HomeMy WebLinkAboutbuidling permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/22/2021 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:
Add rPcs- 122 N NARANJA AVE
Property Tax ID #: 3419-530-0250-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 3.5 TON 15 SEER SYSTEM WITH 10KW HEAT
New Electrical Meter Second Electrical Meter
CONSTRUCTIONINFORMATION:
Residential X
Additional work to be performed under this permit — check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters _
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ L{a IS
Sq. Ft. of First Floor: _
Utilities: —Sewer _ Septi
Lot No.
Block No.
Windows/Doors _ Pond
Roof Pitch
Building Height:
OWNER/LESSEE: _
CONTRACTOR:
Name MICHAEL ALTINO
Name: CURTIS SAMMONS
Address: 122 N NARANJA AVE
Company: CUSTOM AIR SYSTEMS INC
City: PORT SAINT LUCIE State: FL—
Zip Code: 34983 Fax:
Phone No. 772-879-0398
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 I MORTGAGE COMPANY: _ Not Applicable
Name:_
Address:
City: _
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
State
_ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
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 your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Sf �°cL ��
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
Physical Presence or Online Notarization
this Z:2, day of �.. C'C�F_ 202a by
this3t_)�nday of 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
p / I
(Signature of Notary Public- State of Florida)
(Signature of Notary Pu c- Stat f Florida )
Y ��4,
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Commission No. D Jra Jr � :4-.30MY�COMMISSIONOGG
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20
r
Custom Air Systems Inc.
1615 SE Village Green Drive • Port St. Lucie, FL 34952
(772) 335-3232 • Fax ( 772) 335-1968
Proposal and Agreement
1" I h t 1 !"t'=�� Q Phone %� " 25— Q 5 Date
Customer Name
Address 1 2`2Job Address d arc
City, State, Zip 1 — Lit r 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
Make AA&Wel Number(s)
SEER EER AFUE Ilefl Btuh Cooling - Btuh Heating CFM
shall include:
❑ 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
�sulate refrigerant suction line(s)
Fw Install refrigerant drier(s)
Evacuate refrigerant system
Charge to manufacturer's specs
9eet all federal, state & local laws
❑ Option (below)
t
move existing equipment from premises
❑ Install energy saving setback thermostat
❑ New copper wire from to
.B?Iftke 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 vent pipe and cap
t�lre work area to customer's satisfaction
Ld�Condensation overflow safety switch
EI�Wuurricane Fasteners for outdoor unit
El
X in boxes =
❑ New condensate drain system
❑ New condensate pump
❑ Install aux. condensate drain pan
❑ New high efficiency air filter
❑ New humidification system
,ET'New return air filter grill
0-1&t all code requirements
n,eomplete system start up
❑ year parts warranty
❑ _� year labor warranty
❑ year compressor warranty
❑ year Service agreement
a', r
Total
_: , da Taxes $
J] Total Amount $
Down Payment $
Balance Due $
Terms:
Acceptance (Customer) Approval (C2r;z
By Date By Dat�
Yes