HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/26/2021 Permit Number:
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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:
PROPOSED IMPROVEMENT LOCATION:
Address: 2954 FIDDLEWOOD CIR
Residential X
Property Tax ID #: 3425-702-0151-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
DTAGLED DESCRIPTION OF WORK:
LIKE FOR LIKE 3.5 TON PACKAGE UNI-I 10 KW HEAI
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: _ ----
Additional work to be performed under this permit — check all that apply:
"Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: .
Cost of Construction: $ 4610
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name BARBARA TIMMERMAN
Name: CURTIS SAMMONS
Address: 2954 FIDDLEWOOD CIR
Company: CUSTOM AIR SYSTEMS INC
City: PORT SAINT LUCIE State: _P(_
Zip Code: 34952 Fax:
Phone No. 856-217-5526
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:
j
DESIGNER/ENGINEER:
Name:
— Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City:
Zip:
State:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip:
Not Applicable
Phone:
Address:
City:
Zip: Phone:
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 vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Sf
Sworn to (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization
thi day of r��Qr� I , 2020 by
nL' Ur�-.S .)G'.rhm0�
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
e1 7":'��/r'l
(Signature of NotarylRliiblic- St,/ of Florida )
S Y �a_c
CHRISTINE B ENGLISf
Sa
Commission No. 4 *aI)MYCOMMISSION #GG05;
Na EXPIRES: April4,2021
REVIEWS FRONT ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
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 2�odayof _-1 2020 by
SamM0n'S
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- Statw6f Florida )
/ CHRIS71NE B 194
Commission No. � � d J � S1/b , �)MYCOMMISSIONS GG
'A \.4 EXPIRES: April 4, 2
as NO,Wdl SOMW Th. &,&.e &, ,
SUPERVISOR PLANS VEGETATION I SEATURTLE MANGROVE
REVIEW REVIEW I REVIEW REVIEW REVIEW
11 i Sc:. ,
Custom Air Systems Inc.
1615
SE Village Green Drive - Port St. Lucie, FL 34952
(772) 335-3232 - Fax ( 772) 335-1968
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Proposal and Agreement
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Customer Name 6 ,3v- b o-rn-
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a1 ? - J`✓ G Date as o� l
Address
5"/ Job Address
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
1 Make �iz�:N f P Model Number(s) _ f._)
SEER EER
Btuh Cooling Btuh
Heating CFM
{AFUE
JInstallation shall include: ` :�A,'
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1 ❑ New Amp disconnect
Remove existing equipment from premises
X in boxes = Yes
❑ New condensate drain system
❑ New Amp electric service
1
❑ Install energy saving setback thermostat
❑ New condensate pump
❑ New low voltage wiring
❑ New copper wire from to
❑ Install aux. condensate drain pan
❑ New weather resistant equipment stand
❑ Make air tight plenum transition
❑ New high efficiency air filter
❑ New reinforced equipment pad
❑ new supply diffuser(s)
❑ New humidification system
❑ New vibration isolation pads
❑ New duct run from to
❑ New return air filter grill
New properly sized refrigerant lines
Cl Noise reducing flexible duct connector
X Meet all code requirements O
❑ New clean, dry ACR copper tubing
❑ Balance for uniform supply air distribution
/ Complete system start up
❑ Insulate refrigerant suction line(s)
❑ Provide for external combustion air
❑ year parts warranty
❑ Install refrigerant drier(s)
❑ New gas piping from to
❑ _� year labor warranty O
❑ Evacuate refrigerant system
❑ New vent pipe and cap
❑ year compressor warranty
Charge to manufacturer's specs
,Z1 Clean work area to customer's satisfaction
❑ year service agreement
/i Meet all federal, state & local laws
❑ Condensation overflow safety switch
❑
❑ Option
Hurricane Fasteners for outdoor unit
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(below)
❑
Total Investment
1
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1
4-i�1�L u
Taxes $
Total Amount $ 0 s
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Down Payment $
Balance Due $
Terms:
3cctan (Gusto e
i Approv 1 ( pang)
Date I c�5 a By
,� Date I 3 3.�