HomeMy WebLinkAboutbuilding permitAll APPLICABLE
,INFO
\MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DateA Permit Number:
ICOUNTY
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
PERMITTYPE:
PROPOSED lKA0*OVE1k[EIJT LQCA
�l L
Address: —I10�
Property Tax ID #:
Site Plan Name:
Project Name:
DETAILED DESCRIPTION Df -WORK-
Lot No.
Block No.
I L' \1e_ ';�oC- 1 k V e y4 Tbj� 1 k-A ` QU- � I b KO Cs-�
CONSTft{.SC'i�i� 1NEC1Rli/':
Additional work to be performed under this permit — check all that appl
✓Mechanical Gas Tank — Gas Piping _S utters
Electric — Plumbing _ Sprinklers — Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 55�R•00 Utilities: _Sewer —Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
C£}NRIAGfOR:
Name Kris- ;
Name: Curtis Sammons
Company: Custom Air Systems, Inc.
Address: 16,15 SE Village Green Drive
Address:',C)9"'4
r�
City: t1+k-libfi , State: _
Zip Code:C-r*Pb06L) Fax:
I City: Port Saint Lucie State: FL
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Phone No. 4lib 's24 - c'3Y'I1"J
I 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 lustairsys@aol.com
from the Owner listed above)
i
State or Co,ounty License CAC051810
i
If value of construction is.52500 or more, a KhLUKUtU Notice Or LOmmencement a reyuucu.
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:
j 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 NOTICE OF COMMENCEMENT."
YOUR
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA �
COUNTY OF Ll,lLGCt-c
STATE OF FLORIDA �,c a
COUNTY OF _ t6,L o�GL1,
The for oing instrument was acknowledged before me
this day of SP,L?Izm�4� , 20&N by
I The forgoing instrument was acknowledged before me
this IZ day of 1g \b oZ AL , 2020 by
r L/s S�WInGn 5
C'URT!S 6kirlN0125_
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Personally Known OR Produced Identification
Type of Identification
Produced
Produced
G
Y
ry
(Signature of Notary Public- State of Florida)
c o�.� r�s CHRISTINE B EN
Commission No. G1 Q��S�% * f MYC0MMiSSI0N8
m' T EXPIRES:Ap4 .
(Signature of Notary Public- State of Flori* au ENLL
ISIi 20�....,et�� CHRISTINE B
nission No. - MYCOMMISSIONi!
021 @� `o< EXPIRES: 4
��cptoQ Bo.MedTtwBu�gtt
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 1
2546
YCBS
,.-- CUSTOM AIR SYSTEMS INC. SALES * SERVICE * INSTALLATION
1615 SE. VILLAGE GREEN DR. PORT ST. LUCIE FL.34952
772-335-3232 OR 772-571-1080 FAX (772) 335-1968
CAC051810
LENNOX * CARRIER * RUUD * GOODMAN * TRANE * AIR CONDITIONERS
September 11, 2020
NAME: SCOTT ALBION
ADDRESS: 9252 SHORT CHIP CIR
PHONE: 416-524-3495
EMAIL: SCOTT.ALBION@GMAIL.COM
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1. RUUD 4 TON HEAT PUMP 14 SEER WITH 10 KW HEAT STRIP
2. CONNECT TO EXISTING REFRIGERANT LINES (FLUSH LINES)
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED)
4. NEST T—STAT
5. PERMIT (INSPECTION BY BUILDING DEPARTMENT REQUIRED)
6. CONNECT TO EXISTING DUCT SYSTEM
7. DRAIN LINE SAFETY FLOAT SWITCH
8. CONDENSER TIE DOWN BRACKETS
9. SLAB
10. ONE YEAR LABOR WARRANTY
11. 10 YEAR PARTS WARRANTY TO ORIGINAL OWNER WILL GO BACK TO 5 YEARS PARTS WARRANTY
IF HOMEIS SOLD.
RUUD RP1448, RH1T4821, 10 KW HEAT STRIP
FOR THE SUM OF: $ 5539.00 IF PAID BY CHECK 5275.00
INITIAL
QUOTE GOOD FOR 30 DAYS
TO BE PAID: AT TIME OF SERVICE.
ACCEPTED ...........................
SIGNED..ee'Z............
RONNIE LAUCH
CUSTOM AIR SYSTEMS INC.
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