HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/7/2021 Permit Number:
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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: 7815 mcclintock way
Property Tax ID #: 3424-800-0150-000-3
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
like for like 3.5 ton 14 seer package unit 8.2 kw heater
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential x
Additional work to be performed under this permit — check all that apply:
mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4645.00 Utilities: —Sewer _ Septic
Lot No._
Block No.
Windows/Doors Pond
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name John & rose lovoi
Name: CURTIS SAMMONS
Address: 7815 mcclintock way
Company: CUSTOM AIR SYSTEMS INC
City: Port saint lucie State: r
Zip Code: 34952 Fax:
Phone No. 631-428-9023
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
-- • . o n�� ainvw ivuace or Lommencemenc is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESlGNER/ENGiNEER:
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Not Applicable
Name:
___
MORTGAGE COMPANY: _Not
Applicable
Name:
Address:
Address:
City:
State:
City:
State:
i Zip: Phone
Zip: Phone:
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FEE SIMPLE TITLE HOLDER:
, Not Applicable
BONDING COMPANY:
Not Applicable
i Name:
Name:
Address:
j Address:
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City:
; city:
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Zip: Phone:
Zip: 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 attorne efore commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF S 7 c. V Gl
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of DQC g 202U by
u r 6 c SA ►IN w, A U1 c
Name of person making statement
Personally Known �` OR Produced Identification
Type of Identification
Produced
,119
(Signature of Nary Pu�fk- State of Florida )
Y'w� CM RISTINE S. ENGL
f1H 0 6 �Aw ? �t► ,
Commission No. *Carwnissioa#NHO9
Expires Apd 4, 20i
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF 5 T L
Sworn to (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization
this day of Q1 1,X . , 2020 by
Lt ix rs f l 1 M 0 rLS
Name of person making statement.
Personally Known V OR Produced Identification
Type of Identification
Produced
ignature of Notary Pub e State of F04a) GiRISTi1tE B EN6Ll5
51i
Wo nmission No.h`'db6 Fri_ % * ;F�al
Exams Apd 4, 2D25
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! REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
� COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED f
Custom Air Systems Inc.
1615 SE Village Green Drive • Port St. Lucie, FL 34952
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(772)335-3232 • Fax ( 772) 335-1968 Lr
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Proposal and Agreement
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Customer Named Lr-/►' ' 1 Phone Date 42
Address 5 G �� �G�.D� Job Address L cQ
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 L
Make Model Number(s) 1 0 A- It a` r
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SEER t EER AFUE Btuh Cooling Btuh Heating ---Z'O°2 dC
Installation shall include: L
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L'
Q C!
X in boxes = Yes
❑ New Amp disconnect Remove existing equipment from premises ❑ New condensate drain system
C New Amp electric service ❑ 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 ee-IM-lake air tight plenum transition ❑New high efficiency air filter
New reinforced equipment pad ❑ new supply diffuser(s) ❑ New humidification system
❑ New vibration isolation pads ❑ New duct run from to ❑ New return air filter grill
❑ New properly sized refrigerant lines ❑ Noise reducing flexible duct connector 8'IGIeet all code requirements
❑ New clean, dry ACR copper tubing ❑ Balance for uniform supply air distribution (�mpl ystem start up
❑ Insulate refrigerant suction line(s) ❑ Provide for external combustion air ❑ year parts warranty
❑ Install refrigerant drier(s) ❑ New gas piping from to ❑ _� year labor warranty
Evacuate refrigerant system ❑ New vent pipe and cap ❑ year compressor warranty
Charge to manufacturer's specs 1?T-C-1ean work area to customer's ❑ 'ient
,e satisfaction year servic agr
If C—IGl-eet all federal, state & local laws ❑ Condensation overflow safety switch ❑`Q' �i-¢� �'Qe
Hurricane Fasteners for outdoor unitdc/T
Option
(below) El otal Investment $ `
J❑
✓ � �`�/ � y CA.e x q& ye- a O
$
lTaxes
% Total Amount $
Down Payment $
Balance Due $
Terms: CA-- G /30
JAcceptance (Customer) Approval (Co )
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