HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/16/2021 Permit Number:
` �' ' ,:,`' Building 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:
ArirlrPst. 8057 LINKS WAY
Property Tax ID #: 3327-710-0002-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 5 TON 19 SEER SYSTEM WITH 10 KW HEATER
New Electrical Meter Second Electrical Meter
[CONSTRUCTION INFORMATION
Lot No. —
Block No.
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: $ 12315.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name NANCY LUCIANI
Name: CURTIS SAMMONS
Address: 8057 LINKS WAY
City: PORT SAINT LUCIE State: _
Zip Code: 34986 Fax:
Phone No. 570-499-7128
Company: CUSTOM AIR SYSTEMS INC
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 LAVA INFORMATION:
:DESIGNER/ENGINEER: — Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
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:
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.
C' Signature of 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.U C i COUNTY OF � -r t.. L: C
Swor,p to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization v'Physical Presence or Online Notarization
this day of Z&yt_ 2024 by this J�C_ day of 20241 by
�U.t''r� t 5 c� 14 ►tr ►n a rt S tt t '.. ' r'-) # l two E't s
Name of person making statement. Name of person making statement_
Personally Known c- OR Produced Identification
Type of Identification
Produced
(Signature of9}6tary Pu44fE State of Florida )
(/ *p�vR ",° CHRISTINE B. ENGLIS
Commission No. #116� f�� 7 y eat}Commission # HH %93
Expires AprA 4, 2025
REVIEWS ( FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Pub - State of FI d¢a )
CHRISTINE B. ENGLIE
Commission No. fi/D6 fi-> 7 * Seal 0nt#HH46�ii
\o� Expires Apra 4, 2025
fn°4 owd-d"m81fl,etN*iSM
RENING VIEW W I SUPERVISOR REVIEWI REV EW I VREVIEWON I SEA REV EWLE I M F EWVE
CUSTOM MR SYSTEMS INC. SALES * SERVICE * INSTALLATION
1615 SE. VILLAGE GREEN DR. PORT ST. LUCIE FL.34952
772-335-3232 772-571-1080 FAX (772) 335-1968
CAC05181 0
LENNOX * CARRIER * RIJUD * GOODMAN * TRANE * AIR CONDITIONERS
June 11, 2021
NAME: NANCY LUCIANI
ADDRESS: 8057 LINKS WAY PSL, FL 34986
PHONE: 570-499-7128
EMAIL: csu3102@gmail.com
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM. BID INCLUDES THE FOLLOWING,
1. 5 TON 19 SEER LENNOX ELITE SYSTEM HUNG IN THE GARAGE
2. CONNECT TO EXISTING REFRIGERANT LINES (FLUSH LINES)
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING, (BREAKERS AS NEEDED)
4. DIGITAL THERMOSTAT WIFI
5. PERMIT (INSPECTION BY BUILDING DEPARTMENT REQUIRED)
6. CONNECT TO EXISTING DUCT SYSTEM
7. DRAIN LINE SAFETY FLOAT SWITCH
8. CONDENSER TIE DOWN BRACKETS
9, ONE YEAR LABOR WARRANTY
10,10 YEAR PART WARRANTY WHEN REGISTERED FOR ORIGINAL OWNER/LENNOX COWS WITH 3 YEAR LABOR
WARRANTY. THERMOSTAT AND HEATER 5 YEAR PART WARRANTY
LENNOX MODEL XC20060, CBA38MVO, S30 THERMOSTAT 10 KW HEAT (HUNG IN THE GARAGE)
FOR THE SUM OF: $ 12,315.00
IF PAID BY CHECK $ 11,700.00 INITIAL
QUOTE GOOD FOR 30 DAYS
TO BE PAID: AT TIME OF SERVICE.
ACCEPTED_ ........
SIGNED
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 perforined
under contract, where the loss results from specified violations of Florida law by a state -licensed contractor. for infom-tation about the recovery fund and filing
a claim, contact the Florida construction industry licensing board.
Phone: 850-487-1395 mailing address: DRPR customer contact. 1940 N. Monroe FL, 32399-0796