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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/28/2020 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Address: 551 BARB ANN LANE
New Electrical Meter Second Electrical Meter
Residential X
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:
Cost of Construction: $ 4350
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name VINET THERESA TUFANO/PETER A LAMONTE
Name: CURTIS SAMMONS
Address: 551 BARB ANN LANE
Company: CUSTOM AIR SYSTEMS INC
City: PORT SAINT LUCIE State:
Zip Code: 34952 Fax:
Phone No. 772-530-2565
Address: 1615 SE VILLAGE GREEN DR
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 HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER
Name:
Address:
City:
Zip: Phone:_
Not Applicable
State:
— Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with Ipnripr nr an attnrnpv hofnrp rnrnmonrina %AInA- nr raA;nn , nt.,+.-- --F r — . +
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF �°u
STATE OF FLORIDA
�1
COUNTY OF •V� , ,a CI
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
✓ Ph sical Presence or Online Notarization
Physical Presence or Online Notarization
this Y day 2020 by
this"Z�,_ day of �c9c chao s2 l : , 2020 by
ur -►S G.r�rn�,rn'S
t�r'�-iS Sa rn Mo -
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 Puyic- Stat f Florida )
os,SkY ova", CHRISTINE B ENGUS
Commission No. ; *1)MYCOMMISSION#GGO
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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Custom Air Systems Inc. 0
1615
SE Village Green Drive • Port St. Lucie, FL 34952 0
(772)335-3232 • Fax( 772) 335-1968
Proposal and Agreement
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Customer Name 7`f%i' 1 Ah C2
Phone 7 -V—
—'Ark Date
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Address .�� �b �1 n
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City, State, Zip
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
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OMake Model Number(s) rT
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SEER EER AFUE Btuh Cooling tt�%a Btuh
Heating _/W CFM
Installation shall include:
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X in boxes = Yes
❑ New Amp disconnect
ove existing equipment from premises
❑ New condensate drain system
❑ New Amp electric service
❑ Install energy saving setback thermostat
❑ New condensate pump
O ❑ New low voltage wiring
❑ New weather resistant equipment stand
❑ New copper wire from to
❑ Make air tight plenum transition
❑ Install aux. condensate drain pan
❑ New high efficiency air filter
❑ New reinforced equipment pad
❑ new supply diffuser(s)
❑ New humidification system
❑ New vibration isolation pads
❑ New properly sized refrigerant lines
❑ New duct run from to
❑ Noise reducing flexible duct connector
❑ New return air filter grill
, �eet all code requirements
❑ New clean, dry ACR copper tubing
❑ Insulate refrigerant suction line(s)
❑ Install refrigerant drier(s)
❑ Balance for uniform supply air distribution
❑ Provide for external combustion air
❑ New gas piping from to
p�CompI system start up
❑ year parts warranty
year labor warranty
❑1--year
❑ Evacuate refrigerant system
0--C—harge to manufacturer's specs
eet all federal, state & local laws
❑ Option (below)
n /
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❑ New vent pipe and cap
lean work area to customer's satisfaction
❑ Condensation overflow safety switch
�rricane Fasteners for outdoor unit
❑
G.
❑ compressor warranty
❑ year s rvice a reeme
39
❑
t �4 Q t 45
Total Inve ment $ IJ
o
Taxes $
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Total Amount $
Down Payment $
Balance Due $ O
OTerms:
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