HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: JZ -IIA Zy Permit Number:
ZOUNTY
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
Building Permit. Application
Commercial Residential 4._1
PROPOSED IMPROVEMENT LOCATION:
Address: 2 dLio Tb C'(' e--I Ri' NC-7) CC
Property Tax ID #: 3M " 5b 14 - CO(A ` ' CCDC) - y Lot No.
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
i CONSTRUCTION INFORMATION:''
Block No.
Additional work to be performed under this permit - check all that apply:
'mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ Le kUb •C)C)
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNERAESSIEEE:
CONTRACTOR:
Name SC)h(N _\X,hbC" k BairA-b IiQAA-a .
Address:_
Name: Curtis Sammons
Company: Custom Air Systems, Inc.
City: �� -)qf_ State: N \i
Zip Code: Fax:
Phone No. 's '�
Address: 1615 SE Village Green Drive
City: Port Saint Lucie State: FL
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
from the Owner listed above)
E-Mail custairsys@aol.com
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
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 1MPROYEMENTS 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 COMMFNCfMFNT "
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA ..
COUNTY OF_
COUNTY OF ?-T ,. .
The for oing instrument was acknowledged before me
this day of , 20 by
The forgoing instrument was acknowledged before me
this day of 2QgL) by
J Gig
ny02
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
g
(Signature of Notary Public -State of Florida l
(Signature of Notary Public- State of Florida
,r s o��Yr� CHRISTINE3
Commission No.t2�it ESSL ?
* MYCOYMISSION
ISH 20�* uPGo CHRISTINEH
,mission No.:L l7 E$,i $ }�
+ MYCOMMISSIONEXPIi
EXPfRES. ApA 4.
1 � TbuE
Mge
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/1/19
INC. SALES * SERVICE * INSTALLATION * APPLIANCES
1615 SE. VILLAGE GREEN DR. PORT ST. LUCIE FL.34952
\J� 335-3232 465-0559 562-2777 FAX (772) 335-1968
CAC051810
CARRIER * RHEEM * GOODMAN * TRANE * AIR CONDITIONERS
KITCHENAID * WHIRLPOOL * APPLIANCES
December 11, 2020
NAME: JOHN BARTOLOTTA
ADDRESS:
PHONE:914-523-9622
EMAIL:jbBthhole@aol.com
JOB NAME/ADDRESS: 7040 TORREY PINES CIR, PSL 34986
REPLACED CAPACITOR. UNIT LOW ON R-410A REFRIGERANT. HAS LEAK IN INDOOR COIL.
A/H GARAGE HUNG. 3 TON HEAT PUMP SYSTEM.
OPTION # 1: REPLACE SYSTEM. WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 3 TON HEAT PUMP SYSTEM WITH 10 KW BACKUP HEAT STRIP. (SEE OPTIONS BELOW)
2. CONNECT TO EXISTING REFRIGERANT LINES (FLUSH LINES)
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED)
4. DRAIN LINE SAFETY FLOAT SWITCH
S. PERMIT (INSPECTION BY CITY REQUIRED)
6. CONNECT TO EXISTING DUCT SYSTEM
7. DIGITAL THERMOSTAT 2 STAGE WIFI
8. DRAIN PAN
9. ONE YEAR LABOR WARRANTY
10. FIVE YEAR PARTS WARRANTY.
11. 10 YEAR MFG PARTS WARRANTY TO ORIGINAL OWNER WHEN REGISTERED . EXCLUDES HEAT
STRIP AND THERMOSTAT.
CHAMPION 16.75 SEER SYSTEM. TH16B3621S, AVC42CX21
FOR THE SUM OF: $ 6,100.00 INITIAL
CHAMPION 10 YEAR LABOR AGREEMENT (TRANSFERABLE)
FOR THE SUM OF: 250.00 PLUS TAX FOR THE TOTAL SUM $ 6,367.50 INITIAL
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