HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/7/2021 Permit Number:
9-L� Wr,Lu
MOTTO, ti �. �� 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 LOCATION:
Address: 7656 WOOD THRUSH CT
Property Tax ID#: 3424-800-0059-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
3.5 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: $ 4650.00 Utilities: —Sewer _Septic Building Height:
" CONTRACTOR:
Name DAVID&SHARON KAREN Name:CURTIS SAMMONS
Address:7656 WOOD THRUSH CT Company:CUSTOM AIR SYSTEMS INC
City: PORT SAINT LUCIE State:_ Address:1615 SE VILLAGE GREEN DR
Zip Code: 34952 Fax: City: PORT SAINT LUCIE State:FL
Phone No.772-873-8346 Zip Code: 34952 Fax: 772-335-1968
E-Mail: Phone No 772-335-3232
Fill in fee simple Title Holder on next page(if different E-Mail CUSTAIRSYS@AOL.COM
from the Owner listed above) 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$7,500 or more,a RECORDED Notice of Commencement is required.
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0 Custom Air Systems Inc.
1615 SE Village Green Drive • Port St.Lucie,FL 34952 �` 1
(772)335-3232 • Fax(772)335-1968
Proposal and Agreement
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Customer Name*1 d-�,Shn/o✓1 {�Q/Q✓1 Phone7 —'$� 7 C� Date
Address kl 1oc/ 1 AXJ-� Cf SCi,n�
c Job Address
City, State, Zip �SUG�{ , Work Phone(s)
We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal.
Equipment Specifications
Make l Model Number(s)
PAJ�- 011-
SEER- EER AFUE Btuh Cooling Btuh Heating__1I✓CFM
Installation shall include:
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X in boxes = Yes
El New Amp disconnect emove existing equipment from premises ❑ New condensate drain system
❑ New Amp electric service ❑ Install energy saving setback thermostat ❑ New condensate pump
❑ New low voltage wiring ❑ New copper wire from to ❑ Install aux. condensate drain pan
❑ New weather resistant equipment stand EJ-Make air tight plenum transition ❑ New high efficiency air filter
❑ New reinforced equipment pad ❑ new supply diffuser(s) ❑ New humidification system
215'ew vibration isolation pads ❑ New duct run from to 0 New- return air filter grill
O ❑ New properly sized refrigerant lines ❑ Noise reducing flexible duct connector t��� Meet all code requirements❑ New clean, dry ACR copper tubing El Balance for uniform supply air distribution LC-�omplete system start up
❑ Insulate refrigerant suction line(s) ❑ Provide for external combustion air ❑ year parts warranty
❑ Install refrigerant drier(s) ❑ New gas piping from to ❑ ear labor warranty
❑ Eva to refrigerant system ❑ New vent pipe and cap year compressor warranty
har to manufacturer's specs lean work area to customer's satisfaction ❑ year serv' a ag eement t n
eet all federal, state & local laws ondensation overflow safety switch ❑ JL•�. /
urricane Fasteners for outdoor unit
❑ Option (below) ❑ otal Inv t $
Taxes $-7
' Total Amount $
Down Payment $
N911-
Balance Due
Terms: /
Accepta e (Customer) Approval ( pany)
o Date By Date
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DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY. _ Not Applicable
Name: Name:
Address: � Address: -
City: State: j City: State:
Zip: Phone I Zip: - Phone:
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: Not Applicable
Name: Name: I
Address: Address:
City: I City:
Zip: Phone: I 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 attome efore 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 S? U GG E COUNTY OF 5 -r L u c : 2
jSwprn to(or affirmed)and subscribed before me of SwoJn to(or affirmed)and subscribed before me of
✓ Physical Presence or Online Notarization ✓ Physical Presence or Online Notarization
this day of 2020 by this�day of_TepfPJnberr 202A by
I
Cur�cs .S yn wtn_ AS _ p is '�tt*l»2an3
Name of person making statement. Name of person making statement.
Personally Known_/OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of N tary Pu c-State of Florida Signature of Nota1'ry Pub' -State of FIB�a )
��// i ......•� CHRISTINE S.E ap`,„••� CHWSTt�IE B.
Commission No.47rY D 6��d ? Camtisabn#HH06 * #HM
.�IJ Expires April4, mmission No. rSrDG l�3� 7 ,y}�al, Apr14.2025
os"11 BoldW TM Buko Nelry OF i<�c 9wA@d TOn eW�(NoMy
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
I COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.