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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: • Building Perm it.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: DETAILED D�RII?3o#FK. ( CONSTR I - of -M: Additional work to be performed under this permit - check all that apply: ',lilechanical — Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Electric ! Plumbing _ Sprinklers _ Generator , Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First floor: Cost of Construction: $ LA (C'A • 50 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE,:. _ J-r () Name Name: Curtis Sammons Address: Company: Custom Air Systems, Inc. City: �i1 C 1�—\Stater, Address: 1615 SE Village Green Drive Zip Code: jki(4q9b Fax: City: Port Saint Lucie State: FL Phone No. 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 IT value oT construction is W500 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 MORTGAGE COMPANY: Not Applicable Name: _ Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: 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 J;6 STATE OF FLORIDA OF_ z-a—e- .- COUNTY OF �t vLf+f c. The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this a I day of �,j Di7er , 20� by this a t day of 0C 4(- 20 by (I R t I �5' 012 S Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification i Produced Produced (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florid: a • J1 o� Y r� CHR1STiNE B Commission No.C.21Ji �'S S 6 w �* MYCOMMISSIONN 2ot* .. �`O4� CHRISTINE B mission No. - * �. r MYCEXPIRES-10Ni EXPIRES: W 4, c 21 ' .o Banded Tiuv Budgs REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2546 VC" )4017 Custom Air Systems Inc. [ O1615 SE Village Green Drive - Port St. Lucie, FL 34952 [ (772)335-3232 - Fax ( 772) 335-1968 [ Proposal and Agreement Customer Name iS�iV `©T—T Phone 3 3 � 1 ` 7 Date I 0Z Address 1 }J a Aa-p�tiWOQ� Job Address City, State, Zip G Work Phone(s) We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal. L Equipment Specifications Ll, en1)PX �i� I&ccOSOH9 CRA3 Make ' Model Number(s) SEER !2� EER AFUE Installation shall include: ::Prn t rn.b 2 r r.o Btuh Cooling 415 Btuh Heating CFM X in boxes = Yes ❑ New Amp disconnect 0"Remove existing equipment from premises New condensate drain system ❑ New Amp electric service ❑ Install energy saving setback thermostat ❑ New condensate pump ❑ New low voltage wiring ❑ New weather resistant equipment stand ❑ New reinforced equipment pad I1 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 �J Charge to manufacturer's specs Meet all federal, state & local laws ❑ Option (below)/`) �:14 6 : '.re Cis wti N� 5 W 30 �gYs �-- ❑ New copper wire from to ,.H Make air tight plenum transition ❑ new supply diffuser(s) ❑ New duct run from to ❑ Noise reducing flexible duct connector ❑ Balance for uniform supply air distribution ❑ Provide for external combustion air ❑ New gas piping from to ❑ New vent pipe and cap ,PI Clean work area to customer's satisfaction Condensation overflow safety switch �( Hurricane Fasteners for outdoor unit 640 by o FA a-p ,,g_Install aux. condensate drain pan ❑ New high efficiency air filter ❑ New humidification system ❑ New return air filter grill ❑ Meet all code requirements ❑ Complete system start up l year parts warranty ICJ year labor warranty ie ❑ year compressor warranty Oo ❑ year service agreemeJrt ❑ r` Oat Sit, � Total Investment $ q 7 J 0 Taxes $ Total Amount $ Down Payment $ Balance Due $ a► .5 Terms: Accep nce (Custom r) f�/� /�.n Appr 1 (Company) By Date By Date Lo®®®®®®®o�®oo�o®®a®®®®®®®®o©®�