Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12/7/2021 Permit Number: ; §-ro L sctaE �j0. J' , o 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. . ..r .. ._ _ ,.• rye. y ..:_ .� 'r�r ?ax* Si""� DESlGNER/ENGiNEER: ..=rW� Not Applicable Name: ___ MORTGAGE COMPANY: _Not Applicable Name: Address: Address: City: State: City: State: i Zip: Phone Zip: Phone: i FEE SIMPLE TITLE HOLDER: , Not Applicable BONDING COMPANY: Not Applicable i Name: Name: Address: j Address: i City: ; city: i 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 � os�d' ser.anws.epiwr.�s.,,� ! 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 L (772)335-3232 • Fax ( 772) 335-1968 Lr V� Proposal and Agreement �VD 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 ' / l SEER t EER AFUE Btuh Cooling Btuh Heating ---Z'O°2 dC Installation shall include: L JL 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 ) la2 } By Date By Date �I�yI ,,e�