HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 /4i2022
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-11578
PERMIT APPLICATION FOR:
Address: 367 SE GASPARILLA AVE
Property Tax ID #: 3419-530-0147-000-5
Site Plan Name:
Project Name:
Commercial Residential x
CBDG Funding
LIKEFOR LIKE 2 TON 16 SEER SYSTEM WITH 7.5 KW HEATER
New Electrical Meter — -Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
X Mechanical — Gas Tank Gas Piping Shutters
Electric Pi
Lot No.
Block No.
(Affidavit required)
Windows/Doors Pond
_ umbIng W_ Sprinklers — Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5595.00 Utilities: Sewer _� Septic Building Height:
Narne RISE PRICKETT
Address: 367 SE GASPARILLA AVE
City: PORT SAINT LUCIE State:FL
Zip Code: 34983 Fax:
Phone No. 772-529-0404
Mail
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: CURTISSAMMONS
Company: CUSTOM AIR SYSTEMS INC
Address; 1615 SE VIILAGE GREEN DR
i City: PORT SAINT LUCIE FL
State:
E- IZip Code: .34952 Fax:
Phone No 772-335-3232
E-Mail CUSTAIRSYS@AOL COM
State or County License CAC051810
If value of construction is 2500 or more, a RECORDED µNotice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
UtbMr4tKjtNVS1NEER: Not Appricable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
city: State:
Zip: Phone:
—Not Applicable
Name:
Address;
City: ... ...........
Zip:
OWNER/ CONTRACTOR AFFIDVIT* Application is hereby to o'blim 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 ranting to build the subject structure
0 atp Permit will authorize the permit I
which conflicts with any applicable Homeown ers s ion rules, bylaws or and covenants that may restrict or prohlbO such
structure. Please consult with your Homeowners Association and review your deed for any restrictions which inay apply.
In consideration of the granting of thi,, 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 conctirrency 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 attorney before commencing work i
or recording your Notice of Commencement.
--------------
Signature of Coritrattror - or -Owner
er as applicable Vm
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of Physical Presence of Online Notarization
this day of 20 .1a by
Name of person making statement
— Not Applicable
I
Igpieli jTJ t irig
Personally Known Produced Identification
Type of Identiffratio?n1roduced--,
(Signature of Notary Public'--Sta e of Florida)
C.ommis%ion No, A_69y(?eal) 1P y" RONALDLAUCH
' * Commission #HH067257
'41 Expires Noyemmt29,2024
REVIEWS FRONT ZONING -SUPERVISOR, PLAN.-, VEGETATION SEA TURTLE MANGROVE
COONIER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
............. . . .
COMPLLI ED
-4-A,74 N In'r
'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
CARRIER * RUUD * CHAMPION * TRANE * AIR CONDITIONERS CAC051810
December 27, 2021
NAME: RISE PRICKETT
ADDRESS: 367 SE GASPARILLA AVE. PSL, FL 34983
PHONE: 772-529-0404
EMAIL:
JOB NAME/ADDRESS: 367 SE GASPARILLA AVE. PSL, FL 34983
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 2 TON STRAIGHT COOL SYSTEM WITH 7.5 KW HEAT STRIP. AIR HANDLER RELOCATED FROM
ATTIC TO GARAGE (SEE OPTIONS BELOW)
2. CONNECT TO EXISTING REFRIGERANT LINES (FLUSH LINES)
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED)
4. DRAIN LINE SAFETY FLOAT SWITCH
5. PERMIT (INSPECTION BY CITY REQUIRED)
6. CONNECT TO EXISTING DUCT SYSTEM WITH NEW PLENUM FROM STAND IN GARAGE
7. DIGITAL THERMOSTAT
8. NEW AIR HANDLER STAND IN GARAGE WITH NEW DRAIN LINE
9. ONE YEAR LABOR WARRANTY ON CHAMPION/CARRIER, 3 YEARS LABOR ON LENNOX
10. FIVE YEAR ALLIED PARTS WARRANTY.
11. 10 YEAR MFG PARTS WARRANTY TO ORIGINAL OWNER WHEN REGISTERED IN 30 DAYS. EXCLUDES
HEAT STRIP AND THERMOSTAT
ALLIED 16 SEER STRAIGHT COOL SYSTEM. 4AC16L24P-50, BCE5E24MA4X, ECBA25-7.5CB HEATER
FOR THE SUM OF: $ 5,595.00 (FPL REBATE — $ 150.00) $5,445.00
IF PAID BY CHECK: $ 5,245.00 INITIAL
QUOTE GOOD FOR 30 DAYS. TO BE PAID: AT TIME OF SERVICE.
ACCEPTED ........................... SIGNED. �%Y1�,,.�•
RONNIE CH
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