HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7-26-2021 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:
Address: 4610 MAGNOLIA DR
Property Tax ID#: 3402-605-0020-000-6 Lot No.
Site Plan Name: Block No.
Project Name: _
DETAILED DESCRIPTION OF WORK;
LIKE FOR LIKE 3 TON 16 SEER SYSTEM WITH 8 KW HEATER
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:$ 3y r Utilities: —Sewer _Septic Building Height:
d„ p� CONTRACTOR:
Name DOUGLAS LANE Name:CURTIS SAMMONS
Address:4610 MAGNOLIA DR Company:CUSTOM AIR SYSTEMS INC
City: FORT PIERCE State:_ Address: 1615 SE VILLAGE GREEN DR
Zip Code: 34982 Fax: City: PORT SAINT LUCIE State:FL
Phone No.772-359-8547 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.
SUPPL ItE.N LAW INFORMATIO
a
DESIGNER/ENGINEER: — Not Applicable I MORTGAGE COMPANY: _ Not Applicable
Name: Name:
` Address: Address:
City: State: 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.
j Signature of Owner/L i see/Contractor as Agent for Owner Signature of Contractor/License Holder
i
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST L U GG COUNTY OF 5 1_. u c
Sw9rn to(or affirmed)and subscribed before me of Swojn to(or affirmed) and subscribed before me of
f ✓ Physical Presence or Online Notarization ✓ Physical Presence or Online Notarization
this Pday of— ,202k by I this day of 2021 by
CUr 1S J�} L/MYVL/) VL _ i SL . s ,?t wtix �tr
Name of person making statement. Name of person making statement.
I
Personally Known Y"' _OR Produced Identification Personally Known s/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Neftary Pu c-State of Florida } Signature of Notary Pub.i State of FI a )
'09Y fus CHRISTINE S.E t , CHRISTINE B.ENGUS�t
!/N 0 6�,3d 7 .•..... , ,......
Commission No. ,�� Canrtwsaion HH06 '-142 r OHH0690 7
� W mmission No.,.�7°,. cJ���.,� �l' al�
'a P� Expires April 4,20 .o� E*ku April 4,20n
�OF FI Bwndw Tin mpt Nowy Hof M1°P Bated T*v WjdWNalry
IREVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE j MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
' DATE
RECEIVED _
DATE
COMPLETED
ev.
OSTON AIR SYSTEMS INC. SALES* SERVICE* INSTALLATION
1615 SE.VILLAGE GREEN DR. PORT ST. LUCIE FL.34952
335-3232 465-0559 562-2777 FAX(772)335-1968
CAC051810
CARRIER*RHEEM* GOODMAN* TRANE * AIR CONDITIONERS
July 23, 2021
NAME: DOUG & SUE LANE
ADDRESS: 4610 MAGNOLIA DRIVE FT PIERCE, FL 34982
PHONE: 772-359-8547
EMAIL: doug.lane@yahoo.com
JOB NAME/ADDRESS: 4610 MAGNOLIA DRIVE FT PIERCE, FL 34982
OPTION # 1: REPLACE SYSTEM.
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM. S
BID INCLUDES THE FOLLOWING.
1. ALLIED 3 TON 16 WITH 8 KW ELECTRIC STRIP /HEA ,(
4AC16L36P-50, CE5E3 MA4X (—►� (Iv�w' c�-5C.h��—�_
2. CONNECT TO EXISTI G REFRIGERANT LINES (FLUSH LINES)
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED)
4. DRAIN LINE SAFETY FLOAT SWITCH
5. PERMIT (INSPECTION BY COUNTY REQUIRED)
6. CONNECT TO EXISTING DUCT SYSTEM
7. DIGITAL THERMOSTAT
B. SLAB AS NEEDED
9. ONE YEAR LABOR WARRANTY
10. FIVE YEAR ALLIED PARTS WARRANTY. WHEN REGISTERED IN 30 DAYS OF INSTALLATION TURNS
INTO 10 YEAR PARTS FOR ORIGINAL OWNER ONLY.
FOR THE SUM OF: $ 3,845.00 (FPL REBATE — 150.00) $ 3,695 INITIAL
IF PAID BY CHECK: $ 3,500.00
OPTION # 2: REPLACE INDOOR EVAPORATOR COIL.
WE PROPOSE TO: REPLACE INDOOR COIL.
BID INCLUDES THE FOLLOWING.
1. REMOVE DISPOSE OF OLD COIL
2. INSTALL NEW COIL
3. REPLACE LIQUID LINE DRIER IN CONDENSER.
4. RUN AND TEST SYSTEM
FOR THE SUM OF: $ 1,650.00. PLUS, REFRIGERANT R-410A AS NEEDED AT $ 55.00 PER POUND
PLUS TAX INITIAL
QUOTE GOOD FOR 30 DAYS. TO BE PAID: AT TIME OF SERVICE. J ,
ACCEPTED. . . . . . . . . . . . . . . . . . . . . . . . . . . SIGNED. . . /G�'! .
RONNIE LAUCH, CUSTOM AI SYSTEMS ZINC.
Construction industries recovery fund:Payment may be available from the construction industries recovery fund if you lose money on a project performed
under contract,where the loss results from specified violations of Florida law by a state-licensed contractor.for information about the recovery fund and filing
a claim,contact the Florida construction industry licensing board.
Phone:850487-1395 mailing address.DBPR customer contact,1940 N.Monroe St.,Tallahassee,FL.32399-0786