HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/20/2021 Permit Number:
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: 9999 PERFECT DR
Property Tax ID#: 3327-703-0039-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
LIKE FOR LIKE 2 TON 15 SEER SYSTEM WITH 5 KW HEATER
New Electrical Meter Second Electrical Meter
FONSTRUCTION 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: $ 3920 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: e ��. CONTRACTOR:
Name TAJUDDIN&JOANN JIVA Name:CURTIS SAMMONS
Address:5423 VIA DEL SOLE Company:CUSTOM AIR SYSTEMS INC
City: WILLIAMSVILLE State:�y Address:1615 SE VILLAGE GREEN DR
Zip Code: 14221 Fax: City: PORT SAINT LUCIE State:FL
Phone No.772-873-0515 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
from the Owner listed above) 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 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 attorney before comm-encing 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 I-r L.t9 C(e. COUNTY OF v _i` L u C t
Sword to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
✓✓ Physical Presence or Online Notarization V"Physical Presence or Online Notarization
this day of QCX"�\ 202J by this `J' day of GEC: \ 202q by
CL.il-6L5 �t$*A.mi�ons C ?c LS
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
(Signature ofN6tary Pu -State of Florida ) (Signature of Notary Pub' -State of FI �a )
t► b CFtR15T1NE B.ENGi!
CFiRISTINE B.ENGLISI I �HH 0693 7
Commission No. h#64,U.77 , al)C�nKK,#HH0693 Commission No.
E)Oms Apd 4,2025
Expires April 4,2025 ''���ne`�
oP eona.aTh.
i
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
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 31, 2021
NAME: PERFECT DRIVE GOLF VILLAS
ADDRESS:
PHONE:873-0515
FAX: 873-0445
JOB NAME: 9999 PERFECT DR.
ADDRESS: 9999 PERFECT DR. PSL 34986
HAS ORIGINAL 1997 — 2 TON FRONT RETURN SYSTEM. HAS 25/25 CHALLENGER BREAKERS.
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 2 TON FRONT RETURN SYSTEM 5 KW HEAT STRIP. (SEE OPTIONS BELOW)
2. CONNECT TO EXISTING REFRIGERANT AND DRAIN LINES (FLUSH LINES)
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED)
4. DIGITAL THERMOSTAT
5. PERMIT (INSPECTION BY BUILDING DEPARTMENT REQUIRED)
6. CONNECT TO EXISTING DUCT SYSTEM
7. ONE YEAR LABOR WARRANTY
B. FIVE YEAR GOODMAN/CARRIER/RUUD PARTS WARRANTY.
9. DRAIN LINE SAFETY FLOAT SWITCH
CARRIER EQUIPMENT. 14 SEER
24ABC624, FFMANP025
FOR THE SUM OF: $ 4,110.00 INITIAL
RUUD EQUIPMENT. 15 SEER
RA1424, RFIT2421
FOR THE SUM OF: $ 3,920.00 INITIAL
-\)P
QUOTE GOOD FOR 30 DAYS
TO BE PAID: AT TIME OF SERVICE.
ACCEPTED. . . . . . . . . . . . . . . . . . . . . . . . . . . SIGNED. . .
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