HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/7/2021 Permit Number:
LC�o LL U,LUE
O� TOW
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address- 4900 PALM DR
Property Tax ID #: 3402-608-0196-000-9
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 3 TON 16 SEER SYSTEM WITH 7.5 HEATER
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential X
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _
-- Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 5905.00
Sq. Ft. of First Floor: _
Utilities: —Sewer _ Septi
Lot No.
Block No.
Windows/Doors _ Pond
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name TRUMAN KEEFER , MELISANDE WEIDNER
Name: CURTIS SAMMONS
Address:4900 PALM DR
Company: CUSTOM AIR SYSTEMS INC
City: FORT PIERCE State:—
Zip Code: 34982 Fax:
Phone No. 513-478-6083
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 LA1tE' INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
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 attornev before commencing work or recording? vour Notice of Commencement.
Signature of Owner Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF S'r L V C t 2 COUNTY OF t 1- L. v C t -e
Swoijp to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
P ysical Presence or Online Notarization i,- Physical Presence or Online Notarization
this day of —� L`— Q 2024 by this day of �C7 (1,Q, 202$ by
Lur�_ts 5`#**fors
Name of person making statement. Name of person making statement.
Personally Known / OR Produced Identification
Type of Identification
Produced
(Signature of N6tary Pubis` State of Florida )
-0y P° CHRISTINE B. ENGLIS
Commission No. oi/#66OYd 7 �'���� �al}Commission#HH0693
,Z Expres April 4, 2025
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
i
Personally Known t' OR Produced Identification
Type of Identification
Produced
(Signature of Notary/ Pubye- State of FWW a ) CHRISTINE B. ENGLI:
?MM4SsiW # HH 0M
Commission No. ,z�,( D6 '�,z 7 al EvkasApr14 2025
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v,�ofaD�� Ba!dedriwB�Mtb!sYSen
SUPERVISREVIEWOR I REV EW PNS I VRE EWON I SEREV EWLE I MANGROVE REVIEW
UNTY
Ai
PLANNING & DEVELOPMENTSFAVICES
Building & Code Compliakice Division
ot,"11AWN'G Pt',RMI'l
Sj'H-('0NTRA('TA)R AGRUTNUNI
Dave agr"d to be
N!anie,"'Tndi�,'jduaI Name)
Sub-contractol, to.
tile &' ,
C()"VIC of TrAdQ) I Pt iirtai y
For the project localod at LAC)o
(Ptoject Sft(x( -3i4C)a 000
It is tinderstood that, if thm is any change of status regarding our participation with the above mentioned
project, tI)e Building and Code Regulation Di\ ision of Sit. Lucie County will be advised pursuant to the
filing ol'a ('hange of Sub -contractor notice,
PRINT 14'km
8FR
state ol'Florida. Cou"11 tj
I'he f-Areigisiog instrunttmt Wits lignt4i b0ore Aw this 4U., of
11t+ it ptr%tmall.5 know or hu,* produced a
o Notary Pt li . . . ....... .....
Print tiu '4r ti lit,
RM" L"H
Commit" 0 HH 067W
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Rcc scd ! l 1, , a) "
V H ON,
PRISTNANIV
COU'STV
J'hc forTgoinginstrtttneot'Wigluxt before- Me lhb—7— day of
who is porwivolly unmm.,J—or has pradisved a
t 2Ye STAmr
0a 1h 1'�
Print Numv oft olury Ptiblic
ALISON HANSON
MY COMMISSION # GG 970043
EXPIRES: Match 16, 2024
Bonded Thru Notary Pubile Underwdlers
CUSTOM MR SYSTEMS INC. SALCS " SERVICE * INSTALLATION
1415 St- VILLACt" GRFtNJ)R. PORT' ST. IA,JC"jp
335-3232 465-0559 %2-2777 FA\ (711.) 13,55-1968
CA(7051814)
CARRIER 11 R1"44) '('IIAMt*ION'k TRANV* AIR CONIATK)Nr.kl�
June 3, 2021
NAME: TRUMAN KEEFER
ADDRESS: 4900 PALM OR, FT PIERCE, ,',-L 24982
PHCrK.; S13-478-6083
EMAIL; me1jsandwwajdnWr@yahQo,com
JOB NAME/ADDRESS: 4900 PlaM DRIVE FORT, P'VERCE FL, 34982
WE PROPOSE TO< REPLACE EXISTING AIR AND HEATING SYSTEM,
BID TW-%tJDES THE FOLLOWING.
1, 3 TON STRAIGHT COOL SYSTEM WITH 7.5 KW HZAT STRIP. AIR HANDLER RELOCATED FROVI
ATTIC TO CLOSET (SEE OPTIONS BELOW)
2, CONNECT TO EXISTING REFRI(';ERANT LINES (FLUSH LINES)
3. CC CT TO EXISTING 141CH AND LOW VOLTAGE WIRING, (BREAKERS AS NEEDEDl
4, DRAIN LINE SAFETY FLOAT SWITCH
5PERMIT (INSPECTION BY CITY REQUIRED)
6, CONNECT TO EXISTING DUCT SYSTEM WITH NEW PLENUMS FRCS STAND IN GARAGE
7, DIGITAL THEP440STAT
R. NEW AIR HANDLER STAND IN CLOSET WITH CONDENSATE VL"P AND SLAB,
9. ONE YEAR LAW,)R WARRANTY ON CHAMPION/CA.RRIER, 3 YEARS LABOR ON LENNOX
10. FrW YEAR PARTS WARRANTY,
11. 1D YEAR I-WG PARTS WARRANTY TO ORIGINAL OWNER WHEN REGISTERED IN 30 DAYS. ZXCLUDIES
HEAT STRIP AN) TKER.MOSTAT.
*** IF THERE, IS NO 115 VOLT OUTLET NEAR BY WILL NS40 ELECTRICIAN (CUSTot-Lww S'
RESPONSIBILITY)
ALLIED 16 SEER STRAIGHT COOL SYST", 4AC16L36P, 0CZ5V36XA4X
FOR THE SUM OF: $ 5,905,00 ( FPL REBATE - $ 150.00 ) $ 5,755,00
CHAMPION 17 SEER, STRAIGHT COOL SYSTEM. TC7B3621, AE36CX21-TXV
FOR THE SUM OF, $ 6,27Q,00 i FPL RSBATE - $ 150,0(3 ) $ 6120.00
CARRIER 16 SEER STRAIGHT COOL SYSTFM, 24ABC636, rX40NF037
FOR THE SUM QF; $ 6,33000 ( FPL REBATE - $ 150,00) $ 6,1,80,00
LENNOX 16 SEER STRAIGHT COOL SYSTEM. 141,14=036, CBA27URE036
FOR THE SIM OF: $ 6,985-00 ( FPL REBATE 150,03 6,835.00
CHAMPION 10 YEAR IABOR AGREEMENT FOP THE Slim 350,00 PLUS TAX
INITIAL__
TAKE 5% GET FINAL PRI C IF PAID BY A CRECK,
OVOT9 CAE FOR 30 'DAYS, TO BE PAID. AT TIME Or SERVICE
INITIAL___
INITTAL
EPTS ACCE V)w�o' s I a NEE D RONNIE LAEe1
CUSTOM AIR altsTra'a IKC
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