HomeMy WebLinkAboutCCF_000026.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/28/2022 Permit Number:
ULIQL;
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
Address: 12418 HARBOUR RIDGE BLVD # 6-7
Property Tax ID #: 4426-807-0047-000-8
Site Plan Name:
Project Name: _
LIKE FOR LIKE 3 TON 16 SEER SYSTEM WITH 8 KW HEATER
New Electrical Meter Second Electrical Meter
(Affidavit required)
Lot No. —
Block No.
Additional work to be performed under this permit— check all that apply:
- Mechanical — Gas Tank — Gas Piping — Shutters Windows/Doors Pond
— Electric — Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 6275
— Sprinklers — Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: — Sewer — Septic Building Height:
Name ROBERT & BETSY CO ITH
Address: 12418 HARBOUR RIDGE BLVD # 6-7
City: PALM CITY State: FL
Zip Code: 34990 Fax:
Phone No. 513-604-2906 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.
Name:
Address: _
City: State:
Zip: _ Phone
FEE SIMPLE TITLE HOLDER: � Not Applicable
Name:
Address: --
City:
Zip Phone:
MOKTGACE COMPANY, Not Applicable
Name:
Address:
City: State,
Zip: Phone:
BONDING COMPANY: .-—Not Applicable
Name; _
Address:
City' -
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
t certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with any applicable Homeowners Ass0bation rules, bylaws or -arid covenants that may restrict or prohibit such
structure_ Please consu t with your Homeownem 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 wifl, 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, 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 Commencen»ient must be recorded in the public records of St.
Lucie County and pasted on the jobsite before the first inspection, if you intend to obtain financing, consult
with lender or an attorneu before commencine work or recordine your Notice of Commencement.
Signature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY
Sworn t�r affirrrme ) and subscribed before me of
Physical Presence or _._.._. _ Online Notarization
this . day of —� �boZy
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Name of person making statement.
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Personally Known _.,,�i!" OR Produced ldc�ntification
Type of Identification oduced_».._�. _.__
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(Signature O' Notary Public- Sta a of Florida)
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Commission No. (acai} � �
RONALD LAUGH +l
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Commission k HH 067157
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COUNTER REVIEW REVIEW
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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 * RUUD * LENNOX * TRANE * AIR CONDITIONERS
February 17, 2022
NAME: ROBERT COITH
ADDRESS: 12418 HARBOUR RIDGE BLVD PALM CITY, FL 34990
PHONE: 513-604-2906
EMAIL: robbcoith@gmail.com
JOB NAME/ADDRESS: 12418 HARBOUR RIDGE BLVD PALM CITY, FL 34990
HAS 3 TON SYSTEM. AIR HANDLER VERTICAL IN WATER HEATER RETURN COSET ON STAND.
WE PROPOSE TO: REPLACE EXISTING HEAT AND AIR SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 3 TON 2 SPEED SYSTEM WITH 8 KW ELECTRIC STRIP HEAT (SEE OPTIONS BELOW)
2. REMOVE AND DISPOSE OF EXISTING EQUIPMENT
3. DIGITAL NON-PROGRAMABLE THERMOSTAT
4. CONNECT TO EXISTING REFRIGERANT AND DRAIN LINES
5. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING
6. CIRCUIT BREAKERS AS NEEDED
7. ONE YEAR LABOR WARRANTY
8. FIVE YEAR CARRIER/CHAMPION PARTS WARRANTY. 10 YEAR PARTS WARRANTY WHEN REGISTERED
FOR ORIGINAL OWNER, WITH IN 30 DAYS OF INSTALLATION.
9. PERMIT (SOMEONE WILL NEED TO BE AVAILABLE TO LET IN COUNTY INSPECTOR)
10. FREE INSPECTION AFTER A YEAR.
CARRIER 3 TON 16 SEER SYSTEM.
24ACB736A003, FV4CNF003L00 AND 8 KW HEAT
FOR THE SUM OF: $ 6,755.00 (FPL REBATE - $ 150.00) $ 6,605.00 INITIAL
IF PAID BY CHECK: $ 6,275.00
CHAMPION 3 TON 16.25 SEER SYSTEM
AL19B3621S, AE36BX21-TXV AND 8 KW HEATER
FOR THE SUM OF: $ 7,435.00 (FPL REBATE - $ 150.00) $ 7,285.00 INITIAL
IF PAID BY CHECK: $ 9,920.00
CHAMPION 10 YEAR LABOR AGREEMENT: $ 375.00 PIUS TAX INITIAL
5 YEAR LABOR AGREEMENT FOR THE SUM: $ 695.00 PLUS TAX INITIAL
10 YEAR LABOR AGREEMENT FOR THR SUM OF: $ 1,200.00 PLUS TAX INITIAL
HONEYWELL WIFI TSTAT FOR THE SUM OF: $ 200.00 INITIAL
QUOTE GOOD FOR 30 DAYS
ACCEPTED ........................... SIGNED...... I?✓I�c.t
ONNIE LA
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