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Building permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/20/2021 Permit Number: p aBuilding 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: Address: 3708 FETTERBUSH CT Property Tax ID #: 3425-706-0025-000-2 Site Plan Name: Project Name: LIKE FOR LIKE 3 TON 14 SEER PACKAGE UNIT 10 KW HEATER Residential X Lot No. Block No. 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: $ 4300 Utilities: —Sewer — Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ALBERT & JEANNE LENZ Name: CURTIS SAMMONS Address: 3708 FETTERBUSH CT Company: CUSTOM AIR SYSTEMS INC City. PORT SAINT LUCIE State: F-L-- Zip Code: 34952 Fax: Phone No. 609-226-5198 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: I 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 attornY 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 STATE OF FLORIDA COUNTY OF 6 -t' L. U C t e_ COUNTY OF 5 -r L is C -2 Swor,p 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 day r by oZb day f i 1 202V by this 2U of 202(1 this of C(L1'-&L5 t`a✓tS SAAtit©t1-S Name of person making statement. Name of person making statement. Personally Known I OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature ofp6tary Pu - State of Florida) (Signature of Notary Pub ' - State of FlWbka GfRISTINE B. ENGLI SH ip, CHRISTINE B. ENGLIS �1 ` #HH0693 7 Commission No. ;1#66 942 % * �al)Cortunissfon#HH0693 Commission NO. t /69 63. 1 � �- � al�AprA4,2025 NO.PPS Expires April 4, 2025 ''t of n `� BMW nw e�c►�oar, o eo�e.d Tnr„ REVIEWS FRONT ZONING SUPERVISOR i PLANS j VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. AIR SYSTEMS INC. SALES * SERVICE * INSTALLATION * APPLIANCES r 1615 SE. VILLAGE GREEN DR. PORT ST. LUCIE FL.34952 (�\ 335-3232 465-0559 562-2777 FAX (772)335-1968 CAC051810 CARRIER * RUUD * LENNOX * TRANE * AIR CONDITIONERS April 19, 2021 NAME: ALBERT 6 JEANNE LENZ PHONE: 609-226-5198 EMAIL: albertjlenz@hotmail.com JOB NAME/ADDRESS: 3708 FETTERBUSH PSL, FL 34952 WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM. BID INCLUDES THE FOLLOWING. 1. 3 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 8. ONE YEAR LABOR WARRANTY 9. FIVE YEAR BRYANT PARTS WARRANTY.10 YEAR PARTS WHEN REGISTERED IN 30 DAYS OF INSTALLATION. BRYANT 3 TON 14 SEER SYSTEM. PAJ4036, 10 KW HEAT FOR THE SUM OF: $ 4,300.00 IF PAID BY CHECK: $ 4,085.00 QUOTE GOOD FOR 30 DAYS TO BE PAID: AT TIME OF SERVICE. ACCEPTED .......................... INITIAL SIGNED ..ldlle'f1<e 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: 850-487-1395 mailing address: DBPR customer contact, 1940 N. Monroe St., Tallahassee, FL. 32399-0786