HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/2/2021 Permit Number:
91r. DOES
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: 3816 HYDRILLA CT
Property Tax ID #: 3425-706-0130-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 3 TON 14 SEER PACKAGE UNIT 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: $ 4275.00 Utilities: —Sewer —Septic Building Height:
..
Name CHARLOTTE DICUTA
CONTRACTOR:
Name: CURTIS SAMMONS
Address: 3816 HYDRILLA CT
Company: CUSTOM AIR SYSTEMS INC
City: PORT SAINT LUCIE State: L -
Zip Code: 34952 Fax:
Phone No. 772-342-2378
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.
E SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER: — Not Applicable
Name:_
Address:
City:
Zip:
Phone
State:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name: -
Address:
Citv:
Zip: Phone:_
Not Applicable
State:
BONDING COMPANY: _Not Applicable
Name:_
Address:
City:_
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 commencing work or recording your Notice of Commencement.
Signature of Owner LesseefCantractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF 6-r L. V C l e COUNTY OF t5 �' L. t: C ; -2
Swore to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Physical Presence a- Online Notarization v"Physical Presence or Online Notarization
this day of f 2024 by this � day of ���, 202$ by
CU_Ift-EcS �14mm�,tS ( urttS # rvEyt15
Name of person making statement. + Name of person making statement.
Personally Known r` OR Produced Identification
Type of Identification
Produced
(Signature of P6tary Pu ' - State of Florida )
'
"� CHMSTINE B. ENGLIS
Commission No_ 2066 f 4l % , .; dal
}Commission # HH 0693
49W Expires April 4.2025
Personally Known OR Produced Identification
Type of Identification
Produced
{Signature of Notdry Pub ' - State of FI btia )
'`*�,k CHRISTINE B. ENGII:
Commission No. 411,96112 % *� a1��HH0693
Expires Apr# 4, 2025
REVIEWS FRONT ZONING SUPERVISOR PLANS I VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE I j
COMPLETED I
Custom Air Systems Inc.
1615 SE Village Green Drive • Port St. Lucie, FL 34952
(772) 335-3232 • Fax ( 772) 335-1968
Proposal and Agreement
Customer Name t I 1 Phone �7� � r2 3 7/1 Date �A
Address / Job Address &,.":
I
City, State, Zip 7� L,��t — Work Phone(s)
1
We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal.
Equipment Specifications
Make Model Number(s)
SEER_ L=1— EER AFUE Btuh Cooling J1 i L900 Btuh HeatingZL,—,—/CFM
1
❑ New Amp disconnect
❑ New Amp electric service
❑ New low voltage wiring
❑ New weather resistant equipment stand
❑ New reinforced equipment pad
❑ New vibration isolation pads
❑ New properly sized refrigerant lines
❑ New clean, dry ACR copper tubing
❑ Insulate refrigerant suction line(s)
❑ Install refrigerant drier(s)
❑ Evacuate refrigerant system
❑ Chlge to manufacturer's specs
eet all federal, state & local law
ElOption (below)
4;_2
OCR
®. 3
37Ced oe�
Terms:
Acce tan(Cu tome p�
,,
s
4�T Remove existing equipment from premises
❑ Install energy saving setback thermostat
❑ New copper wire from to
❑ Make air tight plenum transition
❑ new supply diffuser(s)
❑ New duct run from to
❑ Noise reducing flexible duct connector
❑ Balance for uniform supply air distribution
❑ Provide for external combustion air
❑ New gas piping from to
❑ I I w vent pipe and cap
Zi9ean work area to customer's satisfaction
ff -Condensation overflow safety switch
2" Hurricane Fasteners for outdoor unit
By ate
❑ New condensate drain system
❑ New condensate pump
❑ Install aux. condensate drain pan
❑ New high efficiency air filter
❑ New humidification system
❑ Ne return air filter grill
l�t all code requirements
E Complete system start up
❑ year parts warranty
❑ _� year labor warranty
❑ year compressor warranty
❑ year service agr ement
36-AYS df--4-..5
Total Investment $
D
Taxes $
j Total Amount $
b
Down Payment $ '72 d
Balance Due
Approval (C any)
By — Dat A—-Zj