HomeMy WebLinkAboutBuilding pemrit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/29/2021 Permit Number:
ILI
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial x Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION: - -- — --
Address: 8753 S US HIGHWAY 1
Property Tax ID #: 3414-501-1916-350-7 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DE CR PTION,OF WORK:
LIKE FOR LIKE 2.5 TON 14 SEER OVER AND UNDER HEAT PUMP PACKAGE UNIT WITH 5 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: $ 6295.00 Utilities: _ Sewer Septic Building Height:
iIt1S l i /I �
Name BETTY M HALL
CONTRACTOR:
Name: CURTIS SAMMONS
Address: PO BOX 6037
Company: CUSTOM AIR SYSTEMS INC
City: JENSEN BEACH State: _
Zip Code: 34957 Fax:
Phone No. 772-878-8088
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.
Si1PPi. i� LiEN LAW 11�iFQRMATlON:
_. ..
DESIGNER/ENGINEER: Not A Applicable
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Name:
MORTGAGE COMPANY _ N
: Not i Applicable
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
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Name:
Name:
�
Address:
I
Address:
City:
City:
Zip: Phone:
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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 our Notice of Commencement.
Signature of Owner/ L see/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF s7 U GG
COUNTY OF � t" 1 L, C
Sw9rn to (or affirmed) and subscribed before me of
✓ Ph Presence
SwoJn to (or affirmed) and subscribed before me of
sical or Online Notarization
this ? day of 2024 by
I ✓ Physical Presence or Online Notarization
i this ,qday of ::1CLtA 2020 by
C v r fir, s .SA A wt6g S
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Name of person making statement.
Name of person making statement. j
Personally Known OR Produced Identification
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Personally
Known V OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of N tary Pu c- State of Florida)
°psi CHRISTINE B. E
(Signature of Notary Pub '� State of F a )
SH CWSTINE B.
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REVIEW REVIEW
REVIEW
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DATE
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RECEIVED
DATE
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CUSTOM 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 28, 2021
NAME: FRIEND REALTY
ADDRESS:
PHONE: 878-8088
FAX: 878-0851
JOB NAME: PAINT SHOP
ADDRESS: 8753 US1, PSL 34952
OVER UNDER PACKAGE UNIT HAS BAD CONDENSER FAN MOTOR UNIT IN VERY POOR CONDITION NOT
WORTH REPAIRS.
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1. TRANE 2 't TON 14 SEER OVER UNDER HEAT PUMP PACKAGE UNIT WITH 5 KW HEAT STRIP.
4WHC4030A1000si e7PN Ei eJCtOUA
2. HIGH JACK TO LIFT UNIT
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED)
4. DIGITIAL THERMOSTAT
5. PERMIT (INSPECTION BY BUILDING DEPARTMENT REQUIRED)
6. CONNECT TO EXISTING DUCT SYSTEM.
7. ONE YEAR TRANE PARTS AND LABOR WARRANTY
9. FIVE YEAR COMPRESSOR WARRANTY.
FOR THE SUM OF: $ 6,295.00
QUOTE GOOD FOR 30 DAYS
TO BE PAID: AT TIME OF SERVICE.
ACCEPTED ...........................
SIGNED.. ,� r+Cl!'�/�!'" t' .......
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: 850487-1395 mailing address: DBPR customer contact, 1940 N. Monroe St., Tallahassee, FL. 32399-0786
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