HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Perrilit Number:
_:
•
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
Address: oz)c)k
Property Tax ID #: ��� ' �d5 � �� Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION Of WORK:
For Ke, /.5 T6N ilo 55—er ' 4 hg 604 `S /zfcy
CONSTf40C I.ON IwFORi 'tyilflN:
Additional work to be performed under this permit - check all that applyk
Mechanical _ Gas Tank _ Gas Piping _ Shutters
I
Flprtrir Plumbing Sorinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ g135
Sq. Ft. of First Floor: _
Utilities: —Sewer —Septic
—Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE: ..
ANT oR: .
Nam Qaq q i- n
Name: Curtis Sammons
Company: Custom Air Systems, Inc.
Address:
City:State:
Zip Code: N Fax:
Phone No. I
E-Mail:
Address: 1615 SE Village Green Drive
I City: Port Saint Lucie State: FL
I Zip Code: 34952 Fax: 772-335-1968
Phone No172-335-3232
E-Mail ustairsys@aol.com
State or County License CAC051810
I
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
I
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:
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 contlict 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 1 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_
STATE OF FLORIDA
COUNTY OF
The fopgoing instrument was acknowledged before me
this 1 day of ec� QEtL , 202-C by
The fooing instr ment was acknowledged before me
this 2-_i day of 20 f_ by
IC -r-, _c r. r�
r/1l / 1? Tr ! S/}%% Iye12 S
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
(Signature of Notary Public -State of fforida)
Ay rL
f _., of CHRISTINEB
Commission Na(.2�rt �C.� �b`' ' ���' f
* * MYCOMMISSION$
QUIRES: April
(Signature of Notary Public- State of Floridy�
iSH tot*�'„ �BtCHRISTINE B E
mission No_ - t?t E5a * � MYCOM.WSSIONi
m� •? `o< EXPIRES:Apni
1 �FZ� c pded ihru Mg q
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev_ 2/7/19
2U6
YC"
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 29, 2020
NAME: RICHARD FINLAYSON
ADDRESS:8201 KIAWAH TRACE
PHONE: 772-467-9536
Email: rnf14@comcast.net
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 1.5 TON 16 SEER CHANGE OUT IN CLOSET 5 KW HEAT STRIP
2. CONNECT TO EXISTING REFRIGERANT LINES (FLUSH 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. CONDENSER TIE DOWN BRACKETS
9. CONDENSER SLAB IF NEEDED
9. LENNOX THREE YEAR LABOR WARRANTY
10. TEN YEAR PARTS WARRANTY WHEN REGISTERED WITH IN 30 DAYS
11. FREE MAINT ON AC SYSTEM AFTER FIRST YEAR
14HPX-018, CBA27UHE-018, 5 KW HEAT STRIP
FOR THE SUM OF: $ 4725.00 INITIAL
PAID BY CHECK 5% DISCOUNT 4725.00 (236.00) 4489.00
QUOTE GOOD FOR 30 DAYS
TO BE PAID: AT TIME OF SERVICE.
ACCEPTED ...........................
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