HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/16/2021 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT Lt�C�1TION:
_
Address: 10320 INVERNESS WAY
Property Tax ID #: 3321-802-0028-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
[DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 3 TON 20 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:
` 1 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: $ 11085.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name HAROLD & ANNE LEVY
Name: CURTIS SAMMONS
Address: 10320 INVERNESS WAY
Company: CUSTOM AIR SYSTEMS INC
City: PORT SAINT LUCIE State:
Zip Code: 34986 Fax:
Phone No. 772-409-4550
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.
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DESIGNER ENGINEER: _ Not A licable
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MORTGAGE COMPANY,
Y. Not A Ilcable
Name:
_
Name:
Address:
Address:
� City: State:
City: State:
Zip: Phone
( Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
,BONDING COMPANY: Applicable
� Name:
_Not
I Name:
Address:
City:
i Address: �
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 attorneybefore commencing work or recording your Notice of Commencement.
Signature of Owner/ L see/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF S 7 L LJ G6 E
Sworn to (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization
this I day of _ (�USv��k 2020 by
CVr61; SA LA MAW.T
Name of person making statement
i
Personally Known �_ OR Produced Identification
Type of Identification
Produced
Ing,
(Signature of Ni tary Pu (c- State of Florida )
=p<►�` ;�0e
L/c� CHRISTINE S. ENG
Commission No. rr ft� 6 �i�oZ 7 Commi WW x HH 0(
Expires April 4, 2a
'�OF F101P BOf1El4 �If110Y40�1 NOWY:
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF 5 ? L
Sworn to (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization
this I o day of 2020 by
_ �it?�L.S 54iftm0ai.s
Name of person making statement.
i
Personally Known V OR Produced identification
Type of Identification
Produced
(Signature of Not ry Pub ' - State of FI(ifia) CHRISTMES.ENGLtg,
Fommission No.A696 7 * ali�°"""�0"*NNE
y N� E*iras Apr14, 20n
ACC{ �a�d! 6aded7buBrdOkrlCrrSYn
SUPERVISOR I PLANS VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW , REVIEW REVIEW ` REVIEW
Jun 29 2021 7:00pm
CUSTOM AIR SYSTEMS INC.
p.1
SALES * SERVICE * INSTALLATION
1615 SE. VILLAGE GREEN DR. PORT ST. LUCIE FL.34952
772-335-3232 ", 72-57I-1080 FAX (772) 335-1968
CAC051810
LENNOX * CARRIER* RUUD * GOOD,MAN * TRANE * AIR CONDITIONERS
June 29, 2021
NAME: HAROI.D M. LEVY
ADDRESS: 10320 INVERNESS WAY PSL, FL 34986
PHONE: (772)409-4550/908-715-3340
EMAIL: cit:usgenius@acl.com
WE PROPOSE TO: REPLACE EXISTING AIR AIM HEATING SYSTEM. BID INCLUDES THE FOLLOWING.
1. 3 T014 20 SEER SYSTEM IN ATTIC WITH NEW EMERGENCY DRAIN PAN
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
B. CONDENSER TIE DOWN BRACKETS
9. ONE YEAR LABOR WARRANTY
10.10 YEAR PART WARRANTY WHEN REGISTERED FOR ORIGINAL OWNER/LENNOX COMES WITH 3 YEAR LABOR
WARRANTY. HEATER AND S 30 TSTAT HAVE ONLY 5 YEAR PARTS WARRANTY.
LENNOX MODEL XC20036, CBA38MV036,
FOR THE SUM OF: $ 11,065.00
;F PAID BY CHECK $ 10,500.00
QUALIFIES FOR LENNOX REBATE. $
6-8 WEEKS. ENDS 08-13-2021
8 XW HEAT, S30 TSTAT (INSTALLED IN ATTIC)
750.00 VISA CARD.
INITIAL
QUOTE GOOD FOR 30 DAYS
TO BE PAID: AT_T,—ME OF ... 1 %�/ SERVICE.
l;
ACCEPTED.. ..... SIGNED..... ...
,'RONNIE LAUCfi'' �—
CUSTOM AIR SYSTEMS INC.
C'anstnicron induct tes re.e� .n fund' Payment ma} be avni?nhle frr m the eonst action i;rdtutries reco�en find i`you lose money on a project lxrformed
under contrazt. whcrc the loss results from spec:itied violxion.c of Florida law by a state -licensed contractor. for intbrmation about the recovery turd and tifing
a claim. contact the Florida construction indusm Ii"nsinc hoard.
Phone: 350-4,q7-1S9 mailing address: DBPR customer contact, 040 N. Monroe St.. Tallahassee. ill, 3_399-0786