HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/9/2021 Permit Number:
a LUC M
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: 7612 GREENBRIER CIR
Property Tax ID #: 3322-700-0073-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 3.5 TON HEATPUMP 15 SEER SYSTEM WITH 1GKW 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 Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ OCAS • CDC--_*-,
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name KENNETH J BROWN
Name: CURTIS SAMMONS
Address: 7612 GREENBRIER CIR
Company: CUSTOM AIR SYSTEMS INC
City. PORT SAINT LUCIE State: FL-
Zip Code: 34986 Fax:
Phone No. 609-602-8977
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:_
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State
— Not Applicable
MORTGAGE COMPANY: — Not Applicable
Name:_
Address:
City:
Zip:
Phone:
State:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
vvvivCK/ I.VIM I KAL I UK AI'I-IUVI I : 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 �°ct c� >✓
Sw7n to (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization
this C�(_ day of (S-'� ,CT— 2020 by
U��-►S 4,'27G.r,mc)
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Pfiblic- St of Florida )
ScZ 5 r, .POB�/ CHRISTINE B ENGLI%
Commission No. 4 *�al)MYCOMMISSION#GG05:
a EXPIRES: W14, 2021
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 a._ day of ��C�C�C- 202� by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- Star f Florida }
CHRISnNE B M
Commission No. (n +�4))MYCOMMISSION#GG
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REVIEWS
FRONT
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SUPERVISOR PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev- _
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Custom Air Systems Inc.
1615 SE Village Green Drive - Port St. Lucie, FL 34952
(-Y11 (772) 335-3232 - Fax (772) 335-1968 u
Proposal and Agreement
' Customer Name
Phone
Address 6,4 � '�� ��� Job Address ✓►'t P
LL
City, State, Zip Tt4 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
l )3 ayE'ZoD
0 Make Model Number (
SEER EER AFUE Btuh Cooling 400 Btuh Heating &CFM
Installation shall include:
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11
LI 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
O New low voltage wiring ❑ New copper wire from to ❑ Install aux. condensate drain pan
❑ New weather resistant equipment stand lake air tight plenum transition ❑ New high efficiency air filter
F—I ew reinforced equipment pad ❑ new supply diffuser(s) ❑ New humidification system
(-l�ew vibration isolation pads ❑ New duct run from to ❑_ NNee return air filter grill
❑ New properly sized refrigerant lines ❑ Noise reducing flexible duct connector l��'� t all code requirements
❑ New clean, dry ACR copper tubing ❑ Balance for uniform supply air distribution LJrCompI system start up
;?'rnsulate refrigerant suction line(s) ❑ Provide for external combustion air ❑ year parts warranty
stall refrigerant drier(s) ❑ New gas piping from to ❑ ear labor warranty
�acuate refrigerant system ElNew vent pipe and cap ❑ year compressor warranty
�;. harge to manufacturer's specs work area to customer's satisfaction ❑ year ice agr ement
Z?<eet all federal, state al law; Co den tion overflow safety switch'
CAR
urrican Fasteners for outdoor unit I�r� l/1�
O Option (bel Tota Invest[ nt
Total Amount S ��
Down Payment $69
101,
Balance Due $
Terms: O
Accep ce (C , Approval o any)
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Date By D