Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: it a I - a0 c cD 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 j PERMIT TYPE: PROPOSED IN". � +1T L> Address:_ l / LJ n n'S 0.�— y r- b o r Property Tax ID#: O'�Jn oo cj - �0v - S� Lot No. Site Plan Name: Block No. Project Name: DETAILED DFS�CR17 © F1.41iC i V,2 Vor Like— , S y e r- .,. GG(� . i,f t cot4s Additional work to be performed under this permit—check all that apply: I-Mechanical _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:$ y l-y S 7`i_ Utilities: `Sewer _Septic Building Height: OWNERJLESSEE*,.: Name J cjrl l '} ke. P7 Ct O--A Name: Curtis Sammons Address: I' K O IS ck r Hcz- Company:Custom Air Systems, Inc. City: f ca r P i r?T-Y -2._ State: Address:1615 SE Village Green Drive Zip Code: Fax: City: Port Saint Lucie State:FL Phone No. r7r7 9- CQ t$ - 0 C1 3 d 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 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 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 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,1 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 STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this ? day of IVc�yeyh j� 20, 5�by thisa day of/UD Pr 20 by 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) (Signature of Notary Public-State of Florird) o� °ev CHRISTINE B H Yr r J: r =o CHRISTiNE B iSH � MY COMMISSION# Commission No.t,Z JS c` fi.� r� * � MYC01]MISSIONS mission No_L4 LV EXPtRESAprT 1 EXPIRES:Apra 4. 1 ��: �o��o Ba Ned ilea&cl�! v3es REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE I COMPLETED Rev. t-O?I Custom Air Systems Inc. C 1 S � 1615 SE Village Green Drive • Port St.Lucie,FL 34952 11/a 3 s/c 6 0 (772)335-3232 • Fax(772)335-1968 fo lea d e&L L Proposal and Agreement 4 Customer Name_ _:� r/ � �4� - Phone �yl � �0 1 3 Date l A 0 Address +3 4D E� �r- Job Address City, State, Zip 4�0✓+ f�PAC C TL , 3`1189, Work Phone(s) We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal. Equipment Specifications e � r Make Model Number(s) P 49-g 0 3 Q SEER _ EER AFUE Btuh Cooling Btuh Heating CFM Installation shall in d e G✓ C�l* ph fr/ s If be 6,0 o . n..o� reelP� Y4�t✓ T l�J X in boxes = Yes ❑ New Amp disconnect JZ 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 copper wire from to ❑ Install aux. condensate drain pan ❑ New weather resistant equipment stand Make air tight plenum transition ❑ New high efficiency air filter 115�New reinforced equipment pad ❑ new supply diffuser(s) ❑ New humidification system ❑ New vibration isolation pads ❑ New duct run from to ❑ New return air filter grill ❑ New properly sized refrigerant lines ❑ Noise reducing flexible duct connector Meet all code requirements ❑ New clean, dry ACR copper tubing ❑ Balance for uniform supply air distribution Complete system start up ❑ Insulate refrigerant suction line(s) ❑ Provide for external combustion air year parts warranty ❑ Install refrigerant drier(s) ❑ New gas piping from to (_year labor warranty XEvacuate refrigerant system ❑ New vent pipe and cap ❑ year compressor warranty V Charge to manufacturer's specs Clean work area to customer's satisfaction year service agreement Meet all federal, state & local laws �ondensation0verlo_safetyswitch ❑ urricane Fasteners for outdoor snit uu ❑ Option (below) ❑ Total Investment $ '1 f ( Taxes $ Zip G i L 1 t Total Amount $ C5 10 Down Payment $ 'r Balance Due $ Terms: Acceptance (Customer) ! Date Appr�(�pany) By r 1--� -g.� _-/l '` Dates .�