HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/20/2021 Permit Number:
S'uc LuLur
P 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 IMPR. ..`; , NT LOCATION;
Address: 8491 FILIFERA CT
Property Tax ID#: 3425-703-0280-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
LIKE FOR LIKE 4 TON 14 SEER PACKAGE UNIT 10 KW HEATER
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_�9'echanical _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: $ 4500.00 Utilities: _Sewer _Septic Building Height:
OWNERf LESSEE: ---- CONTRACTOR:
Name JEFFREY&CLAIRE KREISS Name:CURTIS SAMMONS
Address:8491 FILIFERA CT Company:CUSTOM AIR SYSTEMS INC
City: PORT SAINT LUCIE State: (' Address:1615 SE VILLAGE GREEN DR
Zip Code: 34952 Fax: City: PORT SAINT LUCIE State.FL
Phone No.772-206-1414 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.
} SUPER i<.IEN.LAW INFORMAT--ION. .
c M wl
DESIGNER/ENGINEER: Not Applicable ; MORTGAGE COMPANY: Not Applicable
Name: I Name:
Address: ; Address:
City: State: j City: State:
i Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: ,Not Applicable
Name: 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 attorne efore commencing work or recording our Notice of Commencement.
Signature of Own�rsee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF s T 4 IJ G6 E COUNTY OF v r L- c.- C :-e
{ Sw9rn to(or affirmed)and subscribed before me of Swof n to(or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization i ✓ Physical Presence or Online Notarization I
this ZO day of 2024 by I this_LOday of —,Ju\S 202Q by {
CUrG1S J14AWL6 yLS Z,:s aiY!G
Name of person making statement. Name of person making statement.
Personally Known Y—OR Produced Identification ` Personally Known y OR Produced Identification
Type of Identification Type of Identification j
Produced Produced
(Signature of N4dtary Pu c State of Florida ) (signature of Notary Pub State of FI a )
CHRISTINE B.EN ISH �p�.,,, CHRISTINE B.ENGLI
p9 9 .••••,• Commission#HH O6 #HH 069327
Commission No.�/h�D 6Ts�aC 7 * U mmission No. , tJ r * al�Apd4,2M
Expires AprA 4,201,e
� eoeaa nw Noesy
os� Ow"TlvuM90NoWy
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE 1 MANGROVE
I COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
{ DATE
RECEIVED
DATE
COMPLETED
ev.
ter.
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Custom Air Systems Inc.
1615 SE Village Green Drive - Port St.Lucie,FL 34952 [
(772)335-3232 - Fax(772)335-1968 f
Proposal and Agreement
Customer Name��e' i +l j �� Phone :222^9 n � ILV 1�1Date
Address "1 f 1 -Urn C,4- Job Address
City, State, Zip 'Z Work Phone(s)
We will firnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal. (�
DEquipment Specifications u
Make tr Model Number(s) (1
SEER EER AFUE Btuh Cooling Btuh Heating �� CFM !�
U Installation shall include:
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0 J
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. l9
X in boxes = Yes
❑ New Amp disconnect emove existing equipment from premises ❑ New condensate drain system
❑ New Amp electric service ❑ Install energy saving setback thermostat ❑ New condensate pump
❑ New low voltage wiring ❑ New c per wire from to ❑ Install aux. condensate drain pan
❑ New weather resistant equipment stand0-Make air tight plenum transition ❑ New high efficiency air filter
New reinforced equipment pad ❑ new supply diffuser(s) ❑ New humidification system
(1} ❑ New vibration isolation pads ❑ New duct run from to ❑ New return air filter grill hj
�IJ ❑ New property sized refrigerant lines ❑ Noise reducing flexible duct connector ❑ Meet all code requirements u
❑ New clean, dry AICR copper tubing ❑ Balance for uniform supply air distribution ❑ Com le stem start up
❑ Insulate refrigerant suction line(s) ❑ Provide for external combustion air ❑ year parts warranty
❑ Install refrigerant drier(s) ❑ New gas piping from to ❑ year labor warranty
❑ Ev to refrigerant system ❑ Ne�nt pipe and cap ❑ ear compressor warranty
Char to manufacturer's specs lean work area to customer's satisfaction ❑ year service reem nt
eet all federal, state & local laws �o densation overflow safety switch ❑ ,
rricane Fasteners for outdoor unit G.y
❑ Option (below) ❑ otal In estment $
U Taxes $
Total Amount $
Down Payment $ t0
Balance Due $
Terms: (�
Acce nce us m - j Approval ( any)
By Date ` By G
J