HomeMy WebLinkAboutCCF03212022.pdfAll APPLICABLE INFO MUST @E COMPLETED FOR APPLICATION TOBEACCEPTED
Date: 3%21/2022 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division COD0[neMCia| Residential
Z3D0Virginia Avenue, Fort Pierce fl34982
Phone: (772)462'15S3Fax: (772)462'157O CB[]G FQndiOg_________
. t-^..vn / nr r u%-M/ /Wm rUn.
Address: 8587GALLBERRYC|R
Property Tax |D#: 34257-- -'-' ~~~ ~ Lot No.
Site Plan Name: Block No.
Project Name:
LIKE FOR LIKE 4TON 1*SEER PACKAGE UNIT WITH 1uxvvHEATER
New Electrical Meter_ Second Electrical K4ete (Affidovhrequire6)
Additional work to be performed under this pert -nit -,check all that apply:
Mechanical — GasTank — 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: $ 5635 Utilities: S-ewer Septic Building Height:
Company: CUSTOM AIR SYSTEMS INC
Zip Code: 34952 Fax:
City: PORT SAINT LUCIE
State: FIL
Phone No. 772-785-5115
Mail: Phone No772-335-3232
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 2566 r ore, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER ENGINEER:
Name;
Address:
City-,
fC`T10,fq LIEN LAWINFORMATION:
- ------ - ---
Not Applicable MORTGAGE CONIPANY - ----- Not Applicable
State-,
70: —_—Phone
FEE SIMPLE TITLE HOLDER:
Narne:
Address:
City:
Zip: Phone:
— Not Applicable
Name.,
Aciclres5;
City; v State.,
zip. Phone:
BONDING COMPANV: Not Applicable
Name:
Address;
City:,_
zip:
OWNER/ CONTRACrOR AFFIDVIT, Application is hereby made to obtain a perinit to do the work and installation as indicated.
I certify that no work or installation has corrirnenced prior to the issuance of a permit.
St. Lucie County makes no representation that is pranting'a permit will authcirrzi= the permit hi-Ader to build the subject structure
which conflicts with anyy applicable Homeowners'Asssociation rules, bylaws or covenants that may restrict or prohibit such
consult:
structure. Please co with your Homeowners Association and review yotir deed for any restrictions which may apply.
In consideration of the granting of this requested perrmt, 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 oxerript from undergoing a full concurrency review: room additions.,
accessary 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 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 como mencing wrk or recording your Notice of Commencement.
F"I 111 . ... ......
761�ner E3uilder as applicable
or
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of PhVsical Presence or Online Notarization
this,2_L_ day of t11&v01- -b-
20a""_ by
Name of per<,cin making staterrient
Personally Known �C_AProduced Idontification
Type of ldentfflrafion�oducecl
(Signature of Notary Public- 5TaWe of _Flnrld�j)
Commission No, Ativoay ILI)
REVILWS
I)ATE
RECE,
r. OATE
FRONT
i ZONING
COUNIER REVIEW
RONALD LAUCH
EXPIM November 29,2024
,,Or FiA bosdod Nu %*ej %*ivy sw*,n
SUPERVISOR PLANS VEGEH 'IAJN SEA TURTLE MANGROVE
REVIEW RMEW RI VIFVV -REVIEW--,-- REVIEW
Custom Air Systems Inc.
1615 SE Village Green Drive • Port St. Lucie, FL 34952
(772)335-3232 • Fax ( 772) 335-1968
Proposal and Agreement
Customer Name-- S'2il�V� Phone Da-t
Address 8-/ l Zc,�� ,P/r �/ , �/ Job Address
City, State, Zip &ALtc J ' Work Phone(s) r
We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal.
.}— Equipment Specifications
Make Model Number(s) ,m �c,
SEER EER AFUE Btuh Cooling_ `� Btuh Heating M
11
C
G
u�
❑ New Amp disconnect PJ'Remove existing equipment from premises
❑ New Amp electric service ❑ Install energy saving setback thermostat
❑ New low voltage wiring ❑ New copper wire from to
❑ New weather resistant equipment stand �e air tight plenum transition
❑ New reinforced equipment pad ❑ new supply diffuser(s)
❑ New vibration isolation pads ❑ New duct run from to
❑ New properly sized refrigerant lines ❑ Noise reducing flexible duct connector
❑ New clean, dry ACR copper tubing ❑ Balance for uniform supply air distribution
❑ Insulate refrigerant suction line(s) ❑ Provide for external combustion air
❑ Install refrigerant drier(s) ❑ New gas piping from to
❑ Evacuate refrigerant system ❑ Ne vent pipe and cap
Char to manufacturer's specs Clean work area to customer's satisfaction
eet all federal, state & local laws ❑ Condensation overflow safety switch
�urricane Fasteners for outdoor unit
El Option (below) ❑
ck-ed -S 53'oD
h2on�
/ by akR q,-', o 44�
Terms
X in boxes = Yes
❑ New condensate drain system
❑ New condensate pump
❑ Install aux. condensate drain pan
❑ New high efficiency air filter
❑ New humidification system
❑ Ne return air filter grill
eet all code requirements
�le system start up
❑ year parts warranty
❑ year labor warranty
❑ =Year compressor warranty
❑ year sprvice,agreement
Taxes
Total Amount $
Down Payment $
Balance Due $ 3
u
Acceptance (Customer) Approval ( pany)
By Date By Date