HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1iO4/2022 Permit Number:
1�.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce F! 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
Address: 28 LOS LAGOS RD
Property Tax ID ##: 3427-111-0002-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
3.5 TON 14 SEER PACKAGE UNIT WITH 10 KW HEATER
New Electrical Meter .____ Second Electrical Meter
(Affidavit required)
Additional work to be performed under this permit— check all that apply:
x Mechanical — Gas Tank — Gas Piping ^ Shutters Windows/Doors Pond
— Electric — Plumbing ® Sprinklers Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4925.00 Utilities: — Sewer —Septic
Name WYNNE BUILDING CORP
Address: 8000 S US HWY 1 STE 402
City: PORT SAINT LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 914-320-0308
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: CURTIS SAMMONS
Roof Pitch
Building Height:
Company: CUSTOM AIR SYSTEMS INC
Address: 1615 SE VIILAGE GREEN DR
City: PORT SAINT LUCIE State: FL
E- Zip Code: 34952 Fax:
Phone No 772-335-3232
E-Mail CUSTAIRSYS@AOL.COM
State or County License CAC051810
�� va�aaa v� 6v117iruCtion f!i z3vu or more, a Kt( OKULD Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
JE ,L WORMAT
DESIGNER/ENGINEER
of Applicable 1 MORTGAGE COMPANY: Not Applicable
Name:
Address: Name:
Aciclress.
City: State- city:
State,
Zip. Phoneme
Zip: Phone,
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
— Not Applicable,
BONDING COMPANY:
Name
Address:
City: . .... .... Zip:
Not Applicable
- - ---------- ------- I j
OWNER/ CONTRACTOR AFFIOVIT: Application is hereby rnad,,: 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 Rranting'a permit will authorize the permit holder to build the subject structure
which conflicts with an applicable HomeownersAssociation rules, bylaws or and covenant,; that may restrict or prohibit such
11,
structure. Please consult: with your Homeowners Assoc.jation 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, wails, 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
improvoments, 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 attorney before commencing work or recording your Notice of Commencement.
Sit nature cif or - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF_ Q Lu-
Sworn to (or affirmed) and subscribed before roe of Physical Presence oy Online Notarization
this. "A _day of,:�
20 Z�y
Name of person making statement
Personally Known Ie <-- OR Produced Identification
Type of Identification d ,ka uced--
(Signature of Notary Public- -S-t-aiie`nf Florida)
Commission No. A&iody
Real) RONALD LAUGH
Commission # HH 067257
Empires 1`10vembw 29,2024
REVIEWS l Rt7NT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
Ci�UNIER REVIEW REVIEW REVIEW "REVIEW REVIEW
L E—D' - i . ... . ....... ._ f i I ��'
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
January 4, 2022
NAME: GARBRIEL GALLETTO III
ADDRESS: 28 LOS LAGOS RD. PSL, FL 34952
PHONE: 914-320-0308
EMAIL: gallettogh@aol.com
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM AND DUCT SYSTEM UNDER HOME.
BID INCLUDES THE FOLLOWING.
1. 3 '1 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 & DUCT SCHROUD/COVER
B. ONE YEAR LABOR WARRANTY
9. FIVE YEAR RUN TRU/TRANE, BRYANT, CHAMPION PARTS WARRANTY.10 YEAR PARTS WHEN
REGISTERED IN 30 DAYS OF INSTALLATION.
ARCOAIRE 3 1�1 TON 14 SEER SYSTEM.
FOR THE SUM OF: $ 4,925.00
IF PAID BY CHECK: $ 4,675.00
10 YEAR LABOR AGREEMENT $ 840.00
PAJ442000KTPOA, 10 KW HEAT
PLUS TAX
INITIAL
INITIAL
WITH EQUIPMENT CHANGE OUT
NEW DUCT UNDER HOME INSTALLED FOR THE SUM OF: $ 1,900.00 PLUS TAX INITIAL
QUOTE GOOD FOR 30 DAYS
TO BE PAID: AT TIME OF SERVICE.
ACCEPTED ...........................
SIGNED.. r7 � ............
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: 850487-1395 mailing address: DBPR customer contact, 1940 N. Monroe St., Tallahassee, FL. 32399-0786