HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/20/2021 Permit Number:
L Uri L0EiILI
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W®' � 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: 5155 N A1A C-414
Property Tax ID #: 1411-707-0018-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
DETAIIIED L��SCRIP IP;N. OF WORK:
LIKE FOR LIKE 2 TON 14 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:
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: $ 4455.00 Utilities: —Sewer _ Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name CRAIG & JENNE WALLACE
Name: CURTIS SAMMONS
Address:4958 EDGEWOOD ROAD
Company: CUSTOM AIR SYSTEMS INC
Address: 1615 SE VILLAGE GREEN DR
City: DOYLESTOWN State: j�jq
Zip Code: 18902 Fax:
Phone No. 772-242-1108
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
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.
DESIGNE
Name:_
Address:
City:
Zp: Phone
__ Not Applicable
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name. ----
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:_
Address'.
City:_
Zip: —
Phone:
UWNER/ 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 resuk in paying write 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 tender or an attome efore con—encin work d' N f C
or recor rn our once o ommencement.
`Contractor/License
Signature of Owner/ Lelssee/Contractor as Agent for Owner
Signature of Holder
`STATE OF FLORIDA
COUNTY OF Jr u
STATE OF FLORIDA
Gi FCOUNTY
OF 5 -r
Sw9rn to (or affirmed) and subscribed before me of
✓ Physical Presence or Online
SwoJn to (or affirmed) and subscribed before me of
Notarization
�Q this day of �2(i" 202d by
✓ Physical Presence or Online Notarization
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this _Z day of F cQ"c ba-CL . 2021 by
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Name of person making statement.
I Name of person making statement.
Personally Known OR Produced identification
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_�_
Type of Identification
Personally Known V OR Produced Identification
Produced
ff Type of identification
Produced
(Signature of NiftarV Pu -State of Florida )
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REVIEW
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REVIEW REVIEW
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REVIEW I
DATE
RECEIVED
DATE
I COMPLETED
Rev.
CUSTOM AIR SYSTEMS INC. SALES * SERVICE * INSTALLATION *
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
December 20, 2021
NAME: CRAIG WALLACE _
ADDRESS: 5155 N AIA C414 FT PIERCE, FL 34949
PHONE: 772-242-1108
EMAIL: jcsunchasr@aol.com
JOB NAME/ADDRESS: 5155 N AIA C414 FT PIERCE, FL 34949
HAS 2 TON SYSTEM. AIR HANDLER OVER WATER HEATER.
WE PROPOSE TO: REPLACE EXISTING HEAT AND AIR SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 2 TON SYSTEM WITH 5 KW ELECTRIC STRIP HEAT (SEE OPTIONS BELOW)
2. REMOVE AND DISPOSE OF EXISTING EQUIPMENT
3. DIGITAL NON—PROGRAMABLE THERMOSTAT
4. CONNECT TO EXISTING REFRIGERANT AND DRAIN LINES
5. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING
6. CONDENSER TIE DOWN BRACKETS AND SLAB IF NEEDED
7. CIRCUIT BREAKERS AS NEEDED
8. ONE YEAR LABOR WARRANTY
9. FIVE YEAR RUUD PARTS WARRANTY. 10 YEAR PARTS WHEN REGISTERED 30 DAYS OF
INSTALLATION FOR THE ORIGINAL OWNER.
10. PERMIT (SOMEONE WILL NEED TO BE AVAILABLE TO LET IN CITY INSPECTOR)
RUUD 2 TON 14 SEER SYSTEM
RA1424BJ1NB, RBHP17J06SH1B
FOR THE SUM OF: $ 4,455.00
IF PAID BY CHECK: $ 4,230.00
QUOTE GOOD FOR 30 DAYS
ACCEPTED ...........................
INITIAL
r
SIGNED./_�
. .......
ONNIE 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: 850487-1395 mailing address: DBPR customer contact, 1940 N. Monroe St., Tallahassee, FL. 32399-0786