HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/2/2021 Permit Number:
t 2 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: 8411 FLORENCE DR
Property Tax ID#: 3426-664-0035-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
�ILEDDESCMPTION OF WORK:
LIKE FOR LIKE 3 TON 14 SEER PACKAGE UNIT 10 KW HEATER
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 _Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4150.00 Utilities: —Sewer _Septic Building Height:
OWNERf LESSEE: T— CONTRACTOR:
Name IMELDA C GOULET(EST) Name:CURTIS SAMMONS
Address:8411 FLORANCE DR Company:CUSTOM AIR SYSTEMS INC
City: PORT SAINT LUCIE State: -F(- Address: 1615 SE VILLAGE GREEN DR
Zip Code: 34952 Fax: City: PORT SAINT LUCIE State: FL
Phone No.516-574-9690 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
from the Owner listed above) 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 MORTGAGE COMPANY: _ Not Applicable
Name: 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 jobsite 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 4u Cl COUNTY OF COUNTY OF Jf a STATE OF FLORIDA
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Prese ce or Online Notarization v1 Physical Presence or Online Notarization
this of day of Z 2020 by this v� day of 1��_ 2020 by
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 Pu c-staW6f Florida T
titW'r P( CNRIS7INE 8 ENGLiS _ �y;�:.��4i� CHWINE B
Gosasd °Commission No. I�tYCOMMISSION#GG 5dsommission No. ��i d� w7 S7'� r���)MYCOMMtSStON/GG
EXPIRES:April 4,2021 1 `o� EXPIRES:April4, 1
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
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
March 1, 2021
NAME: LORRAINE DIEu 1 M Nt?.a%'(
ADDRESS:8411 FLORENCE DR.
PHONE: 516-574-9690
EMAIL: lorrainell70@icloud.com
JOB NAME/ADDRESS: 8411 FLORENCE DR, PSL 34952
NO #IS ON UNIT. HOME IS 24 X 42. 1008 SQ. FT. HOME SIZE IS 3 TON. UNIT ON PLASTIC
SLAB.
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING PACKAGE UNIT.
BID INCLUDES THE FOLLOWING.
1. 3 TON BRYANT 14 SEER PACKAGE UNIT WITH 10 KW HEAT STRIP.
2. REMOVE AND DISPOSE OF EXISTING UNIT
3. DIGITAL THERMOSTAT
4. PERMIT (INSPECTION BY BUILDING DEPARTMENT REQUIRED)
5. BREAKER AS NEEDED
7. SLAB
8. ONE YEAR LABOR WARRANTY
9. FIVE YEAR BRYANT PARTS WARRANTY (TEN YEAR BRYANT PARTS WARRANTY TO ORIGINAL OWNER)
10. FIVE YEAR PART WARRANTY ON HEAT STRIP REGARDLESS IF REGISTERED
BRYANT 3 TON 14 SEER PACKAGE UNIT
FOR THE SUM OF: $ 41150 — INITIAL
QUOTE GOOD FOR 30 DAYS. TO BE PAID: AT TIME OF SERVICE.
ACCEPTED. . . . . . . . . . . . . . . . . . . . . . . . . . . SIGNED. . . . . . . . . . . . . . . . . . . . . . . . .
RONNIE LAUCH
CUSTOM AIR SYSTEMS INC.
Construction industries recovery fund:Payment may be available from the constriction 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:850-487-1395 mailing address:DBPR customer contact,1940 N.Monroe St.,Tallahassee,FL.32399-0786