HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/12/2021 Permit Number:
���o L Ll ia1�
L~ 41,4114", Building pp Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 7811 MCCLINTOCK WAY
Property Tax ID #: 3424-800-0151-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 4 TON 14 SEER PACKAGE UNIT 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 _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4780 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE;
CONTRACTOR:
Name RAYMAND & JUDITH STONE
Name: CURTIS SAMMONS
Address: 7811 MCCLINTOCK WAY
Company: CUSTOM AIR SYSTEMS INC
City: PORT SAINT LUCIE State: e '
Zip Code: 34952 Fax:
Phone No. 772-979-0160
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 LAIN INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
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:
i
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 bylaws
rules, 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 our Notice of Commencement.
Signature of Owner Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF S`r L, V C t e
STATE OF FLORIDA
COUNTY OF a C. ;
Sworp to (or affirmed) and subscribed before me of
z' Physical Presence o. Online Notarization
this IC),-, day of diiC 2024 by
Sworn to (or affirmed) and subscribed before me of
k,•'Physical Presence or _ Online Notarization
this 1& day of 202$ by
CI,L1. -6 r s ri S
C ct r as.#t nt a nS
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
7
(Signature ofN6tary Pu - State of Florida)
CHRISTINE B. ENGLIS
Commission No. - fq# , $3� % ''� '' al)Comrtussion#HH0693
e� Expires April 4.2025
Af e: 8&4*dTMu
(Signature of Not4y Pub"" -State of Fl��fa )
apt,..•. ; CHRISTINE B. ENGLI
J t
Commission NO.#TJQF� ��i+? ! *al�°"tsHfi0693
�Es W 4, 2025
�Offl�4 BoededTiro&KtmNrEsr sw
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
i
i VEGETATION
I REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Custom Air Systems Inc.
1615 SE Village Green Drive • Port St. Lucie, FL 34952
0 (772) 335-3232 • Fax( 772) 335-1968
0 Proposal and Agreement 0
Customer NameL/r^jV14,,zTUC,/;R1,Phone'Date 7 r
Address 1.1A Job Addressor-+ <' j
City, State, Zip AILAC r _ tA,—,/ Work Phone(s)
We will furnish, install and service
—the
�equipment listed below at the price, terms and conditions outlined on this proposal. [
r
Equipment Specifications
Make 6i'VCV\ 4— Model Number(s) t" s 0,T19
SEER EER AFUE Btuh Cooling 3P Btuh Heating A FM
Installation shall include:
X in boxes = Yes
❑ New Amp disconnect
Remove existing equipment from premises
❑ New condensate drain system
❑ New Amp electric service
❑ Install energy saving setback thermostat
❑ New condensate pump
❑ New low voltage wiring
❑ New copper wire from to
❑ Install aux. condensate drain pan
❑ New weather resistant equipment stand
❑ Make air tight plenum transition
❑ New high efficiency air filter
❑ New reinforced equipment pad
❑ new supply diffuser(s)
❑ New humidification system
❑ New vibration isolation pads
❑ New duct run from to
❑ New return air filter grill
❑ New properly sized refrigerant lines
❑ Noise reducing flexible duct connector
❑ Meet all code requirements
❑ New clean, dry ACR copper tubing
❑ Balance for uniform supply air distribution
❑ Complete system start up
❑ Insulate refrigerant suction line(s)
❑ Provide for external combustion air
❑ year parts warranty
❑ Install refrigerant drier(s)
❑ New gas piping from to
❑ year labor warranty
❑ Evacuate refrigerant system
❑ N w vent pipe and cap
El year compressor warranty
❑ urge to manufacturer's specs
an work area to customer's satisfaction
❑ year service agreement
Meet all federal, state & local laws
���CC densation overflow safety switch
El
Hurricane Fasteners for outdoor unit
L
❑ Option (below)
❑
Total Investment $
Taxes $
Total Amount $ �ZCQ
% I Cx' . i (f /;Lt• 8 Down Payment $
Balance Due $
Terms:
Acceptance (Customer) Approval (C ny)
By Date By Date7