HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7-7-2021 Permit Number:
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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: 1740 PONDBERRY LANE
Property Tax ID #: 3426-703-0163-000-5 _ Lot No.
Site Plan Name: _ Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 3 TON 16 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:
z,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: $ 4420.00 Utilities: -Sewer — Septic Building Height:
r
E
CONTRACTOR:
Name ROBERT & JENNIFER DAVILA
Name: CURTIS SAMMONS
_
Address: 1740 PONDBERRY LANE
Company: CUSTOM AIR SYSTEMS INC
City: PORT SAINT LUCIE State:
Address: 1615 SE VILLAGE GREEN DR
City: PORT SAINT LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 772-485-0689
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
State or County License CAC051810
from the Owner listed above)
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.
S11PPi#G�10H LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable — pp
Name:
I MORTGAGE COMPANY: — Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
! City: State:
I Zip: Phone: I
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
I Address:
City:
Zip: Phone:
City:
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 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 attornevbefore commenring work nr rarnrriina vnrrr Nntiro of f nmmonromont
f
Signature of Owner/ Leissee/Contractor as Agent for Owner
I
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF S? t, !J G6
COUNTY OF 5 L Lt C Z 4
Swgrn to (or affirmed) and subscribed before me of
Physical Presence
j Swofn to (or affirmed) and subscribed before me of
or Online Notarization
this 1 day of - w_ 2024) by
✓ Physical Presence or Online Notarization
this day of 2021 by
Name of person making statement.
Name of person making statement.
Personally Known V— OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Nidtary Pu c- State of Floridae)
CHRISTINE S. E
Signature of Notary Pub '� State of FI a )
CHRISTiNE
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Commission No./7iy 6TyoZ �� Corrwnisaioni�HH06 `� * ilHH069�3
W mmission No.,. ;'p cJF� �yr+L l al�
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o Expires April 4, 20 `� Expites Apd 4, 2M
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION
SEA TURTLE
I
I MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
----
COMPLETED
!�Iffl460
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 ���—q Phone 77,;,— -Date'�_2j
Address 17 7 0 6 P%rn '� Job Address
City, State, Zip r /- i Work Phone(s)
We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal.
Egq�uipmen+tt Specifications
Make Model Number(s) (t7 �. )� � 42 A
SEER EER AFUE Btuh Cooling Btuh Heating CFM
❑ New Amp disconnect
2-Vgmove existing equipment from premises
❑ New Amp electric service
❑ Install energy saving setback thermostat
❑ New low voltage wiring
❑ New copper wire from to
❑ New weather resistant equipment stand
.2'kake air tight plenum transition
❑ New reinforced equipment pad
❑ new supply diffuser(s)
❑ New vibration isolation pads
❑ New duct run from to
❑ New properly sized refrigerant lines
❑ Noise reducing flexible duct connector
❑ Ne clean, dry ACR copper tubing
El Balance for uniform supply air distribution
n Fate refrigerant suction line(s)
❑ Provide for external combustion air
;3-• stall refrigerant drier(s)
❑ New gas piping from to
�acuate refrigerant system
❑ Ne -vent pipe and cap
e�harge to manufacturer's specs
lean work area to customer's satisfaction
U,Ad'eet all federal, state & local laws
2-1condensation overflow safety switch
f td r ..it
�urricane Fasteners or ou o0
❑ Option (below)
A
vi
Terms
c z� Approval
By
X in boxes = Yes
❑ New condensate drain system
❑ New condensate pump
❑ Install aux. condensate drain pan
❑ New high efficiency air filter
❑ New humidification system
❑ New return air filter grill
,0--M-eet all code requirements
It Comple system start up
❑ year parts warranty
❑ year labor warranty
❑_ year compressor warranty
❑ year service agfeement t
Total Investment $ V
Taxes $
Total Amount $
Down Payment $
Balance Due $4 411
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