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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9/28/2021 Permit Number: M LC CUE-_ _. 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: 3717 WESTCHESTER CT Property Tax ID #: 3425-705-0083-000-3 Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE 3 TON 14 SEER PACKAGE UNIT 10 KW HEATER New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: echanical _ 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: $ 4275.00 Utilities: —Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name SERGE SYLVESTRE , SOLANGE BERNIER Name: CURTIS SAMMONS Address: 21 CHEMIN DU LAC-BONHOMME Company: CUSTOM AIR SYSTEMS INC City: QUEBEC, QC G3J 0139 CANADA State: _ Zip Code: Fax: Phone No. 581-309-3838 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 required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone:_ — Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY- Name: — Address: City: Zip: Phone: _ I Not Applicable State: Not Applicable OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as maicatea. 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 uiitk Ionrlor nr nn arrnrnPv hPfnrP rnmmpnrinu wnrk or rerording vour Notice of Commencement. I Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF s T t, tJ G6 E COUNTY OF Sworn to (or affirmed) and subscribed before me of SwoJn to (or affirmed) and subscribed before me of %/ Physical Presence or Online Notarization 6f��by ✓ Physical Presence or Online Notarization I I this day of 2021 by this �tC-day a-V._ , 2021 C U r6 c .Sa A w►.e yL S C} ti r�- is ,5 4 #2 M 0 rl_S � Name of person making statement. Name of person making statement. I � Personally Known V/ OR Produced Identification / I Personally Known ✓ OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of N tary Pu c- State of Florida } vas (Signature of Not ry Pub " - State of FI a ) CHRISTINE B. WAM "Al CHRISTINE B. E Commission No.//// 6'�i%Z 7 *� �U Cwrnisaio IHH06 SH G mmission No.#�©� T.3i� % * %vat 0. ? E► ka Apd 4, 2025 Expires Apd 4, �� �`OF 9.edWTW1&. !ate 'Fof�o ewwwTin &WMWorrysomm WXy REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE i COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW I DATE RECEIVED DATE i COMPLETED Rev. 5/b/ZU (,A: Custom Air Systems Inc. 1615 SE Village Green Drive - Port St. Lucie, FL 34952 (772) 335-3232 * Fax( 772) 335-1968 W,, 1, C ('� b3 —'C1a,J A/ Proposal and Agreement 4 k .0 N Customer Name Skrcie- SHVL51101f,Phone Date Address Job Address M City, State, Zip 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 b�C,DAIPI Model Number(s) SEER---,.. 14 " EER- AFUE- Btuh Cooling - - Btuh HeatingCFM Installation shall include. 0 New Amp disconnect 0 New Amp electric service 10 New low voltage wiring [-] New weather resistant equipment stand C� New reinforced equipment pad 0 New vibration isolation pads E: New properly sized refrigerant lines 1:1 New clean, dry ACR copper tubing 0 Insulate refrigerant suction line(s) 0 Install refrigerant drier(s) C1 Evacuate refrigerant system 0 Charge to manufacturer's specs 0 Meet all federal, state & local laws ption (below] Terms: Acceptance (Customer) By 1-1, Remove existing equipment from premises 0 Install energy saving setback thermostat r] New copper wire from - to D Make air tight plenum transition 0 -- new supply diffuser(s) 0 New duct run from - to 1-1 Noise reducing flexible duct connector 0 Balance for uniform supply air distribution 0 Provide for external combustion air 0 New gas piping from - to 0 New vent pipe and cap 0 Clean work area to customer's satisfaction 0 Condensation overflow safety switch n Hurricane Fasteners for outdoor unit Approval Date— By X in boxes = Yes 0, New condensate drain system I I New condensate pump 0 Install aux. condensate drain pan r. New high efficiency air filter E-1 Now humidification system 0 New return air filter grill 0 Meet all code requirements 0 Complete system start up 0 year parts warrantyePc-,,-e,— Cl year labor warranty Oe#(,f year compressor warranty 0 year service agreement 0.1 ILI Total Investment $ U1 Taxes $ Total Amount Down Payment Balance Due Date