HomeMy WebLinkAboutCCF03212022_0001.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/21/2022
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) 462-1578
PERMIT APPLICATION FOR:
Address: 8589 FLORENCE DR
Property Tax ID #; 3426-664-0071-000-5
Site Plan Name:
Project Name:
Commercial Residential
CBDG Funding
LIKE FOR LIKE 3 TON 14 SEERPACKAGE UNIT WITH 10 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 — Plumbing — Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 4895.00
Nance LA BUONA VITA CO -Op INC
(Affidavit required)
Sq. Ft, of First Floor:
Lot No.
Block No. _
Windows/Doors Pond
___- Roof Pitch
Utilities: —Sewer — Septic Building Height:
Address: 8601 S FEDERAL HWY
City:PORT ST LUCIE
State: FL
Zip Code: 34952 Fax:
Phone No. 772-871-0690 _
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
I Name: CURTIS SAMMONS
Company: CUSTOM AIR SYSTEMS INC
Address: 1615 SE VIILAGE GREEN DR
City: PORT SAINT LUCIE Stag: FL
E- Zip Code; 34952 Fax:
Phone No 772-335-3232
E-Mail CUSTAIRSYS@AOL.COM
Mate 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.
Not Applica
Name:
Address:
city: State:
zip: Phone
DRAMATIC
MORI GAGE COMPANY: Not Applicable
Name.
Address:
city: State:
Zip: Phone;
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY -
Nape: --Not Applicable
Name,
Address:
City Address:
City:
ZiP: Phone:
Zip: Phone,
OW ER CONTRACrOR AFFIOVIT. 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,
SL Lucie County makes no representation that is
which conflicts with an permit will authori,e tfi(-r permit holder to build the subject. structure
11 applicable Homeowners%=o'n 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, pertorm the work
in accordance with the approved plans, the Florida Building Codes and St, Lucie County Amendments.
Th
e following building permit applications are exempt from undergoing a full conCAJI roncy review- room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses toanothor non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvoments to your property, A Notice of Commencement most 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 tender or an attorney before Com mencina work or recording your Notice of Commencement.
1---,- I - - - I,--------- -
Signature of ContrActor"-, 0'r - Owner Buifder as applicable
i STATE OF FLORIDA
COUNTY OF
Sworn �q (or affirmed) an0
d subsbe m
ed before of this Physical Presence or ' Driline Notarization
_��ay of "M��
Na7e ;f PI-MOn making statertit-r,1
Personally Known Produced Identification,
TYPe of Identification Brodurpri
of Notary Publit, - sTaK "0 Florida)
Commission No.
(_?e i 11)
REVIEWS
DATE
RECEIVED
FRONT ZONING
COUNTER REVIEW
'01 #�'
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SUPERVISOR I PLANS VEGETATION SEA TURTLE
REVIEW I REVIEW REVIEW t REVIEW
MANGROVE
REVIEW
Custom Air Systems Inc.
1615 SE Village Green Drive • Port St. Lucie, FL 34952 O
(772)335-3232 • Fax ( 772) 335-1968
Proposal and Agreement
Customer Name -, to 2 0 Phoney " ' 0� L 0 Date
Address (�
Job Address
C r•''
City, State, Zip JL � � LM9 2 N_ Work Phone(s)
We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal.
Make ode Number(s)
SEER EER AFUE
Installation shall include:
Equipment Specifications
n
Btuh Cooling
Btuh Heating CFM
n
u
X in boxes = Yes
❑ New Amp disconnect 8-4emove existing equipment from premises ❑ New condensate drain system
❑ New Amp electric service
❑ New low voltage wiring
❑ New weather resistant equipment stand
tT <ew reinforced equipment pad
E;-Keew vibration isolation pads
❑ New properly sized refrigerant lines
❑ New clean, dry ACR copper tubing
❑ Insulate refrigerant suction line(s)
❑ Install energy saving setback thermostat ❑ New condensate pump
❑— New copper wire from to ❑ Install aux. condensate drain pan
F!! Neake air tight plenum transition ❑ New high efficiency air filter
❑ new supply diffuser(s)
❑ New duct run from to
❑ Noise reducing flexible duct connector
❑ Balance for uniform supply air distribution
❑ Provide for external combustion air
❑ Install refrigerant drier(s) ❑ New gas piping from to
,B'Evacuate refrigerant system ❑ New vent pipe and cap
l*�Charge to manufacturer's specs 0 C can work area to customer's satisfaction
❑10eet all federal, state & local laws ,8�condensation overflow safety switch
❑ New humidification system
❑ N w return air filter grill
t all code requirements
Com 1 system start up
El year parts warranty
❑ year labor warranty
❑ year compressor warranty
❑ year service agreement
❑ Option (below) Ibtal4
O�rricane Fasteners for outdoor unit qq a-f
nvest t $�-�-
Taxes $ fI
✓ ����!'/� V✓(Ji% `�, �/ �j/`� �i���:.� �C./ Total Amount $ `
Down Payment $
Balance Due $
Terms: Z
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By
Approval
Date By
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