HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/19/2021 Permit Number:
S551r. ',Ak
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: 6270 ALEXANDRIA CIR
Property Tax ID #: 3410-503-0273-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
�14R
LIKE FOR LIKE 4 TON 16.5 SEER HEATPUMP SYSTEM WITH 5 KW BACKUP HEAT
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
nal work to be performed under this permit — check all that apply:
AddZechanical
_ 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: $ 6165.00 Utilities: _ Sewer _ Septic Building Height:
�g
CONTRACTOR::
Name PHILLIP LOCKETT & ARLENE KENKINS
Name: CURTIS SAMMONS
Address: 6270 ALEXANDRA CIR
Company: CUSTOM AIR SYSTEMS INC
City: FORT PIERCE State: F L—
Address: 1615 SE VILLAGE GREEN DR
City: PORT SAINT LUCIE State: FL
Zip Code: 34982 Fax:
Phone No. 410-746-6493
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
State or County License CAC051810
from the Owner listed above)
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: — 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 recordinia vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF 'f 46 e/ e
Swofn to (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization
thisI qo �tday of �c.�,��.rw 2021 by
a0(-'►S G.)o.'f`nMOrl-3
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary
�lPublic- St,/ of Florida )
a a p sa 5 `f ��r�nY��P,�&*,/ CHRISTINE 8 ENGLIS[
Commission No. * aI)MYCOMMISSION#GG05
Na EXPIRES: April 4, 2021
REVIEWS FRONT ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 576T2-0---
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF R Lt�
Sworn to (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization
this 1cnday of "k -.._� 2021 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary PuVIc- Stat f Florida )
~fir PV4� CHRISTINE B ENGJ
Commission No. lr+rn li ✓` � S�{� �*,,)My COMMISSION t GG
'atio� EXPIRES: AprA4, 21
SUPERVISOR PLANS VEGETATION SEA TURTLE 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
LENNOX * CARRIER * RUUD * GOODMAN * TRANE * AIR CONDITIONERS
January 11, 2021
NAME: PHILLIP LOCKETT
PHONE: 410-746-6493
EMAIL: phillock443@gmail.com
ADDRESS:6270 ALEXANDRIA AVE FORT PIERCE, FL 34982
HAS 4 TON HEAT PUMP SYSTEM WITH 5 KW HEAT STRIP. AIR HANDLER ON A STAND GARAGE
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 4 TON HEAT PUMP SYSTEM (SEE OPTIONS BELOW)
2. CONNECT TO EXISTING REFRIGERANT LINES
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED)
4. WIFI DIGITAL THERMOSTAT
5. PERMIT (INSPECTION BY BUILDING DEPARTMENT REQUIRED)
6. CONNECT TO EXISTING DUCT SYSTEM
7. DRAIN LINE SAFETY FLOAT SWITCH
8. CONDENSER TIE DOWN BRACKETS
9. ONE YEAR LABOR WARRANTY
10. FIVE YEAR PART WARRANTY. (TEN YEAR PART WARRANTY TO ORIGINAL OWNER IF REGISTERED WITHIN 30
DAYS OF INSTALLATION.)
v CHAMPION 4 TON 16.5 SEER HEAT PUMP SYSTEM
TH16B48CX21, AVC48CX21
FOR THE SUM OF: $ 6,490.00
IF PAID BY CHECK $ 6,165.00
10 YEAR LABOR AGREEMENT $ 350.00 PLUS TAX
5 KW BACKUP HEAT STIP
INITIAL �
LENNOX 4 TON 19 SEER HEAT PUMP SYSTEM. 5 KW BACKUP HEAT STRIP
XP20048,CBA38MV 060, S30 TSTAT
FOR THE SUM OF: $ 10,945.00 INITIAL
IF PAID BY CHECK $ 10,395.00
3 YEARS LABOR INCLUDED AND WAITING ON WINTER DISCOUNT PROGRAM
QUOTE GOOD FOR 30 D YS
TO BE PAID: AT F S I
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 Iicensing board.
Phone: 850487-1395 mailing address: DBPR customer contact, 1940 N. Monroe St., Tallahassee, FL. 32399-0786