HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/14/2021 Permit Number:
o LL LIE ,..
c °' ti Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 38 LOS LAGOS RD —
Property Tax ID#: 3427-111-0002-000-5 _ Lot No.
Site Plan Name: Block No.
Project Name: —
DETAILED DESCRIPTION OF WORK:
4 TON 14 SEER PACKAGE UNIT WITH 10 KW HEATER
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATIOU — `-
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: $ 5150.00 Utilities: —Sewer _Septic Building Height:
OWNS AE� E CONTRACTOR:
Name WYNNE BUILDING CORP Name:CURTIS SAMMONS
Address:8000 S US HWY 1 STE 402 Company:CUSTOM AIR SYSTEMS INC
City: PORT SAINT LUCIE State: Address: 1615 SE VILLAGE GREEN DR
Zip Code: 34952 Fax: City: PORT SAINT LUCIE State: FL
Phone No.732-500-2751 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
from the Owner listed above) 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.
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DESIGNER/ENGINEER: _Not Applicable "MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
I Zip: Phone I Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable 1 BONDING COMPANY: _Not Applicable
Name: I Name:
Address: Address:
City: 1 City:
j 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 comri'lencin work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA I
COUNTY OF S? L y G6 y_ COUNTY OF 5 T' L_ `- C
Sw9rn to(or affirmed)and subscribed before me of Swojn to(or affirmed)and subscribed before me of
/ Physical Pr nce or Online Notarization V Ph sical Presenlce,ors n�Online Notarization i
this�day of 12c�Y. 202P by this day of lk'eQ �-1 2020 by
vr'�,cr .SAtd► rv>nvlS �'ikr �s �
Name of person making statement. Name of person making statement.
Personally Known Y—OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identification
i
Produced I Produced
(Signature of N tary Pu c-State of Florida ) Signature of Notary Pub.e State of Flo' a )
r r CHRISTINE S. ��.
�tr �i� ape,,... Ct IRISTNiE 8
Commission No.tzy i7 6O ,1 7 Carritwon#HH ' , #NH
>3 *� �? mmission No.�!'P`�tJ6� i �jlal�° 0"
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW I
DATE
RECEIVED
I DATE
COMPLETED
ev.
KTOM 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
CARRIER* RHEEM* GOODMAN *TRANE * AIR CONDITIONERS
KITCHENAID*WHIRLPOOL* APPLIANCES
December 13, 2021
NAME: DAVE & PAT CHESNAKY
PHONE: 732-500-2751
EMAIL: patchesn@yahoo.com
JOB NAME/ADDRESS: 38 LOS LAGOS ROAD PSL, FL 34952
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 4 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)
5. CONNECT TO EXISTING DUCT SYSTEM
6. DIGITAL THERMOSTAT
7. TIE DOWN BRACKETS
8, ONE YEAR LABOR WARRANTY
9. FIVE YEAR BRYANT PARTS WARRANTY.10 YEAR PARTS WHEN REGISTERED IN 30 DAYS OF
INSTALLATION FOR ORIGINAL OWNER.
BRYANT 4 TON 14 SEER SYSTEM. PA4ZNA048000TP, 10 KW HEAT
FOR THE SUM OF: $ 5,150.00
IF PAID BY CHECK: $ 4,890.00 INITIAL
QUOTE GOOD FOR 30 DAYS
TO BE PAID: AT TIME OF SERVICE.
ACCEPTED. . . . . . . . . . . . . . . . . . . . . . . . . . . SIGNED. . ..(/..
RONNIE LAUCH
CUSTOM AIR SYSTEMS INC.
Construction industries recovery fund:Payment may be available from the construction industries recovery fund if you lose money on a project performed
under contract,where the loss results from specified violations of Florida law by a state-licensed contractor.for information about the recovery fund and filing
a claim,contact the Florida construction industry licensing board.
Phone:850-487-1395 mailing address:DBPR customer contact, 1940 N.Monroe St.,Tallahassee,FL.32399-0786