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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 _ �/ �P�:�^�•�4�o CHRISTINE B Worn mission No. Gel V ��1 .Jr79 ,��4))MYCOMMISSION#GG N oc EXPIRES: A 14, 2021 � or EXPIRES: Apr Hord Budget Note Se s p Off' BOMad TlVu REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED w-C-51-r`r-\ VO-0 cpv a^✓� r5.r lfA�V—t.- �ooc-3o®c®oor�oc—oo oo©©oo®00000®o®o� 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 0 Customer Name 7`f%i' 1 Ah C2 Phone 7 -V— —'Ark Date / rr AA-- Address .�� �b �1 n �f Job Address � S r✓l �P 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 )'644ZA16 ONC CO OMake Model Number(s) rT � SEER EER AFUE Btuh Cooling tt�%a Btuh Heating _/W CFM Installation shall include: Lj /L 7 tJ CI J to, 4 Ole S lie e O O O 0 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 / T— �•vU ❑ 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 $ (/j t Qv Total Amount $ Down Payment $ Balance Due $ O OTerms: Acce Approval 4(CanyAe4 ate By Dat nn�/�/ n�