HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/19/2021 Permit Number:
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: 7618 GREENBRIER CIR
Property Tax ID #: 3322-700-0070-000-8
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 4 TON 16 SEER SYSTEM WITH 10 KW HEAT
New Electrical Meter Second Electrical Meter-
ICONSTRUCTIC►IINFORMATION:
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: $ 5450 Utilities: —Sewer _ Septic Building Height:
OWNERAESS E:
CONTRACTOR:
Name RENE M LIPSIO
Name: CURTIS SAMMONS
Address: 7618 GREENBRIER CIR
Company: CUSTOM AIR SYSTEMS INC
City: PORT SAINT LUCIE State: _0,--
Zip Code: 34986 Fax:
Phone No. 772-448-8130
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
L;I
_;__ 4..1UVU< rnure,arccwrcuturvoiiceorcommencementis required.
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:
Zip:
Phone
State
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
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 lender or an attorney before commencing work or recording your Notice of Commencement.
Signature of Owner/ Lesss"eee//C--onnttractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF '�/'
Sworn to (or affirmed) and subscribed before me of
,/ Physical Presence or Online Notarization
this - day of 2021 by
v��.,►S 47_')G.rhm0�n�
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced /
(Signature of Notary blic- St of Florida )
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a a b -a S, J d 2o,� CHRISTINE B ENGLISh
Commission No. Ln(n * al)MyCOMMISSION#GG65
N� EXPIRES: April 4, 2021
REVIEWS FRONT ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF�-
Sworn to (or affirmed) and subscribed before me of
✓" Physical Presence or Online Notarization
this K day of 202& by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State,of Florida )
:4.V CHRISTINE B ENQ
Commission No. Gt d✓` S1{9 )MY COMMISSION# GG
EXFIRES: APrR 4, 2f
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SUPERVISOR PLANS VEGETATION SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
CUSTOM AIR SYSTEMS INC. SALES * SERVICE * INSTALLATION * APPLIANCES
1615 SE. VILLAGE GREEN DR. PORT ST. LUCIE FL.34952
335-3232 465-0559 562-2777 FAX (772)335-1968
CAC051810
CARRIER * RHEEM * GOODMAN * TRANE * AIR CONDITIONERS
KITCHENAID * WHIRLPOOL * APPLIANCES
January 18, 2021
NAME: RENE M LIPSIO
ADDRESS: 7618 GREENBRIAR CIR, PSL 34986
PHONE: 772-448-8130
JOB NAME/ADDRESS: 7618 GREENBRIAR CIR, PSL 34986
REPLACE SYSTEM. WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 4 TON STRAIGHT COOL 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
5. PERMIT (INSPECTION BY COUNTY REQUIRED)
6. CONNECT TO EXISTING DUCT SYSTEM
7. DIGITAL THERMOSTAT
8. FILTER RACK AND PLYWOOD TOP ON STAND
9. ONE YEAR LABOR WARRANTY ON RUUD
10. FIVE YEAR RUUD PARTS WARRANTY.
11. 10 YEAR MFG PARTS WARRANTY TO ORIGINAL OWNER. EXCLUDES HEAT STRIP AND THERMOSTAT.
RUUD 16 SEER SYSTEM. RA1648, RH1T4821
FOR THE SUM OF: $ 5,450 (FPL REBATE—150.00)$5,300.00 -
IF PAID BY CHECK TAKE 5% OFF FOR THE SUM OF $ 5,035.00
MULTI SYSTEM DISCOUNT $ 200.00 FOR THE SUM: $ 4,835.00
MINUS SYSTEM MAINTENCE $ 60.00 FOR A GRAND TOTAL OF : $ 4,775.00 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 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: 850487-1395 mailing address: DBPR customer contact, 1940 N. Monroe St., Tallahassee, FL. 32399-0786