HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/28/2021 Permit Number:
91ro L E .
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A 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: 4 MEDITERRANEAN EAST
Property Tax ID#: 3414-501-1701-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
[DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 3TON 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:
✓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: $ �Cb Utilities: —Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name KATIE MCNALLY Name:CURTIS SAMMONS
Address:4 MEDITERRANEAN EAST Company:CUSTOM AIR SYSTEMS INC
City: PORT ST LUCIE State:3E�— Address: 1615 SE VILLAGE GREEN DR
Zip Code: 34952 Fax: City: PORT SAINT LUCIE State:FL
Phone No.772-521-0092 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.
SUPPI. 11!!�I # OWLtEN LAW INFORMAROW
DESIGNER/ENGINEER: _ Not Applicable I MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: ; Address:
City: State: i City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: f Name:
Address: Address:
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 rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Horne 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 Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S? L U G6 v COUNTY OF 5 1 c C :41
i
Sw9rn to(or affirmed)and subscribed before me of ; Swof n to(or affirmed)and subscribed before me of
✓ Physical Presence or Online Notarization ✓ Physical Presence or Online Notarization l
this 245 day of —151-5 ,202k by this U day of SOk`f 2021() by
CVr6 _
Name of person making statement. j Name of person making statement.
I
Personally Known�_OR Produced Identification Personally Known V OR Produced Identification
Type o Identification Type of Identification
ProdProduced i
/41
(Signature of N tary Pu c-State of Florida ) (Signature of Notary Pub State of FI a )
CHRISTINE B.E ISH t►` CHRISTINE B.ENGLIS
Commission No. Cwaiission#HH 06113V6mmission No.,/7�;li/6 fieC 7 l�°"'�°"#HH0�01?T
�`••jj Expires April4,20 ', �`l�F EVIrm April a,2M
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REVIEWS FRONT ZONING HR
ERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
I COUNTER REVIEW VIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE I -
COMPLETED
ev.
CUSTOM AIR SYSTEMS INC. SALES* SERVICE * INSTALLATION
1615 SE. VILLAGE GREEN DR. PORT ST. LUCIE FL.34952
772-335-3232 OR 772-571-1080 FAX(772)335-1968
CAC051810
• LENNOX* CARRIER* RUUD* GOODMAN* TRANE *ARCOAIRE * CHAMPION*AIR CONDITIONERS
Name: KATIE MCNELLY
Address:4 MEDITERRANEAN EAST PORT SAINT LUCIE FL 34952
Phone:772-521-0092
We propose to: Replace existing air and heating system.
Bid includes the following.
1. INSTALL 3 TON 14 SEER PACKAGE UNIT WITH 10 KW HEATER
2. Connect to existing refrigerant lines (Flush Lines)
3. Connect to existing high and low voltage wiring. (Breakers as Needed)
4. Digital thermostat
5. Permit (Inspection by Building Department Required)
6. Connect to existing duct system
7. Drain line safety float switch
8. Condenser tie down brackets, condenser slab (If Needed)
9. One year labor warranty
10. Five year parts warranty or Ten year part warranty to original owner if system is
registered within 30 days
11. One free maints on the new system after 1$t year.
PAJ436, 10 KW HEATER
For the sum of: $ 3900.00 Initial
Quote good for 30 days
To be paid: At the time of service
AcceptedBy. . . . . . . . . . . . . . . . . . . . . . . . . . . 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 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:850-487-1395 mailing address:DBPR customer contact, 1940 N.Monroe St.,Tallahassee,FL.32399-0786