HomeMy WebLinkAboutCCF_000044.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 Commercial Residential
2300 Virginia Avenue, Port Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
Address: 2933 EAGLES NEST WAY
Property Tax ID #: 3424-701-0167-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
LIKE FOR LIKE 4 TON 14 SEER PACKAGE UNIT WITH 10 KW HEATER
New Electrical Meter Second Electrical Meter
(Affidavit required)
Additional work to be performed under this permit— check all that apply:
X Mechanical __._ Gas Tank — Gas Piping — Shutters Windows/Doors _ Pond
— Electric — Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
— Sprinklers — Generator Roof Pitch
Sq. Ft. of First Floor:
5235.00 Utilities: ___. Sewer _ Septic Building Height:
Name JOSEPH & JUDITH MALOSSINI
Address: 2933 EAGLES NEST WAY
City: PORT SAINT LUCIE State:
Zip Code: 34952 Fax:
Phone No. 516-641-2593
E-
Mail:
Fill in fete 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.
Not Applicable I MORTGAGE COMPANY: Not Applicable
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Name: Name:
Address: ._._......m.m�. ....___.___�__. ._. ;Address:
_
City. Stater City: State:
Zip: Phone Zip: Phone: f
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FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: Not Applicable
_
Name: _� Name
Ad€reSS:
Address:
City: City:
Z#p: Phone, 'Zip: Phone: I
OWNER/ CONTRACTOR 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.
St. Lucie County makes no representation that is ranting a permit will authorize the permit holder to build the subject structure
which: conflicts with y applicable Homeowners�ssociation rules, bylaws or and covenants that may restrict or prohlbit such
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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 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, watts, signs, screen rooms and accessary uses to anotheir 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-rent 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 attcrrn before comrrael cig work or recring Your Nance of Commencement.
Signature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
j COUNTY
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization j
_ ._._�_.
this I, day of ! ,, 20Z stay
i
Name of person making statement.
personally Known ,., j,i!f�C}R Produced Identification
Type of Identification Piroduced
(Signature cif No€ary Po ic- Sta .e of Florida)
) 4•". � RfiNAI D iJd1C.P{
Commission iG eai r
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C(immission N HH 067257
Expiras MavembMr 29, 2024
bOndea T*u og — L,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE iVIANGROVE t
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW1 l
_
DATE
i RECEIVE{
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Custom Air Systems Inc.
1615 SE Village Green Drive • Port St. Lucie, FL 34952
(772) 335-3232 •Fax (772) 335-1968 +�
Proposaran&Agrvement I /�
Customer Name% o SS I I') I Phone —b T O Date
Address r /e / ves�v'�� Job Address
S
City, State, Zip � � � � Work Phone(s)
We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal.
MAJ Equipment Specifications
Make AC-6 + '—�" � Model Number(s) -PR ���0 f T �C
SEER EER AFUE Btuh Coolin 7g�6 Btuh Heating { ' CFM
Installation shall include:
❑ New Amp disconnect
❑ New Amp electric service
❑ New low voltage wiring
❑ New weather resistant equipment stand
❑ New reinforced equipment pad
O New vibration isolation pads
❑ New properly sized refrigerant lines
❑ New clean, dry ACR copper tubing
O Insulate refrigerant suction line(s)
❑ Install refrigerant drier(s)
❑ Evacuate refrigerant system
❑ Charge to manufacturer's specs
❑ Meet all federal, state & local laws
❑ Option (below)
cR A-f r IC-e-
Terms
Ent rom premises
❑ Install energy saving setback thermostat
❑ New copper wire from to
❑ Make air tight plenum transition
❑ new supply diff iser(s)
❑ New duct run from to
❑ Noise reducing flexible duct connector
❑ Balance for uniform supply air distribution
❑ Provide for external combustion air
❑ New gas piping from to
❑ New vent pipe and cap
❑ Clean work area to customer's satisfaction
❑ Condensation overflow safety switch
❑ Hurricane Fasteners for outdoor unit
Acceptan mer) Approval
By _ Date By
_J X in boxes = Yes
O New condensate drain system
❑ New condensate pump
❑ Install aux. condensate drain pan
❑ New high efficiency air filter
❑ New humidification system
❑ New return air filter grill
❑ Meet all code requirements
❑ Complete system start up
year parts warranty
year labor warranty
O year compressor warranty
❑ year service agreement
El
Total Investment $
Taxes $
Total Amount $
Down Payment
Balance Due $