HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/25/2021 Permit Number:
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: 3104 8TH HOLE DR
Property Tax ID #: 3425-707-0185-000-4
Site Plan Name:
Project Name:
DETAl� J DESC i_!P 3C A l:+ WORK:
LIKE FOR LIKE 4 TON 14 SEER PACKAGE UNIT 10 KW HEAT
New Electrical Meter Second Electrical Meter
CiNS "RUC I"It)I�i INFORMATION:
Addit' nal work to be performed under this permit — check all that apply:
—Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing
Tota! Sq. F1 of Construction.
Cost of Construction: $ Ml
13
Sprinklers _. Generator
Sq. Ft. of First Floor:
Residential X
Lot No.
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
Name WILLIAM & SKOC
Address: 3104 8TH HOLE DR
City. PORT SAINT LUCIE FV
Zip Code: 34952 _ Fax:
Phone No. 772-873-9816
E-[Aaii:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CURTIS SAMMONS
Company: CUSTOM AIR SYSTEMS INC
Address: 161; SE VILLAGE GREEN DR
City: PORT SAINT LUCIE __ State: FL
Zip Code: 34952 Fax: 772-335-1968
Phone No i'72-3:tS-3232
E-Mail CUSTAIRSYS@AOL.COM
State or County License CAC051810
If value of cunstruction is Z300 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 MORTGAGE COMPANY: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
State
Not Applicable
Name:_
Address:
City:
Zip:
Phone:
State:
BONDING COMPANY: Not Applicable
Name:_
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 Notir.P of CnmrnenrPnnPnt
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
Sf
STATE OF FLORIDA
COUNTY OF ,t°cL c! >°
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
Physical Presence or Online Notarization
this day of ���G—c ti , 2020 by
this 2fJ day of 2020 by
�u��-►5 �� r,mo�n
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known t% OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary blic- St of Florida)
(Signature of Notary Pu c- Sta f Florida )
G o Sa s 2 Pu�� CHRISTI4ENGLIS
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DATE
RECEIVED
DATE
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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
February 25, 2021
NAME: WILLIAM SKOCH
ADDRESS: 3104 8TH HOLE PSL, FL 34952
PHONE:
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1.4 TON SYSTEM WITH 10 KW ELECTRIC STRIP HEAT. (SEE OPTIONS BELOW)
2. A/C SLAB IF NEEDED
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED)
4. PERMIT (INSPECTION BY CITY REQUIRED)
5. CONNECT TO EXISTING DUCT SYSTEM
6. DIGITAL THERMOSTAT
7. TIE DOWN BRACKETS
8. ONE YEAR LABOR WARRANTY
9. FIVE YEAR ARCOAIRE PARTS WARRANTY.10 YEAR PARTS WHEN REGISTERED IN 30 DAYS OF
INSTALLATION.
ARCOAIRE 4 TON 14 SEER SYSTEM. PAJ4036, 10 KW HEAT
FOR THE SUM OF: $ 3,800.00
QUOTE GOOD FOR 30 DAYS
TO BE PAID: AT TIME OF SERVICE.
ACCEPTED ...........................
INITIAL
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