HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -2-0 Permit Number:
!COUNTY
Building Permit. 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:
PROPOSED 1W-R E iENT Lt?
Address: Faq I C S (,ocw
Property Tax ID #:
Site Plan Name:
Project Name:
DETAILED DI`SCR4�i1F4RK.
Block No.
�_ C'► ia�I Jba�Ki'n /8,00o d3T� rur CC6/ for
-�O r �6rC rl
Additional work to be performed under this permit -check all that apply:
_Mechanical —Gas Tank —Gas Piping _Shutters
_ Electric Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
_ Generator
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
_ Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
Name
Name: Curtis Sammons
Addsss�gJ �QQ_ ��`J ��(�X�(
Company: Custom Air Systems, Inc.
City: { (;(� �- 1 Stater
Address: 16,15 SE Village Green Drive
Zip Code:,- Fax:
Phone No._ � R�%?j
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
E-Mail custairsys@aol.com
from the Owner listed above)
State or County License CAC051810
- - ---- ........ 1..1..... a a w nwrC, a 1%M-UKUCU Notice Oi LOmmencement Is reguireC.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAVA 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
"9WARMNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY_ A NOTICE OF COMMENCEIENT 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 OF_ L):s: o�LLf'?�^
STATE OF FLORIDA
COUNTY OF �.7—L feaf'
The forgoing instrument was acknowledged before me
this l day of (�2G�C'rrl�e(�= 2p 1 j by
The forgoing instrument was acknowledged before me
this I `I day of U E_ fig{ 2a2 )by
J W 02 011S
11 R -T } /�2 J? ,
Name of person making statement.
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Personally Known C" OR Produced Identification
Type of Identification
Produced
Produced
�s
r
F
(Signature of Notary Public -State of Florida j
o� CHit nNEB
Commission No_L't(rt +C.3 (: * fMY COMMISSION!!
�7 EXMES:Apal4.
O
(Signature of Notary Public- State of Florio`
zoo* .. v�'V� CHRISTINEa
mission No_t �ty 4Ysd 5 * MYCOMNSSIOWIGG
Aprf!
7 ��: rFt�P`o� =o Thru Budg.K
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
L_
IIN
:CBS
Comm MR SYSTEMS INC. SALES * SERVICE * INSTALLATION *
1615 SE. VILLAGE GREEN DR. PORT ST. LUCIE FL.34952
335-3232 465-0559 562-2777 FAX (772)335-1968
CAC051810
LENNOX * CARRIER * RUUD * GOODMAN * TRANE * AIRCOAIRE * CHAMPION * AIR CONDITIONERS
January, 30, 2019
NAME: DEMETRA VATIER
ADDRESS:
PHONE: 772-873-9288 CELL:579-7263
EMAIL: demitassecup@aol.com
JOB NAME/ADDRESS: 2945 EAGLES NEST WAY PORT SAINT LUCIE, FL 34952
WE PROPOSE TO: INSTALL DUCTLESS MINI SPLIT SYSTEM ON PORCH.
BID INCLUDES THE FOLLOWING.
1. DAIKEN COOL ONLY 18,000 BTUS 19 SEER
2. INSTALL REFRIGERANT AND DRAIN LINES
3. CONTROL WIRE FROM INDOOR TO OUTDOOR UNIT
4. REMOTE THERMOSTAT
5. SLAB
6. AIR CONDITIONING PERMIT (INSPECTION BY BUILDING DEPARTMENT REQUIRED)
7. RUN AND TEST SYSTEM
8. ONE YEAR LABOR WARRANTY
9. 12 YEAR PARTS WARRANTY (12 YEAR WARRANTY APPLIES TO ORIGINAL OWNER AND IF SYSTEM
IS REGISTERED WITH MITSUBISHI WITHIN 30 DAYS OF INSTALL)
COOL ONLY DAIKEN SYSTEM RKI8AXVJV, FTK18AXVJU
FOR THE SUM OF: $ 3,197.00 INITIAL
12 YEAR LABOR AGREEMENT ON DAIKEN ADDITIONAL $ 370.00 PLUS FOR THE SUM OF: $ 395.90
FOR A TOTAL SUM OF: $ 3,582.90 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 ifyou 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