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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO //MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: %""�� �y PeritNumber: Building Permit. Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT TYPE: PROPOSED IMPROVEMENT LOCa`�1. - Address: 3?�c:)1 Q Property Tax ID #: Site Plan Name: Project Name: DETAILED DES0IPT©A1 flE WORK: I LA5 CONSTROCnON INFORMAMQN: Additional work to be performed under this permit — check all that apply'. Mechanical _ Gas Tank _ Gas Piping _Shutters f Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: �� Sq. Ft. of First floor: _ Cost of Construction: $ ,� (�JUtilities: —Sewer —Septic Building Height: Lot No._ Block No. -Windows/Doors Roof Pitch OWNER/LESSEE:3 O#i: Name Name: Curtis Sammons Addr s: C� City: ck _State: Company: Custom Air Systems, Inc. Address: 1615 SE Village Green Drive Zip Code Fax: City: Port Saint Lucie State: FL Phone No. — 11 k41 "4LA i I Zip Code: 34952 Fax: 772-335-1968 Phone No 772-335-3232 E-Mail: 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 i If value of construction is $2500 or more, a RECORDED Notice of Commencement is regwreo. 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: 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 COUNTY OF d ZGGGt_ STATE OF FLORIDA pp & COUNTY OF yea1'_(C . The forgoing instrument was ��a__ckk�nggwledged before me this day of QSUC - , 20-"' _ by I The forgoing instrument was acknowledged before me this 4L— day of L'2RTtS 9�nimOn_5 LugTiY 6f,m/y aI25- Name of person making statement. Name of person making statement. Personally Known _ OR Produced Identification Personally Known i(' OR Produced Identification Type of Identification Type of Identification Produced Produced i (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florid o{tAY p'u.`ey CHRISTINE B EN j Commission No. ��0525Y6 2f* ISH u,G� CHR{STINE B E MY COMMISSION# * * MYCOMMISSI014# WWission No.,-- N� O��c EXPIRES:Apn74. 1%dgetfto 021 °� 4 EXPIRES:Apn14 C6F F%p 8mided Ttuu Budget N REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 1 Custom Air Systems Inc. 1615 SE Village Green Drive • Port St. Lucie, FL 34952 7 335-3232 ax 72)335-1968 /7 4 Pro sal and Agreement T Customer Name / t �'S Phone T��' `� Date / Address �1"5 �f I l 1 r�e� Job Address City, State, Zip 11_ �I - _ �`� — Work Phone(s) We will furnish, inkfall and service the equipment listed below at the price, terms and conditions outlined on this proposal. Equipment Specifications Make Model Number(s) T Ayj SEER_ EER AFUE Btuh Cooling 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 ElOption (below) t ; �/ M v J Terms Btuh Heating lQ CFM JRw -F16:;-� . ( I X in boxes = Yes ❑ Remove existing equipment from premises ❑ New condensate drain system ❑ Install energy saving setback thermostat ❑ New condensate pump ❑ New copper wire from to ❑ Install aux. condensate drain pan ❑ Make air tight plenum transition ❑ New high efficiency air filter ❑ new supply diffuser(s) ❑ New humidification system ❑ New duct run from to ❑ New return air filter grill ❑ Noise reducing flexible duct connector ❑ Meet all code requirements ❑ Balance for uniform supply air distribution ❑ Complete system start up ❑ Provide for external combustion air ❑ year parts warranty ❑ New gas piping from to ❑ year labor warranty ❑ New vent pipe and cap ❑ year compressor warranty ❑ Clean work area to customer's satisfaction ❑ year service agreement ❑ Condensation overflow safety switch ❑ ❑ Hurricane Fasteners for outdoor unit Total Investment $ Taxes $ Total Amount $ Down Payment $ Balance Due $ HF Date ��sy