HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/6/2022 Permit Number:
F 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 CBDG Funding
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PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
..............
Address: 8488 GALLBERRY Cl R
Property Tax ID#: 3425-703-0242-000-0 W Lot No.
Site Plan Name: Block No.
Project Name:
x
A
LIKE FOR LIKE 3.5 TON 14 SEER PACKAGE UNIT 10 KW HEATER
New Electrical Meter—Second Electrical Meter______._(Affidavit required)
Additional work to be performed under this perrnit—check all that apply:
x 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 $ 4925.00 Utilities: Sewer Septic Building Height:
Al 74'a
"�...............
Name DANIEL&SIGNE LENCIONI
Name: CURTIS SAMMONS
Address: 8488 GALLBERRY CIR
Company: CUSTOM AIR SYSTEMS INC
City: PORT SAINT LUCIE
State: FL Address: 1615 SE VIILAGE GREEN DR
Zip Code: 34952 Fax: j City: PORT SAINT LUCIE
State: FL
Phone No. 772-871-6273 E- i Zip Code. 34952
Fax:
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 Lr''.,,___---""
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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Y ,{
DESIGN Rf ENGINIrER. Not 1ppltc le
MORTGAGE COMPANY: Not Applicable
Name: Name.,
Address: Address l
City. State: City. Mate:
__ .
I Zip: Phone dipPhone,
.......... __..._ .._-..........
FEE SIMPLE TITLE HOLDER, � Not Applicable BONING COMPANY: —_,_,Not Applicable ,
Name:
Address: Address
city City: �.- .
Phone: I
Zip-
.........
owNER/CONTRAC70R 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.Lune County makes no representation that is granting a permit will authorise the permit holder to build the subject structure
which conflicts with an applicable Homeowners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Homeowners Association and review your deed fnr any restrictions,which may apply.
in consideration of the granting of this requested permit,I dry 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 concurroncy review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessary uses to anothor 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 ccammencing wrk or recording yvur_tdonce ofvCo.mrrrenc..,ement. _. .._
I Signature of Contractor-or-Qwnc>r BuilrlF�r as applicaFsit
STATE OF FLORIDA
1 COUNTY 0 �� {.Ct sir '_...,_ ._.__....._..............
1
Sworn to(car affirmed and subscribed before me of Physical Presence nr Online Notarization
W,
this (,a_day of_ ... .1Ci1'J-by
Name of person making staternent. 1!
Personaliy Known _ _)R Produced Identification
Type of identification oduced01
(Signature of fNatary Public-stake cri�rioridaj
Commission No. o4�($eal} ro ,•<�, RONALO LAUGH
y y GUrnmissiort M HH 067257
Ex ices November 29,202a
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kRI1111WI FRONT ZONING SUi'f:RVISOR PLANS VEGETATION ( SEA TURTLE MANGROVE
COUNTER, REVIEW REVIEW REVIEW REVIEW ? REVIEW REVIEW
ATE
t RECEIVED
--CUSTOM MR 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 5, 2022
NAME: SIGNE LENCIONI
ADDRESS: 8488 GALLBERRY CIRCLE PSL, FL 34952
PHONE: 772-871-6273
EMAIL: dalenc1027@gmail.com
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM AND DUCT SYSTEM UNDER HOME.
BID INCLUDES THE FOLLOWING.
1. 3 '-� 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 SHROUD/COVER
S. ONE YEAR LABOR WARRANTY
9. FIVE YEAR BRYANT PARTS WARRANTY.10 YEAR PARTS WHEN REGISTERED IN 30 DAYS OF
INSTALLATION.
BRYANT 3 1-t TON 14 SEER SYSTEM. PA4ZNA042, 10 KW HEAT
FOR THE SUM OF: $ 4,925.00
IF PAID BY CHECK: $ 4,675.00 INITIAL 1
10 YEAR LABOR AGREEMENT $ 840.00 PLUS TAX INITIAL
WITH EQUIPMENT CHANGE OUT i
NEW DUCT UNDER HOME INSTALLED FOR THE SUM OF: $ 1,500.00 PLUS TAX INITIAL `
IWAVE 4900-20 AIR CLEANER
FOR THE SUM OF: $ 795.00 INITIAL
QUOTE GOOD FOR DAYS
TO BE PAID: AT I 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