HomeMy WebLinkAboutBUILDING PLAN APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/19/2022 Permit Number:
S17, L 1, pt
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fait Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Cl3DG Funding
. .... .... .. ----- ----
PERMIT APPLICATION FOR:
-------- ----- - -------- -
CATIGM
Address: 5671 SANDFLY CT
Property Tax lD#: 3410-508-0064-000-3 lot No.
Site Plan Name: Block No.
Project Name:
WM
LIKE FOR LIKE 3.0 TON 1-4-SEER PACKAGE UNIT WITH 10 KW HEATER
New Electrical Meter Second Electrical Meter (Affidavit required)
CON STR
Additional work to be performed under this pert -nit - 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: $ 4505 Utilities: Sewer Septic Building Height:
Name BARBARA DOUGHERTY
Name: CURTIS SAMMONS
Address: ---56715,AN-DF1—y—CT—
I Company: CUSTOM AIR SYSTEMS INC
Address; 1615 SE VIILAGE GREEN DR
City: FORT PIERCE State:
Zip Code: 34982 Fax:
City: PORT SAINT LUCIE
State: FL
Phone No. 772-252-4792 E-
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 of construction is 2500 or more, a RECORDED Notice of ..."--is requir-'e-d.
If value of HAVC is $7,SGO or more, a RECORDED Notice of Commencement is required.
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:
Narne:
Name:
Address:
Address
City: City: . ... .. . ...... .
Zip: Phone:
Zip., Phone,
. . ........
OWNER/ CONTRACTOR AFFIDVIT' Application is hereby nwdk� to obtain a perinit to do the work and installation as indicated.
I certify that no work or installation has comr-trenced prior to the issuance of a permit,
St. Lucie County makes no representation that is rantingp permit will authorize the permit hoiderto build the subject structure
which conflicts with an applicable Home owners rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 Buildinp 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, sign
s, 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 corq encing work orrecording your Notice of Coryirnet�(-ernent.
'Sig rr 6AI, jt-� ot as applicable
-----Not Applicable
STATE OF FLORIDA
COUNTY
Sworn to (or atfirr�rid and subscribed before me of Physical Presence or Online Notarization
this JR. day of- 20ZZby
Name of person rnaking Statement,
personally Known 11�f�—:)R Produced Identification
Type of Identification oduced
c- StaFM Florida)
(Signature of Not bli
Commission No, RONkD LAUCH
Commission 0 HN 067257
;'C' 7 Expires November 29, 2024
n aw4ed T*u N40
REVIEWS FRONT ZONING SUP F HVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
COMPLEIED
-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 17, 2022
NAME: BARBARA DOUGHERTY
ADDRESS: 5671 SANDFLY COURT FT PIERCE, FL 34982
PHONE: 772-252-4792
EMAIL: bdoughertyl02O@aol.com
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
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
4. PERMIT (INSPECTION BY CITY REQUIRED)
5. CONNECT TO EXISTING DUCT SYSTEM
6. DIGITAL THERMOSTAT
7. TIE DOWN BRACKETS & DUCT SHROUD/COVER
8. ONE YEAR LABOR WARRANTY
9
WIRING. (BREAKERS AS NEEDED)
. FIVE YEAR ARCOAIRE PARTS WARRANTY.10 YEAR PARTS WHEN REGISTERED IN 30 DAYS OF
INSTALLATION.
ARCOAIRE 3 TON 14 SEER SYSTEM. PA4ZNA036, 10 KW HEAT
FOR THE SUM OF: $ 4,505.00
CREDIT FROM PREVIOUS SERVICE: — $
IF PAID BY CHECK: $ 3,520.00
10 YEAR LABOR AGREEMENT $ 840.00
QUOTE GOOD FOR 30 DAYS
TO BE PAID: AT TIME OF SERVICE.
860.00 TOTAL: $ 3,705
INITIAL
PLUS TAX INITIAL
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
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