMOSTAT
5. PERMIT (INSPECTION BY BUILDING DEPARTMENT REQUIRED)
6. CONNECT TO EXISTING DUCT SYSTEM
7. DRAIN LINE SAFETY FLOAT SWITCH
8. PLYWOOD PLATFORM TOP AS NEEDED
9. CONDENSER TIE DOWN BRACKETS
10. ONE YEAR LABOR WARRANTY
11. FIVE YEAR LENNOX/CARRIER/RUUD/ARCO AIRE. (TEN YEAR PART WARRANTY TO ORIGINAL OWNER IF
REGISTERED WITHIN 30 DAYS OF INSTALLATION.)
LENNOX 3 TON 15 SEER HEAT PUMP SYSTEM. 8 KW BACKUP HEAT STIP
ML14XP1036, CBA27UHE036
COMES WITH A 3 YEAR LABOR CONTRACT
FOR THE SUM OF: $ 5,910.00
CARRIER 3 TON 14 SEER HEAT PUMP SYSTEM
25HCE436, FB4CNP036
FOR THE SUM OFL—$_IT36-rr: A$ ---
INITIAL
8 KW BACKUP HEAT STRIP
RUUD 3 TON 15 SEER HEAT PUMP SYSTEM. 8 KW BACKUP HEAT STRIP 7 l r
RP1536, RH1T3617
FOR THE SUM OF $ 5,220.00 INITIAL
ARCO AIRE 3TON 14 SEER HEAT PUMP SYSTEM 8 KW BACKUP HEAT STRIP
R4H436GK, FEM4X36
FOR THE SUM OF $ 4,770.00 INITIAL
LESS 5% OFF ABOVE SYSTEM PRICES IF PAID WITH A CHECK.
QUOTE GOOD FOR 30 DAYS
TO BE PAID: AT TIME OF SERVICE.
ACCEPTED........................... SIGNED.........................
JAMES JARV I S
CUSTOM AIR SYSTEMS INC.
C �cc
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