HomeMy WebLinkAboutapplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/19/2021 Permit Number:
o LCULOE
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: 21200 GLADES CUT OFF ROAD
Residential x
Property Tax ID #: 4221-222-0002-000-7 Lot No._
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 2 TON 16 SEER SYSTEM WITH 5 KW HEATER
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
Plechanical _ Gas Tank _ Gas Piping _ Shutters — Windows/Doors
_ Electric _ Plumbing _ Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 4635.00 Utilities: —Sewer —Septic
Building Height:
Pond
Pitch
OWNER/LESSEE:,
CONTRACTOR:
NamePAUL O MEINTEL II KATHRYN E DUNCAN
Name:CURTIS SAMMONS
Address: 21200 GLADES CUT OFF ROAD
Company: CUSTOM AIR SYSTEMS INC
City: PORT SAITN LUCIE State: JL-
Zip Code: 34987 Fax:
Phone No. 772-466-9864
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)
If"'I ..L :__ :_ �e-.... __.- ___-_-__ _.
E-Mail CUSTAIRSYS@AOL.COM
State or County License CAC051810
,,vnv[u Ivuuce oT Commencement Is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
_ Not Applicable
BONDING COMPANY:
Name:
Address:
City:_
Zip:
Phone:
Not Applicable
UYYINICK/ WIY I KAL I UK 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 comrxianrina wnrk nr ror•nrriinn Al-+ -f +
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`Contractor/License
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFs 7 C tJ Gl
COUNTY OF 5 -r L :: c
Srn to (or affirmed) and subscribed before me of
7Ph sical Presence or Online Notarization
Swojn to (or affirmed) and subscribed before me of
✓ P,�'sical Pre s n e or Online Notarization
this day of !rX �ob�I�,/ 202� by
I
this it day of 2026 by
CVr iiiA
aPLLS s7A-41moYI.S
Name of person making statement.
Name of person making statement.
Personally Known V_ OR Produced Identification
Type of Identification
Personally Known V OR Produced Identification
Produced
Type of Identification
Produced
(Signature of Nidtary Pu c- State of Florida) CHRISTINE B. E
Signature of Notary Pub �e State of Fl�jda }
CHRIST�IE 8.
�'!! yp�N:•.u°4•
Commission No./7N 69117 .�U CarrnissionitHH
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REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
PLANS VEGETATION
SEA TURTLE
MANGROVE
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
CYSTOM AIR SYSTEMS INC. SALES * SERVICE * INSTALLATION * APPLIANCES
1615 SE. VILLAGE GREEN DR. PORT ST. LUCIE FL.34952
335-3232 465-0559 562-2777 FAX (772)335-1968
CAC051810
LENNOX * CARRIER * RUUD * GOODMAN * TRANE * AIR CONDITIONERS
October 8, 2021
i%.f ( v�
NAME: iiirAUNCAN
PHONE:
EMAIL: kthrynduncan@yahoo.com
ADDRESS: 21200 GLADES CUT OFF ROAD PSL, FL 34987
HAS 2 TON STRAIGHT COOL SYSTEM WITH 5 KW HEAT STRIP. AIR HANDLER IN THE CLOSET
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 2 TON STRAIGHT COOL SYSTEM (SEE OPTIONS BELOW)
2. CONNECT TO EXISTING REFRIGERANT LINES
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED)
4. DIGITAL THERMOSTAT
S. PERMIT (INSPECTION BY BUILDING DEPARTMENT REQUIRED)
6. CONNECT TO EXISTING DUCT SYSTEM
7. DRAIN LINE SAFETY FLOAT SWITCH
8. CONDENSER TIE DOWN BRACKETS AND SLAB AND PLYWOOD TOP IN A/H CLOSET
9. ONE YEAR LABOR WARRANTY
10. FIVE YEAR ALLIED/RUUD/ARCOAIRE. (TEN YEAR PART WARRANTY TO ORIGINAL OWNER IF REGISTERED
WITHIN 30 DAYS OF INSTALLATION.)
ALLIED 2 TON 16 SEER STRAIGHT COOL SYSTEM. 5 KW HEAT STRIP
4AC16L24P-50, BCE5E24MA4X IK�b
FOR THE SUM OF: $ 4,255.00_(FPL REBATE - 150.00) $ 4,105.00 INITIAL
— Ola.')-'s
RUUD 2 TON 16 SEER STRAIGHT COOL SYSTEM. 5 KW HEAT STRIP
RA1624, RH1T2417
FOR THE SUM OF $ 4,635.00 r(FPL REBATE - 150.00) $ 4,485.00 INITIAL
__V�
- D3t. ')-_'�
ARCOAIRE
ON 16 SEER STRAIGHT
EM 5 KW HEAT
NXA624GKA2, TFXM4X2400AL � � YZ (h�,0IST4_C CC�tiIV�t 1 �-'
FOR THE SUM OF $ 4,595.00 S FPL REBATE - 150.00) $ 4,345.00 INITIAL
LESS 5% OFF ABOVE SYSTEM PRICES IF PAID WITH A CHECK.
QUOTE GOOD FOR 30 DAYS
TO BE PAID: A -TIME OF SER CE. /
ACCEPTED SIGNED. .
[ ( ` b L NIE LAUGH
1 1�- CUSTOMM AIR SYSTEMS INC.
Otis
industries recovery fund: Payment may be available from the construction industries recovery fund if you lose money on a project performed
under contract, where die loss results from specified violations of Florida law by a state -licensed contractor. for information about the recovery fund and tiling
a claim. contact the Florida construction industry licensing board.
1, ?hone: 850-487-1395 mailing address: DBPR customer contact, 1940 N. Monroe St.. Tallahassee, FL. 32399-0786 99