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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/21/2021 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1S53 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: 3505 RED TAILED HAWK DR Residential X Property Tax ID #: 3424-800-0122-000-8 Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK; LIKE. FOR LIKE 4TON 16.25 SEER SYSTEM WITH 10 KW HEATER 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 Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 5325.00 Generator _ Windows/Doors _ Pond Sq. Ft. of First Floor: Roof Pitch Utilities: —Sewer _Septic Building Height: iJU4 N RAESSEE CONTRACTOR: Name ROBERT & JANET DEBROISSE Name: CURTIS SAMMONS Address: 3505 RED TAILED HAWK DR Company: CUSTOM AIR SYSTEMS INC City: PORT SAINT LUCIE State: Cf/ Zip Code: 34952 Fax: Phone No. 772-773-2739 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 IT value oT construction is ZSUU 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 Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable 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 commencin work or recording our Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF STATE OF FLORIDA COUNTY OF s T L u c t -e Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this _91k day of aric , 202T by Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this -c-4 day of 202p by Curtis S��rxan-s Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Florida) (Signature of Notary Pub i - State of Flgr � a ) ipS„ ,,� CHRISTINE B. ENGAISH Commission No. (Seal) Commission No. /ffiD6113-Z 7 *Wa1 W0"#HH0693 E�ires April 4, 2025 Banded Pru Budget Noldy 7 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE -- COMPLETED Rev. NeAJ I 5-D d- Coo Sty 0� �oo©or0000��oc��® o©moo®oo�-�- z M* 05/40-90S',�VCustom Air Systems Inc. roo®lt�j �LIII 1615 SE Village Green Drive • Port St. Lucie, FL 34952 (772) 335-3232 • Fax ( 772) 335-1968 Proposal and Agreement 0 Q Customer Name Ar� LJ (�) S� `e Phone - 772) — :2:23' Q27 35 Date Address 40' `� Job Address —���1 Tom" �,��, r✓1 n City, State, Zip —'- ! l� Work Phone(s) We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal. O Equipment Specifications Make SEER EER AFUE Btuh Coolin 706t' Btuh HeatingCF Installation shall include: I Ste, 4a -� d X in boxes = Yes ❑ New Amp disconnect emove existing equipment from premises ❑ New Amp electric service ❑ Install energy saving setback thermostat ❑ New low voltage wiring ❑ New copper wire from to ❑ New weather resistant equipment stand J-.;-�ak e air tight plenum transition ❑ New reinforced equipment pad ❑ new supply diffuser(s) ❑ New vibration isolation pads ❑ New duct run from to New properly sized refrigerant lines ❑ Noise reducing flexible duct connector ❑ New clean, dry ACR copper tubing ❑ Balance for uniform supply air distributionomplete ate refrigerant suction line(s) El Provide for external combustion air P-4nstall refrigerant drier(s) El gas piping from to vacuate refrigerant system ❑New vent pipe and cap Car a to manuactur's specs awork area to customer's satisfaction Lh et all federal, state & local laws E;-e—or sation overflow safety switch urricane Fasteners for outdoor unit ❑ Option (below) ❑ ❑ New condensate drain system ❑ New condensate pump ❑ Install aux. condensate drain pan ❑ New high efficiency air filter ❑ New humidification system ❑ New return air filter grill Ereet all code requirements system start up 0 ❑ ear parts warranty El_y� ear labor warranty El ear compressor warranty ❑ year se ce a eement ❑ 3,6 Total Investment $ laxesj Total Amount $ Down Payment $ Balance Due $ r-,-, Q 0