HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: CJ�Zd Permit 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
PERMIT TYPE:
j PROPOSED IMPROVEMENT LOCATION:;
1,
Address: 21 s5 lykh \BOAC
Property Tax ID #: �3 1� ! b� V �LLot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCR&r16N OF WORK:
y Tom 1 LA 5eec- PaC` -A lam; 1 b uUD
CONS7UCTION NFORiVtk":.,
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: Sq. Ft. of First floor: _
Cost of Construction: $ Utilities: —Sewer —Septic Building Height:
-Windows/Doors
Roof Pitch
OWNER/LESSEE:CONTRALTO
R:
Name FFrcdci- cK
Address: S 185 14+N % C)kC_ ®N
Name: Curtis Sammons
Company: Custom Air Systems, Inc.
City: V()(43_)I_ ILY'i'1 State: I
Zip Code:aLffY� _ Fax:
Phone No. q a,,4 t_)- %VL42)
E-Mail:
Address:1615 SE Village Green Drive
City: Port Saint Lucie State: FL
Zip Code: 34952 Fax: 772-335-1968
Phone No 772-335-3232
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
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 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 J;�. ZGff=L_t'
STATE OF FLORIDA
COUNTY OF
The foXgoing instrument was acknowledged before me
The fo going instrument was acknowledged before me
this 0 day of (jG4-Uber , 20Z by
this day of ()CA<JC>QQ. 2QZt by
`/(� � f �7m Grimm
R Tt s vi1f�1 fi2Di� 5
Name of person making statement.
Name of person making statement_
Personally Known OR Produced Identification
Personally Known r ` OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public -State of Florida j
(Signature of Notary Public- State of Floric'4
Y P
� o�►3ti uA CHRISTINE 8
Commission No.L1 t (%�ZS b* f MYCOAIMlSS10N#
t*'„ �P� CHRISTINE EN
{$[� 9s �o .� H
mission No. a ��� # MYCOkMISSIONt�
EXPIRE$: /Ipn14.
EXPIRES: April
f 'FC
� `ate
r Flll BweA Thru Mge
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2///19
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 * ARCOAIRE * CHAMPION *AIR CONDITIONERS
October 08, 2020
Name: Frederick Smith
Address: 8185 14th Hole Dr Port Saint Lucie FL 34952
Phone: 772-240-2043
We propose to: Replace existing air and heating system.
Bid includes the following.
I. Install 4ton 14seer package unit with 10 kw heat
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, condenser slab (If Needed)
9. One year labor warranty
10. Ten year part warranty to original owner if system is registered within 30 days
11. One free maints on the new system after 18t year.
CHAMPION
PCE4B4822, 10 KW HEAT
For the sum of: $4558.00
Comfort plan 600.00 + tax
Quote good for 30 days
To be paid: At the time of service
Accepted By ..........................
Initial
Signed 4�- 4.......
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: 850487-1395 mailing address: DBPR customer contact, 1940 N. Monroe St., Tallahassee, FL. 32399-0786