HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: C� - % r c2 01- Permit Number:
`n U11
t
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
Address: 1760 WALDEN PONDS DR
Property Tax ID ##: 2303-211-0025-000-5 Lot No.
Site Plan Name:
Project Name:
LIKE FOR LIKE 4 TON 14 SEER PACKAGE UNIT WITH 10 KW HEATER
New Electrical Meter
Second Electrical Meter
Additional work to be performed under this permit -check all that apply:
,, Mechanical
_ Electric
Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
5565
Name FRED & MARGIE BRINGE
Address: 1760 WALDEN PONDS DR
— Sprinklers
Shutters
(Affidavit required)
Windows/Doors
. 1 as
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer Septic Building Height:
City: FORT PIERCE State: FL
Zip Code: 34945 Fax:
Phone No, 419-5419-4954 E-
Mail:
Fill In fee simple Title Holder on next page (if different
from the Owner listed above)
Name: CURTIS SAMMONS
Company: CUSTOM AIR SYSTEMS INC
Address: 1615 SE VIILAGE GREEN DR
City: PORT SAINT LUCIE State: FL
Zip 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 Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
Im
Name:
Address:
cityyz State:
Zip. —
MORTGAGE COMPANY. Not Applicable
Name:
Address:
City: State,
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Appiicable BONDING COMPANY:
Name:
- Name., .......
- —
Address:
_-_--_-_-
Address;
City:
city
Zip: Phone-,
Zip: Phone:
—Not Applicable
OWNER/ 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 C unty makes no representation that is ranting a permit will authorize the permit holder to build the subject structure
which conflicts with an applicable Homeowners'ssodation rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consuft 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 Building Codes and St, Lucie County Amendments.
'The following building permit applications are exempt from undergoing a full ConCUrrency review: room additions,
accessary structures, swimming pools, fences, walls, signs, screen rooms and acces.,,ot,y uses to another no, i -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 attornev before commencing work or recording VOUr Notice of Commencement.
Signature of Contiacior - or Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF_,__5�LUr '-e
Sworn to (oraMrm!!O) and subscribed before me of Physical Presence or Online Notarization
this _La day of qAy
Name of person making statement.
Personally Known OR Produced Identification
Type of tclentificationy oduced__._
(Signature of Notary Public- Stare of Florida)
Commission No.
RONALDLAUCH
Gommis4iori # HH 067257
Expires Navembw 29,2024
'SEA
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION TURTLE MANGROVE
COUNTER REVIEW REVIEW
DATE
REVIEW REVIEW REVIEW REVIEW
RECEIVED
F
COMPLETED
KeV IVIU11 I
2/17/22, 3:52 PM Yahoo Mail - No 5uolect
-Ustotn Air Systems inc.
Job . fc"
Wink f%ortetN�
taild itrrrttsh tr3i"'t zlt and SrrviAX the-, qssiP n"c' rt sistcd at the prier., truer aini3 .,°gritftttsrn= . tzthned On lkas� propr"ui.
Model :Nuintvr,,)
AFL'..
coTijiect
New �.m > p e Cric semIce
ti Sow vol e Wiring
New wtather tam equipment stand
New avi€tforc-W equipment pod
i, r New vr°brxion rsotation pis
C New properly sized reftigeram hnv:
03 New clean, Jry aCR copper tuhing
$ Lmihif refrig Tara woion lineis;
l:? tr#",call reiri imm dr'ict ts)
v uutc MfrigOsAnt ISY$tetxt
Charst to rraanufwtustr's specs
i meet all #rsirr<si, suit a'% 1t?rnl laws
.� ii tticirt t t,ltn ,
$tuh }feasting._•.._: _.— CFM
' Rers'as'c existtt YusPrraem (rss7r pr rt€ses
? Install ityltrgy setback thermostat
New wire fya* tr
Make air tigm Plenum trvoition
nrw %aipply diffraserPsl
�i New duct run :tom
tii,,�t mducing flexible dtict csrrusma;t(+t`
} baians fi-)r e wform supply air divriiwrion
iartK aft extermal cunkustion air
New gars pipigig Pecsm _ to .
i1ew teat Pipe aar4 cap
Clean *vrk wta to €armci is satisfaction
1 f:trnrl-osattso€a otert"tarw satiny swiscfa
te: stimiciom FAgvrA ,rs for Outdoor uak
t,t {PfCttt r lxptrc
By
Dat W
X 3Ii tioxcs
NNW c01rWc da&a'sn ryssern
Now modemate pwnp
d. inetall a0— Condeawt drain past
s New high afritki y air fitter
Nrw humidifl tion itySem
New mourn .air fitter grill
Mom all c(Kk rk' ttirviri w,
C 1 sys,m smart up
year Paris warranty
year ltthcar warranty
1. Gf __ year crmPres4m warranty
:".'" „........+.�..._ year service gret3ment
is l Inwsttraent
Ines
'Totail Amount
Down 'Payment 5
1 ittlarce Due ..a m_—
23