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HomeMy WebLinkAboutCCF02052021_0001All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 2/5/2021 Permit Number: LU! Cliff. pk; 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: 7023 WILLOW PINE WAY Residential X Property Tax ID #: 3322-621-0038-000-0 Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE 3 TON 14 SEER HEAT PUMP WITH 8 KW BACKUP HEAT 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 Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 5725 Generator Sq. Ft. of First Floor: _ Windows/Doors _ Pond Roof Pitch Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name NANCY RIDGE, DAVID CARUANA, VIRGINIA BOWERMAN Address: 7023 WILLOW PINE WAY Name: CURTIS SAMMONS Company: CUSTOM AIR SYSTEMS INC City: PORT SAINT LUCIE State: Zip Code: 34986 Fax: Phone No. 772-448-8168 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 LAIN INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: 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 jo site before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing 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 STATE OF FLORIDA COUNTY OF Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of ✓ Physical Presence or Online Notarization this ­5 dayof 2020 by ✓ Physical Presence or Online Notarization this _,5_�lday of ,2020 by Ut"�-► G.rrinn rl� l i t�Y'�'s�J � m,crOnS 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 Pull c- Stat f Florida ) roti , PU I CHRISTINE B ENGUS Commission No. V[ * * YCOMMISSION#GG05 N� EXPIRES: Apnl 4, 2021 «�cBoneW 9 et Nota Se APOREVIEWS _ �1 .� �k.� CHRISTINE B �)MYCOMMISSION#GG 59ommission No. l�.J S � *00,6v 'IN EX>•IRES..Apni 4, s * 'o Oo8"ed TNu 1 FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE -- COMPLETED ev. u ,it, U ,�— 55 U Z10, W 6 AV' Customer Name Address City, State, Zip T7L �5 �000000000000000� Custom Air Systems Inc. 1615 SE Village Green Drive • Port St. Lucie, FL 34952 (772)335�3232 • Fax ( 772) 335-1968 Proposal and Agreement ``//// U Phone 7N0 Dat� Job Address Work Phone(s) We will furnish, install and service the equipment '1i0ed below at the price, terms and conditions outlined on this proposal. Make ptZr- Izj Model Num SEER EER AFUE Installation shall include: Equipment Specifications 3 7� Btuh Cooli; Btuh Heating EMMA t< 50 ilt��li7l�iT� �J��tJ� i ►AW r-#iMRAWIRWAU I`.!�/�' ❑ New Amp disconnect ❑ New Amp electric service ❑ New low voltage wiring ❑ New weather resistant equipment stand New reinforced equipment pad ❑ New vibration isolation pads ❑ New properly sized refrigerant lines ❑ New clean, dry ACR copper tubing ,R�Insulate refrigerant suction line(s) nstall refrigerant drier(s) acuate refrigerant system urge to manufacturer's specs eet all federal, state & local laws ❑ Option (below) Remove 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 vet t pipe and cap Clean work area to customer's satisfaction on ensation overflow safety switch orricane Fasteners for outdoor unit ❑■ u 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 �et all code requirements ,;?C-omplete system start up ❑ year parts warranty ❑ ear labor warranty El ear compressor warranty ❑ year service a reement W, JA SO Total Investment $ ��= �-yyo. vv Taxes $ '—Total Amount $ � S A Down Payment $ d. C3 t-C_J Balance Due $ Terms: A eptance (Customer) Approval B ate /By l�000000000© 00000 Da �00000000