HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/7/2021 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 7905 MEADOWLARK LANE
Property Tax ID #: 3425-706-0209-000-6
Site Plan Name:
Project Name:
[DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 4 TON 14 SEER PACKAGE UNIT 10 KW HEAT
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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: Sq. Ft. of First Floor:
Cost of Construction: $ 4960.00 Utilities: —Sewer — Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JAMES & BARBARA DUFFY
Name: CURTIS SAMMONS
Address: 7905 MEADOWLARK LANE
Company: CUSTOM AIR SYSTEMS INC
City: PORT SAINT LUCIE State: IBC:
Zip Code: 34952 Fax:
Phone No. 772-237-4927
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
•• -"'"� �����•�..��..�� �� �.wv VI InVIC, d RL%-umutu nioxice oT 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: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY
Name:_
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
U1NNtK/ CUN I KAC 1 UK 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 lender or an attornev before commencinE work or recording our Notice of Commencement
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF �°c�
STATE OF FLORIDA
'�f e� >°
COUNTY OF S� 'Zu C
Swo,rn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
✓ Physical Presence or Online Notarization
this _ day of -V�� rt` _, 202Q by
this _" day of �:_,,xt= 202Q by
�y(_arIS CG.rr\m0(_)t)
_ ��r'65 ft-%Mon5
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 blic- St of Florida)
(Signature of Notary Public- Stat f Florida }
D $ 3 otoAY?�8�� CHRISTINE B ENGLI$
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PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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Custom Air Systems Inc.
1615 SE Village Green Drive • Port St. Lucie, FL 34952
(772) 335-3232 • Fax ( 772) 335-1968
Proposal and Agreement
Customer Name My
Address
Phone a 3 1 - H I a 1 Date i
Job Address
City, State, Zip P5 Z _ 3 i"f Q.5 Work Phone(s)
We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal
a n Equipment Specifications
Make Model Number(s) p AT ioti$
SEER M EER AFUE Btuh Cooling_ Btuh Heatine CFM
❑ New Amp disconnect
❑ New Amp electric service
❑ New low voltage wiring
❑ New weather resistant equipment stand
XNew reinforced equipment pad
❑ New vibration isolation pads
El New properly sized refrigerant lines
❑ New clean, dry ACR copper tubing
❑ Insulate refrigerant suction line(s)
❑ Install refrigerant drier(s)
❑ Evacuate refrigerant system
❑ Charge to manufacturer's specs
Meet all federal, state & local laws
O Option (below)
4F QA� �-I%Av—
jciV I7C C-49 i
bji.e (4� 41- 5Ne ,
15 ov$ hn -- P4
50 day,s.
Terms:_
XRemove existing equipment from premises
❑ Install energy saving setback thermostat
❑ New copper wire from to
❑ Make air tight plenum transition
❑ new supply diffuser(s)
❑ New duct run from to
❑ Noise reducing flexible duct connector
❑ Balance for uniform supply air distribution
❑ Provide for external combustion air
❑ New gas piping from to
❑ New vent pipe and cap
7 Clean work area to customer's satisfaction
❑ Condensation overflow safety switch
Hurricane Fasteners for outdoor unit
Ir SDfo ��
b-\r Cis
J � cV •ee, l�
X in boxes = Yes
❑ New condensate drain system
❑ New condensate pump
❑ Install aux. condensate drain pan
❑ New high efficiency air filter
❑ New humidification system
❑ New return air filter grill
!0' Meet all code requirements
Complete system start up
❑ 10 year parts warranty
❑ —� year labor warranty
❑ year compressor warranty
❑ year service agreement
❑ Q
Total Investment $� 1 ��
- aw$
Taxes $
Total Amount $_
Down Payment $
Balance Due $
vcce Lance (t usto Approval (Company)
I
BY Date By Date 1 �
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