HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/24/2021 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
)ERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 3200 S 7TH ST # 71
Property Tax ID #: 3427-601-0060-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK
LIKE FOR LIKE 3 TON 14 SEER PACKAGE UNIT WITH 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: $ 4350.00 Utilities: _ Sewer _ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DOTTIE WEAKLAND
Name: CURTIS SAMMONS
Address: 3200 S 7TH ST # 71
Company: CUSTOM AIR SYSTEMS INC
City: FORT PIERCE State: C
Zip Code: 34982 Fax:
Phone No. 772-595-5806
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 requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
! DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY: —
Not Applicable
Name:
I
Name:
Address:
City:
I
i
Address:
City:
State:
State:
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 lanripr nr an attnrnPv hPfnrP rnmmanrino wnrk nr rPrnrdino vniur Nntice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 37 t, U Cd &
COUNTY OF 5 'r L u C t -e
Sworn to (or affirmed) and subscribed before me of
Swof n to (or affirmed) and subscribed before me of
✓ Online Notarization
✓ Physical Presence or Online Notarization
this � day of &2aj> , 2026 by
Physical Presence or j
I this Lq day of 202t by
I
I Cuf �t S14bM WI..a AS
tS 67it#1*t0rtL
Name of person making statement.
Name of person making statement.
i
Personally Known V/ OR Produced Identification
; I
Personally Known V OR Produced Identification i
Type of Identification
Type of Identification
Produced
Produced
2
c.L1 '
Signature of Notary Pub ' - State of FI�-jsia )
apt ...,.. CHRISTINE B. EMMA
(Signature of N tary Pu c- State of Florida)
ter r�s CHRISTINE B. E
Commission No.yN 0 6gu ? * W Conxn6slw#HH 06
V Expires
mmission No.#696 f3.� 7 *�al C�e, ,�
Y W ExpiasApr14,20-25I
r April4,
�offv� 8ond�dTMBrd�lherrysrN
BOnde Tinsu'dp w'"
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
mev. w by cu
CUSTOM AIR SYSTEMS INC. SALES * SERVICE * INSTALLATION * APPLIANCES
1615 SE. VILLAGE GREEN DR. PORT ST. LUCIE FL.34952
335-3232 465-0559 562-2777 FAX (772) 335-1968
CAC051810
CARRIER * RUUD * LENNOX * TRANE * AIR CONDITIONERS
August 24, 2021
NAME: DOTTIE WEAKLAND
PHONE: 772-595-5806
EMAIL:
JOB NAME/ADDRESS: 3200 SOUTH 71H STREET #71 FORT PIERCE, FL 34982
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 3 TON SYSTEM WITH 10 KW ELECTRIC STRIP HEAT. (SEE OPTIONS BELOW)
2. A/C SLAB IF NEEDED
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED)
4. PERMIT (INSPECTION BY CITY REQUIRED)
5. CONNECT TO EXISTING DUCT SYSTEM
6. DIGITAL THERMOSTAT
7. TIE DOWN BRACKETS
8. ONE YEAR LABOR WARRANTY
9. FIVE YEAR ARCOAIRE PARTS WARRANTY.10 YEAR PARTS WHEN REGISTERED IN 30 DAYS OF
INSTALLATION.
BRYANT 3 TON 14 SEER SYSTEM. PAJ436000TPOA, 10 KW HEAT
FOR THE SUM OF: $ 4,350.00 INITIAL
QUOTE GOOD FOR 30 DAYS
TO BE PAID: AT TIME OF SERVICE.
ACCEPTED ...........................
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: 850487-1395 mailing address: DBPR customer contact, 1940 N. Monroe St., Tallahassee, FL. 32399-0786