HomeMy WebLinkAboutapplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/15/2021 Permit Number:
>_ 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) 462-1S78
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 8222 MULLIGAN CIR
Property Tax ID #:
3327-502-0090-000-1 Lot No.
Block No.
Site Plan Name:
Project Name:
[DETAILEQ DESCRIPTION OF WORK;
LIKE FOR LIKE 2 TON 16 SEER 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
THOMAS BRUCE & MARGARET FAILLACE Name: CURTIS SAMMONS
Address:
803 WILLOW POND DR Company: CUSTOM AIR SYSTEMS INC
City:
RIVERHEAD State: Address: 1615 SE VILLAGE GREEN DR
Zip Code: 11901 Fax. City: PORT SAINT LUCIE State: FL
631-561-1061 Zip Code: 34952 Fax: 772-335-1968
Phone No. 772-335-3232
E-Mail: Phone No
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.
. ....,.,.,_ x
_Ap Not Appllicable
DESIGNER/ENGINEER:Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
City: State:
Address:
City: State:
Zip: Phone
I Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
I
Name:
Name:
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 ano inscanacion as rnuicareu.
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 attorneyA�efore commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF 3 7 L U CI E
Sw9rn to (or affirmed) and subscribed before me of
V Physical Presence or Online Notarization
this 15 _ day of SP_ f .vvk-CC _, 2021 by
r
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF 5 -r L L C t -2
Swof n to (or affirmed) and subscribed before me of
✓ Physical Presence gr Online Notarization
this f l day of SeWk , 202# by
C y r vL S L: la P r
Aw►.e Ls Sit 41 m 0 rL5
Name of oerson making statement. I Name of person making statement.
i
Personally Known y/ OR Produced Identification
Type of Identification
Produced
(Signature of Nidtary Pufc- State of Florida }
ptray Nw CHRISTINE B. ENG
itf Cerra illaim S HH of
Commission No. i�f! D 6 you ka ril 4.2a
''For ao�P ewww tMu euapm N wp
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Personally Known Y OR Produced Identification
Type of Identification
Produced
(Signature of Notary Pub -State of FI (jsia) CHRISTMIE8.
mmission No. aE)*wApr14,2W
�U�7A�1r
ANGRO
SUPERVISREVIEWOR I REV EW PNSVREVIEWEGETATION I
S REV EWEA TURTLE MREV EWVE
----C11STOM AIR 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 * RUUD * LENNOX* TRANE * AIR CONDITIONERS
September 13, 2021
NAME: MARGARET BRUCE
ADDRESS: 8222 MULLIGAN CIR PSL, FL 34986
PHONE:631-561-1061
ADDRESS: 8222 MULLIGAN CIR PSL 34986
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 2 TON STRAIGHT COOL SYSTEM 5 KW HEAT STRIP.
2. CONNECT TO EXISTING REFRIGERANT AND DRAIN 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. ONE YEAR LABOR WARRANTY
8. FIVE YEAR ALLIED PARTS WARRANTY. 10 YEAR PARTS WARRANTY WHEN REGISTERED WITHIN 30
DAYS OF INSTALLATION FOR ORIGINAL OWNER.
9. DRAIN LINE SAFETY FLOAT SWITCH
ALLIED EQUIPMENT. 16 SEER
4AC16L24P-50, BCE5E24MA4X
FOR THE SUM OF: $ 3,970.00
IF PAID BY CHECK: $ 3,770.00
QUOTE GOOD FOR 30 DAYS
TO BE PAID: AT TIME OF SERVICE.
ACCEPTED ...........................
INITIAL
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: 850-487-1395 mailing address: DBPR customer contact, 1940 N. Monroe St., Tallahassee, FL. 32399-0786