HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/3/2021 Permit Number:
'm w'-V Cc' flCs
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: 3788 HONEYSUCKLE CT
Property Tax ID #: 3425-703-0161-000-8 - Lot No.
Site Plan Name: _ Block No.
Project Name: _
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 3 TON 14 SEER PACKAGE UNIT '10 KW HEATER
New Electrical Meter Second Electrical Meter
LCON_STRUCTION 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: $ 3540.00 Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name ROSEMARIE FEBBRIELLO
Name: CURTIS SAMMONS
Address: 3788 HONEYSUCKLE CT
Company: CUSTOM AIR SYSTEMS INC
City: PORT SAINT LUCIE State:
Zip Code: 34952 Fax:
Phone No.
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.
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
— Not Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip: - Phone:
Not Applicable
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 lanripr nr nn nttnrnpv hpfnrp rnmmpnrina wnrk nr rprni-dina vnur Nntire 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 E
COUNTY OF 5 L v C t 2
Ss7n to (or affirmed) and subscribed before me of
Swojn to (or affirmed) and subscribed before me of
j Physical Presence or Online Notarization
✓ Physical Presence or Online Notarization
by
this _;I_ day ofyS A, , 202t by
this _3_ day of 2024
Cy r is s S yr wte vl S
�� a s�► n2 ,a n s
Name of person making statement.
Name of person making statement.
�
Personally Known �_ OR Produced Identification
j I
Personally Known if OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
'
(Signature of N tary Pu c- State of Florida }
CHPJSTINE B. E
(Signature of Notdry Pub - State of Fl�jj�a ) CHRISTINE B.
SH
'`
Commission No./7N 19 1 fou ? * � ComnrsaionitNHos
ipt,,...','�cE,
mmission No.# �3. 7 *��al�°EVisai°"
Exphs Apr14, 20__2$
a �yp��
Expires -E�
��Of
II'.
y�''ci X iiatl ' 7Mi BrdpNN0WysQ M
il�C`O
y
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION
SEA TURTLE
MANGROVE
i
COUNTER
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
DATE
RECEIVED
i
DATE
COMPLETED
Kev. 5/ tv zu
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 , -a_
Address G�
City, State, Zip _�X , �� 3 y9
u
Phone 77 2/ — Dat &�4
Job Address _
Work Phone(s)
We will f6mish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal.
Make AAil'e_ Model Number(s)
SEER EER AFUE
Installation shall include:
Equipment Specifications
Btuh Cooling C?G� Btuh Heating CFM
X in boxes =
❑New Amp disconnect Remove existing equipment from premises ❑ New condensate drain system
❑ New Amp electric service ❑ Install energy saving setback thermostat ❑ New condensate pump
O ❑ New low voltage wiring ❑ New copper wire from to ❑ Install aux. condensate drain pan
❑ New weather resistant equipment stand ❑ Make air tight plenum transition
C 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
❑ New clean, dry ACR copper tubing ❑ Balance for uniform supply air distribution
❑ Insulate refrigerant suction line(s) ❑ Provide for external combustion air
❑ Install refrigerant drier(s) ❑ New gas piping from to
--ff"l!vacuate refrigerant system EL New vent pipe and cap
h�a a to manufacturer's specs n work area to customer's satisfaction
2' eet all federal, state & local laws ensation overflow safety switch
Hurricane Fasteners for outdoor unit
El Option (below) ❑
O
Terms:
Acceptance (Customer) Approval (Co y)
By i Date By
r
ME
❑ New high efficiency air filter
❑ New humidification system
❑ New return air filter grill
0t 11 code requirements
om system start up
❑ year parts warranty
❑ ar labor warranty
El 2i—oyear compressor warranty
❑ _ year service agreotttent_
Yes
SOT64361 v`e�J, $T/ rUC
Total Amount
Down Payment $ ��
Balance Due