HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/22/2021 Permit Number:
_y L
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 4u I KIUMHK UK
Property Tax ID #: 3419-505-001-000-2
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 2.5 TON 16 SEER SYSTEM WITH 10 KW HEAT
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: _
Residential x
Additional work to be performed under this permit — check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 4610 Utilities: _ Sewer _ Septic
Lot No._
Block No.
Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name MICHAEL & LILA INGERSOLL
Name: CURTIS SAMMONS
Address: 401 RIOMAR DR
Company: CUSTOM AIR SYSTEMS INC
City: PORT SAINT LUCIE State:
Zip Code: 34952 Fax:
Phone No. 772-342-6669
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
IVULILe vi tummencemeni Is requiredl.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
-73
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:
Name:
Address:
City:
Zip: Phone:_
Not Applicable
BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Phone:
Not Applicable
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
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sf 46 c/ COUNTY OF
Swo,rn 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-2, day of 202a by this ZZ day of D,�N�CY\ 2024 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary,l blic- St of Florida )
VI Sa S S/ d o1I "I CHRISTINE B EWkISf
Commission No. * al)My COMMISSION # GG 05
tnf EXPIRES: AprH 4, 2021
�Z__ . 10 MMWTNG.t NOL- Cu
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary P#ic- St Florida )
�+� (// CHRISTINE B ENQ
i4ommission No. VrCi d5 �5�6 r�i1l)MYCOMMISSION#GG
EXPIRES: April4. Z
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
kev. J/ VJ LU
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 22, 2021
NAME: PAULA INGERSOLL
ADDRESS: 401 NE RIO MAR DRIVE
PHONE: 772-342-6669
JOB NAME/ADDRESS: 401 NE RIO MAR PSL, FL 34952
REPLACE SYSTEM. WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 2 '� TON STRAIGHT COOL SYSTEM WITH 10 KW BACKUP HEAT STRIP. (SEE OPTIONS BELOW)
2. CONNECT TO EXISTING REFRIGERANT LINES (FLUSH LINES)
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED)
4. DRAIN LINE SAFETY FLOAT SWITCH
5. PERMIT (INSPECTION BY COUNTY REQUIRED)
6. CONNECT TO EXISTING DUCT SYSTEM
7. DIGITAL THERMOSTAT
B. FILTER RACK AND PLYWOOD TOP ON STAND
9. ONE YEAR LABOR WARRANTY ON RUUD
10. FIVE YEAR RUUD PARTS WARRANTY.
11. 10 YEAR MFG PARTS WARRANTY TO ORIGINAL OWNER. EXCLUDES HEAT STRIP AND THERMOSTAT.
RUUD 16 SEER SYSTEM. RA1630, RH1T3621
FOR THE SUM OF: $ 4,610.00 (FPL REBATE—150.00)$4,460.00
IF PAID BY CHECK TAKE 5% OFF FOR THE SUM OF $ 4,225.00
MINUS PART OF SERVICE CALL $ 225.00 FOR A GRAND TOTAL OF $ 4,000.00
INITIAL
QUOTE GOOD FOR 30 DAYS. TO BE PAID: AT TIME OF SERVICE.
ACCEPTED ........................... SIGNED.. &*77... . .....
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