HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/12/2020 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
- - -- - - --------
PROPOSED IMPROVEMENT LOCATION:
Address: 8020 9TH HOLE DR
Property Tax ID#: 3425-707-0211-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 3.5 TON PACKAGE UNIT 14 SEER WITH 10 KW HEATER
New Electrical Meter Second Electrical Meter
LCONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _ Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3500.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name GEORGE&JUDY BINET Name:Curtis Sammons
Address:8020 9TH HOLE DR Company:Custom Air Systems, INC
City- PORT SAINT LUCIE State: F(_ Address: 1615 SE Village Green Dr
Zip Code: 34952 Fax: City: Port Saint Lucie State: FL
Phone No.609-709-5597 Zip Code: 34952 Fax:
E-Mail: Phone No 772-335-3232
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
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC 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 TITLE HOLDER: —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 full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen room and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICEIIIOF 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:'
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA ,7 STATE OF FLORIDA �•
COUNTY OF v�L� L(E{1 COUNTY OF a vcLLCL,
The for Ding instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of &JCj�IC1`clb (Z ,20,ZjQ)by this t4 day of k 20 C]by
!` I rC d r v` J d H1 f14 L'i- Lu h f 7 v Ut}f'lt ill,:'j/•�
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
Produced Produced
(Signature of Notary Public-State of Florida j (Si ature of Notary Public-State of Floric,7�
cr! Y °e CHRJSTINE 8 iSH o�* CHRLUINt H H
Commission No.Lf�IQ�a� 6 *o MYCOMMISSION8 tssionNo_Vt7 lAYCQ}!MiSSIONi{ 52546
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE l
COMPLETED
Rev.2/7/19
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
Name: George Binet
Address: 8020 9`" Hole Dr Port Saint Lucie FL 34952
Phone: 609-709-5597
Email:
We propose to: Replace existing air and heating system.
Bid includes the following.
1. 3 1-t ton package unit with 10 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, condenser slab (If Needed)
9. One year labor warranty
10. Ten year part warranty to original owner if system is registered within 30 days
For the sum of: $ 3500.00 Initial
Quote good for 30 days
To be paid: At the time of service
AcceptedBy. . . . . . . . . . . . . . . . . . . . . . . . . . . Signed. . . . . . . . . . . . . . . . . . . . . . . . .
Ashley Wentz
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