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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1/29/2021 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: 520 LABUONA VITA DR Property Tax ID #: 3426-664-0149-000-3 Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE 3 TON 14 SEER PACKAGE UNIT 10 KW HEAT New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION - _ -- --- -- - - -T 1 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: $ 4100 Utilities: —Sewer _ Septic Building Height: Name BERTHA ANN KRIPLEAN CONTRACTOR. Name: CURTIS SAMMONS Address: 520 LA BUONA VITA DR Company: CUSTOM AIR SYSTEMS INC City: PORT SAINT LUCIE State: Zip Code: 34952 Fax: Phone No. 772-344-5024 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: — Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: Zip: Phone: 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 your Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF Sf At e/ e, Swo,rn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this day of 2020 by , )0.rr\M001 Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary blic- St of Florida ) G o o sa s 11 g °0� CHRISTINE B ENGLI% Commission No. * al)MYCOMMISSION #GG05: a� EXPIRES: ApN 4, 2021 REVIEWS I FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED ev. 576T20--- Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF Sworn to (or affirmed) and subscribed before me of v'' Physical Presence or Online Notarization this � day of - 2020 by Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary P4iic- Stat f Florida ) CHRISTINE B ENM Commission No. )MY COMMISSION 0 GG �7 Qe EXFIRES:Apr74,2( as or nod Boded Nu a 4 t w,..... SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE REVIEW REVIEW I REVIEW REVIEW REVIEW �0000000000000000000r0000000ro©o� Custom Air Systems Inc. Customer 1615 SE Village Green Drive • Port St. Lucie, FL 34952 (772) 335-3232 • Fax ( 772) 335-1968 Proposal and Agreement 0 Name l QC Phone � `7— 2- 7' Datv",/e.1 1 7— Address � ,� ✓� e� � Job Address �C' e City, State, ZipA64- t 3 7 / Work Phone(s) We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal. Equ'pment Specifications vlake J ) Model Number(s) iEER EER AFUE Btuh Cooling__�� Btuh Heating _/�CFM nstallation shall include: To a r Oq X in boxes = Yes ❑ New Amp disconnect Remove existing equipment from premises ❑ New condensate drain system ❑ New Amp electric service ❑ 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 - ew reinforced equipment pad ❑ new supply diffuser(s) ❑ New high efficiency air filter ❑ New humidification system ,;�ew vibration isolation pads ❑ New duct run from to New properly sized refrigerant lines ❑ Noise reducing flexible duct connector ❑ New clean, dry ACR copper tubing ❑ Balance for uniform supply air distribution ❑ Insulate refrigerant suction lines) ❑ Provide for external combustion air ❑ Install refrigerant drier(s) ❑ New gas piping from to ❑ Evacuate refrigerant system ❑ NN vent pipe and cap ❑ New return air filter grill eet all code requirements omplete system start up ❑ year parts warranty ❑ ear labor warranty ❑ ��Year compressor warranty C,.eliarge to manufacturer's specs fS Clean work area to customer's satisfaction ❑ year service agree ent ;y eet all federal, state & local laws �p Coin densation overflow safet ❑ urricane Fasteners fo or unit d S+ ❑ Option (below) ❑ Toil Invest ent Taxes $ tal Amount $ 1�11a / Down Payment $ Terms Balance Due $ Accepta e (Customer) t Approval (Com By a By -