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HomeMy WebLinkAboutRevised ApplicationAli All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED .Date: baa - b Permit Number: • Building Permit. Application Planning and Development Services Building and Code Regulation Division 2.300 Virginia Avenue Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial '� Residential PERMITTYPE: DETAILED LI'Ke Fc r L.. i K2, a.5 TON /L/ Je(!!r ChOAs g CC* CONSTRt3C'Ti�iN FQRRJF'E1i,QA: 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: $ L/3� - Utilities: —Sewer _Septic — Windows/Doors Roof Pitch Building Height: OWNER/LESSEE..'NTRACTOR- Name- (-acC t�C� e, Address:C ell(11 Name: Curtis Sammons Company: Custom Air Systems, Inc. City: L�)Q Q-� State:%iy Address: 1615 SE Village Green Drive Zip Code: Fax: Phone No.<?'Ln- Lq'j(p _ 03z.-] City. Port Saint Lucie State: FL 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 from the Owner listed above)State E -Mail custairsys@aol.com or County License CAC051810 If unhia Af rHnef M t fGM ...,,." a.in­w vuLma: ui L.ommencemeni is requireo. 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 Please structure. or prohibit such 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 i 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." ( /-7-4— Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The fog- oing instrument was acknowledged before me this dQ_ day of t 20, > by this __2!� day of (2_A-Cb2( 20 by R 7_/5 Mtn Un,��yntylDnS Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally KnownOR Produced Identification ` Type of Identification Type of Identification Produced Produced {Signature of Notary Public -State of Florida ) {Signature of Notary Public- State of Flori6y.a �,rr,+ ��!! 2o�Yroe CHRISTINE B ISH ?ot* .. ��'v� CHRISTINE B E H Commission No. C7 U1 ©SZSY� MYCOSIMISSIONB mission NO_Ul Bsa �b @ MY CON.MISSION{' 2: T.`o< EXPIRES:AP44. 21 `o< EXPIRES:Apn7 i �C, c:1.�0 Sanded 7ku Budget M1 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. CUSTOM AIR SYSTEMS INC. SALES * SERVICE * INSTALLATION 1615 SE. VILLAGE GREEN DR. PORT ST. LUCIE FL.34952 772-335-3232 772-571-1080 FAX (772) 335-1968 CAC051810 LENNOX * CARRIER * RUUD * GOODMAN * TRANE * AIR CONDITIONERS October 16, 2020 NAME JOHN & TRACI GABRIEL ADDRESS: 5163 NAIA 520 D FT PIERCE , FL 34949 PHONE: (845)656-0327 WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM. BID INCLUDES THE FOLLOWING. 1. 2 1/2 TON 14 SEER SYSTEM IN ATTIC 2. CONNECT TO EXISTING REFRIGERANT LINES (FLUSH LINES) 3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED) 4. USE THE CUSTUMERS 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. ONE YEAR LABOR WARRANTY 10. 5 YEAR PART WARRANTY 10 YEAR PARTS WHEN REGISTERED IN 30 DAYS OF INSTALLATION FOR ORIGINAL OWNER 7 RUUD MODEL RA1430, RBHP2IJ, 0, KW HEAT, STRAIGHT COOL SYSTEM (INSTALLED IN CLOSET ON SHELF) FOR THE SUM OF: $ 4335.00 IF PAID BY CHECK $ 4115.00 INITIAL QUOTE GOOD FOR 30 DAYS TO BE PAID: AT TIME OF SERVICE. ACCEPTED ........................... SIGNED. 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