The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: �` U LUCEL Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1SS3 Fax: (772)462-1578 CBDG Funding PERMIT APPLICATION FOR: RC�PC}SED IN OR'bUE..M, T IQCATIdN:, ff Address: PropertyTaxlD#: 3q IS- '7p5-- nj lz --oc)c _-s- Lot No. /�� Site Plan Name: (s Block No. Project Name: G)'P ETAILEDD' SCRIPTlON OF WORK: :: A`.C- c itr^.-✓tom, 5-40" 14, a .P,- /0 (c U-J /U.50 &0 or-'/ q New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: Additional work to be performed under this permit-check all that apply: P6-Wechanical _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: $ (1 t ` Utilities: _Sewer _Septic Building Height: OWN R LESS E , CONTRACTOR:.. Name . . v wellc� Name: Address: _(08`4 4�?f'M Company: _ Lc vt d rat, A i,, Con City: Pay-} 54 Lktc--i -C. State:C L Address: 3�5 g( yAkU,L4,,A �&d Zip Code: W3�kC�,j2, Fax: City:e6 State: Phone No. 2,_2 Coc3— 1 ,S 3 E- Zip Code: 3 3o&al Fax: Mail: �recsreao_� �,1�� tl fz,e'L "81 Phone No` 1�12- LoDU- g08'8 Fill in fee simple Title Holder on next page (if different E-Mail L&, from the Owner listed above) State or County License QA C !�&Ji 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. SUPPLENiENTAI CC3NSTRUCTlN LI);N lAW INFORIVEATI.ON DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF FYOQ INTENQ TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR OTI E MMENCEMENT." Signature of Owner/Lessee/Contractor as Agent for Owner Signa r `of ontra or/License Holder STATE OF FLORIDA STAU OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was ac nowledged before me this day of 20_ by this , day of ► , 20 21 by �. C_ �7 y-,,e q (mot YI d S� rc�•^ Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known Xi-"La OR Produced Identification Type of Identification Type o Identification Produced Prod c d ` �...,6 DULDEMARTINEZ * * mmtssion#HH 119702 N9 \oe Expires May 10,2025 aFF", ondedThru Budget NotarySeftes 41, (Signature of Notary Public-State of Florida ) (Si ture of Notary Public-S ate of F rida ) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 635 NW Fnterprise Drive,Part St.Lucie,FL 34986 9:4-312-3842 indstro"z TM ,Mir Air Conditioning&Plumbing BILL TO George Demello 6840 Bronte Circle Port St.Lucie,FL 34952 USA ESTIMATE 364207925 JOB ADDRESS Jab:364174726 George Demello 6840 Bronte Circle Port St.Lucie,FL 34952 USA #::.STIMAlF. DE-fTAILS Carrier Heat Pump:INSTALL:Carrier 5 Ton 14 Seer Heat Pump Air-Conditioning System with Emergency Electric Heat LINDSTROM STANDARD RESIDENTIAL INSTALL INCLUDES: 10 year manufacturer parts warranty, 10 year Lindstrom labor warranty. First preventive maintenance included(6 Months). 1 year supply of filters(Total of 12)shipped in 10 business days.Hurricane code straps for condenser.Inline emergency float switch and a clean out tee installed at drain line.Flush existing refrigerant and drain lines.Removal of existing equipment.All permits,liability and workers compensation insurance included.Labor and tax included. MISCELLANEOUS INSTALL REQUIREMENTS: Reuse existing Honeywell T4 thermostat.New plywood top at air handier.Reline and seal return box below air handler due to water damage.New electrical conduit at condenser.Sleeve existing low voltage wire with conduit at condenser.All electrical complete to manufacturer and specifications. Contact:John McCormack(954)278-2734/Jolinm@lindstromair.com TA5K §;71:.5C,RIP`t10N1 OT" PRICE TOT'A1, Condenser: Condenser:CH14NB060P00,Air Handler:FX4DNF061L00 1.00 $7,756.00 $7,756.00 CH14NB060P003, SEER: 14.00,BTUs: 57 Air Handler: AHU H/W/D:60/25/23,Cond.W/L:32/32 FX4DNF061L00 C/U Fuse:50,Lines: 7/8 (1) UXM6HA WARRANTY 10 YEARS LABOR SPLIT HEAT PUMP 1.00 $0.00 $0.00 COMPPTU Complimentary Precision Tune-Up with purchase of HVAC 1.00 $0.00 $0.00 installation. Estimate #364207925 Page 1 of 2 ESS-PERFRPAD Essentials-Permanent Frame with media Replacement pads(12) 1.00 $0.00 $0.00 ..... ............................ . . DealerRB1 Dealer Consumer Instant Rebate$300 1.00 $-300.00 $-300.00 DealerRB2 Dealer Consumer Instant Rebate$400 1.00 $-400.00 $-400.00 REIMBURSE100 Reimbursement$ 100.00 1.00 $-100.00 $-100.00 NC45DIAGNOSTIC WAIVE$45.00 DIAGNOSTIC FEE WITH REPAIR 1.00 $-45.00 $-45,00 MISCCREDDIS5 No Thermostat Discount 1.00 $-50.00 $-50.00 MISCCREDDIS5 Veteran Discount 1.00 $-50.00 $-50.00 MISCCREDDIS5 Discount 1.00 $-60.00 $-60.00 FX4DNF061L00 FX4DNF061L00 1.00 $0.00 $0.00 CARRIER FX4DNF061L00 LENNAR CH14NB060P003 CH14NB060P003 1.00 $0.00 $0.00 CARRIER CH14NB060P003 LENNAR SUB-TOTAL $6,751.00 TAX $0.00 TOTAL $6,751.00 Thank you for choosing Lindstrom Air Conditioning&Plumbing. HVAC License:CAC056703,CAC056971 i Plumbing License:CFC1427611 CUSTOMER AUTI I€)RIZATION Payment in full due upon completion unless otherwise noted. Authorization to proceed with above diagnosis/solution("work")-I,the undersigned,state that I am the owner/authorized representative/tenant of the premises at which the work mentioned above is to be performed.I hereby authorize Lindstrom air conditioning,its agents and subcontractors to perform all work described above and to use such labor and material as it may deem advisable.I acknowledge and agree to pay a monthly service charge of 1.5%on all unpaid balances due under this agreement.I agree to pay reasonable attorney's fees,expenses,and court costs(equal to 15%of the entire unpaid balance) should 1 default in making payment or should legal action be pursued by Lindstrom air conditioning to collect any unpaid balance.I hereby acknowledge that if my check is returned for insufficient funds I could be liable for the face value of the check,any court costs Plus fees of:$25 if check amount is<or=to$50;$30 if check amount is$51 or=to$300;$40=if check amount is$301 or=to$800;5%of the check amount if>$800.1 further acknowledge that i have read,understood and agree to all the terms and conditions set forth on this invoice.(Additional terms and conditions appear here Terms and Conditions) Lindstrom Air Conditioning charges are based on a"flat rate"calculated by Lindstrom Air Conditioning for each job and could be higher or lower than a"parts plus hourly rate". Prices are good for 30 days from the date on the proposal. Sign h:re - D.;; 9/1/2021 Estimate #364207925 Page 2 of 2