HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/1/2021 Permit Number:
CS . LU-M
�l0
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: 3112 PALM WARBLER CT
Property Tax ID #: 3424-702-0058-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 4 1-ON 14 SEER UNIT WITH 10 KW HEALER
New Electrical Meter Second Electrical Meter
[:C=ONS7 RUCTION 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: $ 3700 Utilities: —Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:,, R �
Name: CURTIS SAMMONS
Name SUSAN BISOGNO
Address: 3112 PALM WARBLER CT
Company: CUSTOM AIR SYSTEMS INC
City: PORT SAINT LUCIE State: _
Address: 1615 SE VILLAGE GREEN DR
City: PORT SAINT LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 772-249-4342
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
State or County License CAC051810
from the Owner listed above)
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.
LEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DPP Ilcable MORTGAGE COMPANY:
— Not App
�1GNER/ENGINEER: —
Name:
Address:
City: Zip: phone_
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
State: _—
Not Applicable
Name.
Address:
City: Phone:
Zip: _---
BONDING COMPANY:
Name:
Address:
City:
Zip:_--.
Phone:
N Applicable
State:
Not Applicable
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 authorize a perm covenants that may restrict or prohibit such
re
Count makes no representation that is granting a perm
one ruleswill byt ws or the
dpcove ants t ti t nuwh which restrict
or prohibit such
w Lucie applicable Home Owne
which is . con e c with any app ' erform the work
structure. Please consult with your Home Owners Association and review your deed or any
he granting of
thi srequested pthe Florida Building Codes and St Lucie ermit, I do hereby agree tCou'nty Amendmll, in all eentsp
in consideration of t
in accordance with t pp
permit applications are exempt from undergoing a full concurrency review: room additions,
The following building
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-rtwice for
dential use
result in paying
A Notice of Commencement must be recorded in the public records of St.
improvements to your property.
WARNING TO OWNER: Your failure to Record a Notice of Commencement may
irst
f you intend to obtain financing,
or repo Jinn Iou�Notice of Commencement. consult
Lu
cie County and posted on the jobsite before the f
with lender or an attorney before commencln work
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA P 46 C!
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Pres ce or Online Notarization
this _1_ day of 202� by
v�sr,� G.`(tit`�OnGJ
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
7Ciannture of Notary�blic-St of Florida )
Commission No. �� D_502 S1 4PIt
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
rnMPl_ETED
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
CHRISTINE B ENGLIS
bl)dY COMMISSION # GG K
EXPIRES: WI4,2021
SUPERVISOR
REVIEW
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this I day of Asp i l 202V by
,rrm0O5
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
{Signature of Notary Pubt c- Stat f Flo�d � 4, E�BENG
4p, .,� 4
fommission No. GA, d 5
�' to
BS _-
PLANS VEGETATION SEA TURTLE
REVIEW REVIEW REVIEW
;� )MY COMMISSION i GG
o� EXrIRES:Apd4, 1
aon4WTWu8udge9I__-1L.
MANGROVE
REVIEW
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
April 1, 2021
NAME: SUSAN BISOGNO
ADDRESS: 3112 PALM WABLER CT. PSL, FL 34952
PHONE: 772-249-4342
EMAIL: MAMABISL@COMCAST.NET
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 & DUCT SCHROUD/COVER
B. ONE YEAR LABOR WARRANTY
9. FIVE YEAR RUN TRU/TRANE, ARCOAIRE, CHAMPION PARTS WARRANTY.10 YEAR PARTS WHEN
REGISTERED IN 30 DAYS OF INSTALLATION.
RUN TRU/TRANE 4 14 SEER SYSTEM.4TCA4042A1000A, BAYHTR1V10LUGGA
WAS INSTALLED FOR 3 DAYS AND THE CUSTOMER WAS NOT SATISFIED/BRAND NEW
IF
CHECK: $ 3,700.00 INITIAL
10 YEAR LABOR AGREEMENT --840.D0PL 'IA:
ARCOAIRE 4 TON 14 SEER SYSTEM
FOR THE SUM OF: $ 4,550.00
IF PAID BY CHECK: $ 4,400.00
10 YEAR LABOR AGREEMENT $ 840.
PAJ4048, 10 KW HEAT
00 PLUS TAX
INITIAL
INITIAL
CHAMPION 4 TON 14 SEER SYSTEM. PCE4A4821,S1-6HK16501006,
FOR THE SUM OF: $ $ 4,820.00
IF PAID BY CHECK: $ 4,590.00 INITIAL_
10 YEAR LABOR AGREEMENT INCLUDED
QUOTE GOOD FOR 30 DAYS
TO BE PAID: AT TIME OF SERVICE.
ACCEPTED ..........................
r
SIGNED..
RONNIE LAUCH
C TOM 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