The URL can be used to link to this page

Home My WebLink AboutBuilding permit appAll APPLICABLE INFO /MUST BE COMPLETED FOR APPLICATION TO BE ACCE�PTED Date: / " Ofy Permit Number: • Building Permit. Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1SS3 Fax: (772) 462-1578 Commercial Residential PERMITTYPE: PROPOSED IMPROVEMENT ,LOA11 4 M Address: Property Tax ID #: 84 (D " - Cbd -'a Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION,OF WORK: Fbc JI'Ke. 3 l oN 16 Seer Cj-dn& no jb1�-O CONSTRUC11ON' INtEFORMA" tOW ., , 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: Cost of Construction: $ L75).--X5 Sq. Ft. of First Floor: _ Windows/Doors Roof Pitch Utilities: —Sewer _Septic Building Height: OWNERAESSEE: R: Name_73�1n1- ., t�.' i?-C'>si-- Address: (Cc--�-] M Q IQ 1 City. i2iC�k fC'_'�'Ce State: __�L �ot Zip Code:0Fax: _ Phone No.n")Q Ckk Name: Curtis Sammons Company: Custom Air Systems, Inc. Address: 1615 SE Village Green Drive City: Port Saint Lucie State: FL 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 from the Owner listed above) E-Mail custairsys@aol.com State or County License CAC051810 rawa VI L .bLl 4L.UUI/ ID ?4auu ur more, a Kct..Urcutu Nonce CT lommencement 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: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: — Not Applicable BONDING COMPANY: Applicable Name: _Not Name: Address: Addresse, 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. x whichisis in confliccttawith anrepresentation applicable'HomeaOwners Asssong ciatio permit will esaby bylaws or and permit nantss that maydrestrisubject tbo proh bit 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, 1 do hereby agree that 1 will, in all respects, perform the work in accordance with the approved the Florida Building plans, 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_ L?; �Li,�'i STATE OF FLORIDA COUNTY OF oU1'�f The forgoing instrument was acknowledged before me this day of �e P � 20Ar j by The forgoing instrument was acknowledged before me this i5� , day of,_S2P4e_ rn"iU 20ZC by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Type of Identification Personally Known OR Produced Identification Produced Type of Identification Produced (Signature of Notary Public -State of Florida) (Signature of Notary Public- State of Florida A rl! oY CHRISTINE B Commission No.Llrst Fi525�16 � MYCOMMISSIONN f$H 20�*;.. v°t�� CHRISTINE B mission No_MYCOMMISSION# f � `ate EXPIRES:Apn14, 2t `ate EXPIRES:ApA �FGcfL.OP Eoaded Thru M9d No I uy REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE :re—v. COMPLETED 51% �c0t wi H Custom Air Systems Inc. �;n� ;�xis , 0 1615 SE Village Green Drive •Port St. Lucie, FL 34952 N (772) 335-3232 • Fax ( 772) 335-1968 Proposal and Agreement Customer Name r f Phone J 6 / o Date 5^�o -7 /l ctyl c i-e- l'1G Address Job Address City, State, Zip _I `3 / Work Phone(s) We will furnish, install and serve he et uipment listed below at the price, terNn�7nso�4Ttlined o this proposal. secl Equipment Specifications Jd2t;I Make Model Number(s) SEER l"lci �'� EER I�iLS 3Tn AFUE Btuhooling �p,r A� t^-Arse. Cvj, %-6� A)- Btuh Heating CFM ZKr jCKAI—�6�V S(AF+P I e: o/t✓ 1C- of t. zYXzYX6� C / C. LSCe t' ©�rL ❑ New Amp disconnect 0' Remove existing equipment from premises ❑ New Amp electric service ❑ Install energy saving setback thermostat ❑ New low voltage wiring ❑ New copper wire from to ❑ New weather resistant equipment stand Make air tight plenum transition ❑ New reinforced equipment pad ❑ new supply diffuser(s) ❑ New vibration isolation pads ❑ New duct run from to ❑ New properly sized refrigerant lines ❑ Noise reducing flexible duct connector ❑ New clean, dry ACR copper tubing ❑ Balance for uniform supply air distribution ❑ Insulate refrigerant suction line(s) ❑ Provide for external combustion air ❑ Install refrigerant drier(s) ❑ New gas piping from to YEvacuate refrigerant system ❑ New vent pipe and cap [?Charge to manufacturer's specs O/Clean work area to customer's satisfaction f" Meet all federal, state & local laws EL Condensation overflow safety switch ❑ Opt ivrf'rttr�ivw) [� Hurricane Fasteners fob oytdoor unit ❑ fur f %r s7 ►lT /�f�t-PrC'Cdo�� vnr S� IQt /t ,A "Se-- ColU, R ► AAICelri A s ! V-c911*j ❑ 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 f ❑�Ivleet all code requirements r l Z7, Com lete system start up El year parts warranty ❑ year labor warranty l ❑ year compressor warranty ❑ year service agreement , ❑ ZoA r nee-1 PaTts ?'� o nS Total Investment $ Taxes $ Total Amount $ Down Payment $ Balance Due $ Terms: Acceptance (Customer) Approval (Company) By Date By Date