HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/6/2021 Permit Number:
� M. LUCE
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 8495 SCHEFFLERA CT
Property Tax ID #: 3425-703-0048-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 3 TON 14 SEER PACKAGE UNIT WITH 10 KW HEATER
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential X
Lot No._
Block No.
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: $ 5475.00 Utilities: _ Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name RAYMOND & LAURIE HARRIS
Name: CURTIS SAMMONS
Address: 8495 SCHEFFLERA CT
Company: CUSTOM AIR SYSTEMS INC
City: PORT SAINT LUCIE State: _
Zip Code: 34952 Fax:
Phone No. 207-764-3217
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.
5 3PFL 5'> i� + 'tC3 I itEN LAVI�. t�IF4.RMATIO : - 1
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
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: - Phone:
Not Applicable
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 attornevbefore commPnrino work nr rPcnrding vnur Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
i
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF J7 4.V GG
COUNTY OF 5 -r L c C t e
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
✓
�/ Physical Presence or Online Notarization
this Loo day of 202k by
Physical Presence or Online Notarization j
this day of T-ChQ%202t by
CUr41S S�vn►�yLs
�':���z� .5�$Ina0PIL
Name of person making statement.
Name of person making statement.
Personally Known �_ OR Produced Identification
i
Personally Known V, / OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of N tary Pu c- State of Florida }
Pus
(Signature of Notary Pub 'e State of Ftpr a )
CFfRISTINE B. ENCaI.I
SAY CHRISTINE S. E
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Commission No. * uCorrrrrrission#HH06
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mmission No.J?•'¢ U � .� % ' al #HN0693
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MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
REVIEW I
DATE
RECEIVED
DATE
COMPLETED
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Custom Air Systems Inc.
1615 SE Village Green Drive • Port St. Lucie, FL 34952
(772)335-3232 • Fax ( 772) 335-1968
Proposal and Agreement
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Customer Name ✓r S Phone �QI
7� ' ��?I Date
Address ll (/� g 0?)C� Job Address Sci/?'1
City, State, Zip 1. V / Work Phone(s)
We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal. I
Equipment Specifications
Make Model Number(s)
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SEER_ EER AFUE Btuh Cooling Btuh Heating—��L�� CFM l�
Installation shall include:
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X in boxes = Yes
El Amp disconnect emove existing equipment from premises
❑ New condensate drain system [
❑ New Amp electric service 0 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 lce air tight plenum transition
[,
❑ New high efficiency air filter
New reinforced equipment pad ❑ new supply diffuser(s)
❑ New humidification system [
w vibration isolation pads ;?'1<Jew duct run from to
El New return air filter grill
❑ New properly sized refrigerant lines ❑ Noise reducing flexible duct connector
4 eet all code requirements [
❑ New clean, dry ACR copper tubing ❑ Balance for uniform supply air distribution
m 1 system start up 11
❑ Insulate refrigerant suction line(s) ❑ Provide for external combustion air
❑ year parts warranty
0 ❑ Install refrigerant drier(s) ❑ New gas piping from to
❑ ear labor warranty
❑ Evacuate refrigerant system ❑vent pipe and cap
❑ year compressor warranty
�New
urge to manufacturer's specs +?Iean work area to customer's satisfaction
Meet all federal, state & local laws ndensation overflow safety switch
❑ year jervice greement
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❑ Option (below) ❑
Total Investment $
P,w �y%��
Taxes $ L
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Total Amount $
Down Payment $ `
O00
Balance Due $
Terms:
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