HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/7/2021 Permit Number:
O , _i
>? 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:
ArlrirPct. 4250 N HIGHWAY A1A # 602
Property Tax ID #: 1423-501-0042-000-6
Site Plan Name:
Project Name:
LIKE FOR LIKE 2 TON 14.5 SEER SYSTEM WITH 5 KW HEATER
Lot No._
Block No.
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: $ 4180.00 Utilities: — Sewer _ Septic
Building Height:
OWNER/LE " ..
CONTRACTOR:
Name JAMES & JULIET ELDER
Name: CURTIS SAMMONS
Address: 16 FAIRWAY DR
Company: CUSTOM AIR SYSTEMS INC
City: MARQUETTE State: ft�
Zip Code: 49855 Fax:
Phone No. 906-228-9318
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 requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
i
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:
I
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. U C 1 e
STATE OF FLORIDA
COUNTY OF v °s _
Swor,p to (or affirmed) and subscribed before me of
P ysicai Presence or Online Notarization
this day of� (LO 202� by
Sworn to (or affirmed) and subscribed before me of
9,'physical Presence or Online Notarization
this "'l day of �-Z(Q ,_. 202$ by
CLLr"'& t 9 14 r►t rru ri S
tt t # Jil Yif 0 t1L
Name of person making- statement.
Name of person making statement.
Personally Known Y OR Produced Identification
Type of Identification
Produced
Personally Known OR Produced Identification
Type of Identification'
Produced
(Signature of y6tary Pu - State of Florida)
sir rp CHRISTINE B. ENGLIS
Commission No. )V#61, f 42 % '�' Tal)ComrnissiontlHHOfi93
cPP�lJ�cpaes 4, 2025scSg
TMu
7
(Signature of No ry Pub " - State of Fl btla )
yp�,..•.,. G tR15T1NE B. ENGLI
Commission No.�{{O�i ��� .` *aiyommissionatHH0693
4, T(f2$
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
i
I VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
MI 0a I /-(L
✓�•-- fiNlll� SALES * SERVICE * INSTALLATION �
1615 Sf. VILLAGE GREEN DR. PORT ST. LUC1E FL.34952
33S-3232 46S-I1559 562-2777 FAX (772) 335-1%8
CARRIER * RREEM * GOODMAN * TRANE *AIR caltYDm--- ONERS CAC051810
June 3, 2021
NAME: JAMES ELDER
ADDRESS: 16 FAIRWAY DR MARQUETTE, Xx 49855
PHONE: 906-228-9318
EMAIL: jelder93188gmaii.com
JOB NAME/ADDRESS: 4250 N AIA #602 FT FIERCE, n 34949
HAS 2 TON SYSTEM. AIR HANDLER OVER VAUR HZATZR,
WE PROPOSE TO: REPLACE EXISTING HEAT AM hilt SYSTEM,
BID INCLUDES THE FOLLOWING,
1. 2 TON SYSTEM WITH 5 KW ELECTRIC STitIp UZAT (SX1 OPTIOKS BELOW)
2. REbXM AND DISPOSE OF EXISTING EQUIPHM
3. DIGITAL NON-FROGRAMABLZ THERMOSTAT
4. CONNECT TO EXISTING REFR.TGZRANT AND MAaN IrraS
5. CONNECT TO EXISTING HIGH AND LOW VQItTl= WIRING
6. CIRCUIT BREAKERS AS NEZVZD
7. ONE YEAR LABOR WARRANTY
8. FIVE YEAR TRANS/RUUDtCARRIE1t PARTS WAFJtANTY. 10 YEAR J+ARTS WARRANTY WHEN
REGISTERED FOR ORIGINAL OWSA, WITH IN 30 DAYS or IgSTA14ATIoN.
9. PERMIT (80'aONE WILL NEED TO BE AVATL"LV TO LET IN CXTY INSPECTOR)
CARRIER 2 TON 14 SEER SYSTEM
24ACCC424, FMA4P024
FOR THE SUM OF: $ 4,160.00 INITIAL
RUUD 2 TON 14 BEER SYSTEM
RA1424, RF1P2421
FOR THE SUM OF: $ 3,955.00 INITIAL
TRANE 2 TOT 14.5 SEER 8YST1K
4TTR40241,1000, TMM5B0B24M2j$A
FOR THE SUM OF: $ 4,180.00
LESS 5% OFF ABOVE SYSTEM PRICE& IF PATD WITH CfMCK.
QUOTE GOOD 30 YS
ACCEPTS ��/GIs*SIt&D...
:�
ROWNIB LAUCH
CUSTOM AIR SYSTEMS INC.
Cansttuctxm utdustries racovery fund° Payment mW 4- avarlatrte ¢Tito 0W COWitructior4 nwWrics rcecwcq ftmd if vOu lase mwx % on a prpiect perkmnod
under avurad, when the lass rciulls ft0m spec'iCed viofations of ['k4tc A low b} a sV&-1kaWW cx)jrtraMg; fig information. aixxji the recovery fund and filing
9 claim. t "met the J'(€1 Ida GctMMwtioft iMt Wy licensing bnarti.
Phone: 95€1-487-1395 mailing addrmw L BPR coslo t wnla , iW N, Monrcoe Stt., I7dlaltrrssee. FL. 32394-0786