HomeMy WebLinkAboutbUILDING pERMIT aPPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/8/2021 Permit Number:
' 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: 6 LA PALOMA LANE
Property Tax ID #: 3427-111-0002-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
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:
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: $ 4415.00 Utilities: —Sewer _ Septic Building Height:
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Name MARK VIERICK & BONNIE BERCHTOLD
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Name: CURTIS SAMMONS
Address: 6 LA PALOMA LANE
Company: CUSTOM AIR SYSTEMS INC
City: PORT SAINT LUCIE State:
Address: 1615 SE VILLAGE GREEN DR
City: PORT SAINT LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 856-371-3111
Zip Code: 34952 Fax: 772-335-1968
E-Mail:
Phone No 772-335-3232
Fill in fee simple Title Holder on next page ( if different
E-Mail CUSTAIRSYS@AOL.COM
State or County License CAC051810
from the Owner listed above)
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.
UnwNER/ENG1NEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
' City: State: City: State:
{ Zip: Phone I Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: j Address:
City: city:!
Zip: Phone: Zip: —
BONDING COMPANY: —Not Applicable
Name:
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 attornevbefore commPnrina wnrk r,r rarnrriina %,r^i it wr,tira of r r%mmonrdzmont
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/license Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF 3T 'LgGJ g
COUNTY OF 5 1- L
1 SS n to (or affirmed) and subscribed before me of
Physical Presence
Swojn to (or affirmed) and subscribed before me of
or Online Notarization
this day of OJt\&(k )ZaC( 2020 by
+� Physical Presence or Online Notarization
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this _k_ day of kly\p.fl-i20201 by
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Name of person making statement.
Name of person making statement.
I Personally Known V_ OR Produced identification
Type of identification
Personally Known V OR Produced Identification
Type of identification
Produced
Produced
(Signature of Niftary Pu c- State of Florida
CHWSTHrE6.
Signature of Notary Pub W - State of F{ a) _
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REVIEWS
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SUPERVISOR
PLANS VEGETATION
SEA TURTLE
MANGROVE
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REVIEW
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
E DATE
RECEIVED
DATE
COMPLETED
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MR SYSTEMS INC. SALES * SRVICE * INSTALLATION * APPLIANCES
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
KITCHENAID * WHIRLPOOL * APPLIANCES
November 2, 2021
NAME: MARK VIERICK & BONNIE HERCHTOLD
ADDRESS: 6 LA PALOMA LANE PSL, FL 34952
PHONE: 856-371-3111
EMAIL: berchtold7905@comcest.net
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM AND DUCT SYSTEM UNDER HOME.
BID INCLUDES THE FOLLOWING.
1. 3 TON SYSTEM WITH 10 KW ELECTRIC STRIP HEAT, (SEE OPTIONS BELOW)
2. A/C SLAB IF NEEDED
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED)
4. PERMIT (INSPECTION BY CITY REQUIRED)
S. CONNECT TO EXISTING DUCT SYSTEM
6. DIGITAL THERMOSTAT
7. TIE DOWN BRACKETS & DUCT SCHROUD/COVER
8. ONE YEAR LABOR WARRANTY
9- FIVE YEAR ARCOAIRE PARTS WARRANTY.10 YEAR PARTS WHEN REGISTERED IN 30 DAYS OF
INSTALLATION.
AARCOAIRE 3 TON 14 SEER SYSTEM.
FOR THE SUM OF: $ 4,415.00
IF PAID BY CHECK: $ 4,200.00
10 YEAR LABOR AGREEMENT $ 840.
PAJ436000KTPOA, 10 KW HEAT
00 PLUS TAX
INITIAL
INITIAL
NEW R6 DUCT UNDER HOME INSTALLED FOR THE SUM OF: $ 1,800.00 INITIAL
QUOTE GOOD FOR 30 DAYS
TO BE PAID: AT TIME OF SERVICE.
ACCEPTED ............... /►oaf....... SIGNED... .....
RONNIE LAUCH
CUSTOM AIR SYSTEMS INC.
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Construction industries recovery fund: Payment m - avaAlable from the canstctia industries recovery fund if you In
under oonnw, where the }ass results from specified violations of Florida law by a state -licensed contractor. far infamte2ior
a claim, contact the Florida umstruction industry" licensing board.
Phone: 850487-1395 mailing address DBPR customer contact, 1940 N. Monroe St., Tallahassee, Ff.. 32399-0786