HomeMy WebLinkAboutapplicationAll APPLICABLE INFO MUST COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: q' 1 5 + a Permit Number:
S-�To L `r(L(ll1L —�
A 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: 33 LAKE VISTA TRAIL 102 —
Property Tax ID #: 3422-500-0450-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 2 TON 14 SEER SYSTEM WITH 5 KW HEAT
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: $ Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name: CURTIS SAMMONS
Name STEVEN & PAMELA JONES
Company: CUSTOM AIR SYSTEMS INC
Address: 17 MASTERS CT
Address: 1615 SE VILLAGE GREEN DR
City: LITTLE EGG HARBOR State:
Lip code: 08087 raX:
Phone No. 908-246-9156
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.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: j City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone:_
_ Not Applicable I BONDING COMPANY: Not Applicable
Name:_
Address:
City:_
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 attorney�before commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF 97 L U cc e
7 S n to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 12020 by
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
Swof n to (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization
this day of 2020 by
Curs S,4vhn&b A S �Sti��iS a?��mons
Name of person making statement. I Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
1149
(Signature of Nidtary Pufc- State of Florida )
tray pus CHMSTINE S. ENG
4P �.—�7t, Corrwrrsaion #� NH 0!
Commission No. f/N 1% i yw 7 *
Expka April 4, 2i
aoMW nw eYdO N-r
REVIEWS FRONT ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
Personally Known V OR Produced Identification
Type of Identification
Produced
(Signature of Notary Pub -State of FI .. a ) CMSTINEB.OW
�mmission No.#696 fbZ % *.U. a6'_'! 0"*i#iO�Cf
EM)m Apra a, 2025
'.. _ '�`"OF eo.a.aiMrerdpdgarrysrn
SUPERVISOR I PLANS VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW i REVIEW ` REVIEW REVIEW
CUSTOM MR SYSTEMS INC. SALES * SERVICE * INSTALLATION *
1615 SE. VILLAGE GREEN DR. PORT ST. LUCIE FL.34952
335-3232 465-0559 562-2777 FAX (772) 335-1968
CAC051810
CARRIER * RHEEM * GOODMAN *TRANE * AIR CONDITIONERS
September 10, 2021
NAM - STEVEN JONES
ADDRESS: 33 LAKE VISTA TRAIL 102 PSL, FL 34952
PHONE: 908-246-9156
EMAIL: jonesbigsteve@gmail-cOm
JOB NAME/ADDRESS-. 33 IJM VISTA TRAIL 102 PSL, FL 34952
I
HAS 2 TON SYSTEM. AIR HANDLER OVER WATER HEATER.
WE PROPOSE TO. REPLACE EXISTING HEAT AND AIR SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 2 TON SYSTEM WITH 5 KW ELECTRIC STRIP HEAT (SEE
2. REMOVE AND DISPOSE OF EXISTING EQUIPMENT
3. DIGITAL NON-PROGRAMABLE THERMOSTAT
4. CONNECT TO EXISTING REFRIGERANT AND DRAIN LINES
5. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING
6. CONDENSER TIE DOWN BRACKETS AND SLAB IF NEEDED
7. CIRCUIT BREAKERS AS NEEDED
8. ONE YEAR LABOR WARRANTY
9. FIVE YEAR ARCOAIRE, ALLIED, RUUD PARTS WARRANTY,
DAYS OF INSTALLATION FOR ORIGINAL HOME OWNER.
OPTIONS BELOW)
10 YEAR PARTS WHEN REaESTERED 30
10. PERMIT (SOMEONE WILL NEED TO BE AVAILABLE TO LET IN CITY INSPECTOR)
ARCOAIRE 2 TON 14 SEER SYSTEM
R4A424GKB, FMA4P2400AL
FOR THE SUM OF: $ 3,685-00
IF PAID BY CHECK: $ 3,690.00
ALLIED 4AC16L24P-50, BCE5C24MA4X 2 TON 14 SEER
FOR THE SUM OF: $ 3,850-00
IF PAID By CHECK: $ 3,655.00
RUUD 2 TON 15 SEER SYSTEM
RA1424, RBHP17J
FOR THE SUM OF: $ 4,450-00
IF PAID BY CHECK. $ 4,225.00
QUOTE GOOD F:OR 30 D S . .
ACCEPTED .... .... .. .
e
:1k1:1T1A,L4q0"
INITIAL_
INITIAL
SIGNED,.. 6� .. ..
BONNIE LAUGH
CUSTOM AIR SYSTEMS INC.
(,,Ortstruction industries recovm, fund: Payment may be available from the ounstruciton industnei recovery fund if you lose rnonCY 011 aProiWPerformed
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, ixmract the Florida construction industry licensing board, 796
Phone; 850-487-1395 mailing address: DBPR customer contact, 1940 N, Munroe St., Tallahassee. Fl-, 32399-0