HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/3/2021 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 IMPRQVJE ENT LOCATION:
Address: 4250 N HIGHWAY A1A 906
Property Tax ID #: 1423-501-0070-000-1
Lot N o.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 2 TON 14 SEER SYSTEM WITH 5 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: $ 4160 Utilities: —Sewer _ Septic Building Height:
--
OWNER/LESSEE:
CONTRACTOR:
Name GEORGE & CAROLE PEPIN
Name: CURTIS SAMMONS
Address: 4250 N HIGHWAY A1A 906
Company: CUSTOM AIR SYSTEMS INC
City: FORT PIERCE State: r_
Address: 1615 SE VILLAGE GREEN DR
Zip Code: 34949 Fax:
City: PORT SAINT LUCIE State: FL
Phone No. 781 424-8529
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: ---
1
a
DESIGNERJENGINEER: 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: Applicable
Name:
_Not
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 that
covenants 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 STATE OF FLORIDA
COUNTY OF__ S-r L. V C! e COUNTY OF 5 T L u G t -2
Swore to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
✓ Physical Presence G: Online Notarization v'Physical Presence or Online Notarization
this a) day of 2024 by
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REVIEWS FRONT ZONING SUPERVISOR PLANS I VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW { REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
CUSTOM AIR SYSTEMS INC. SALES * SERVICE * INSTALLATION *
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
June 2, 2021
NAME: CAROLE PEPIN
ADDRESS: 4250 N AlA #906 FT PIERCE, FL 34949
PHONE: 781-424-8529
EMAIL: caropep7@aol.com
JOB NAME/ADDRESS: 4250 SE N AlA # 906 FT PIERCE, FL 34949
HAS 2 TON SYSTEM. AIR HANDLER OVER WATER HEATER.
WE PROPOSE TO: REPLACE EXISTING HEAT AND AIR SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 2 TON SYSTEM WITH 5 KW ELECTRIC STRIP HEAT (SEE OPTIONS BELOW)
2. REMOVE AND DISPOSE OF EXISTING EQUIPMENT
3. DIGITAL NON—PROGRAMA13LE THERMOSTAT
4. CONNECT TO EXISTING REFRIGERANT AND DRAIN LINES
S. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING
6. CIRCUIT BREAKERS AS NEEDED
7. ONE YEAR LABOR WARRANTY
8. FIVE YEAR CARRIER PARTS WARRANTY. 10 YEAR PARTS WARRANTY WHEN REGISTERED FOR
ORIGINAL OWNER, WITH IN 30 DAYS OF INSTALLATION.
9. PERMIT (SOMEONE WILL NEED TO BE AVAILABLE TO LET IN COUNTY INSPECTOR)
CARRIER 2 TON 14 SEER SYSTEM
24ACC424, FMA4P024
FOR THE SUM OF: $ 4,160.00
IF PAID BY CHECK: $ 3,960.00
INITIAL
LESS 5% OFF ABOVE SYSTEM PRICE IF PAID WITH CHECK.
QUOTE GOOD FOR 30 DAYS
ACCEPTED........ ................... S IGNED . �yj/j!li'✓L! ........... .
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: 850487-1395 mailing address: DBPR customer contact, 1940 N. Monroe St., Tallahassee, FL. 32399-0786