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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 2/11/2021 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: 8004 9TH HOLE DR Property Tax ID #: 3425-707-0207-000-5 Lot No. Site Plan Name: Block No. Project Name: DtTAILED IDL CRIPTION CAE WORK: LIKE FOR LIKE 3.5 TON 14 SEER PACKAGE UNIT 10 KW HEAT New Electrical Meter Second Electrical Meter LNSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: Mechanical _ Gas Tank —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: $ 4475 Utilities: —Sewer _ Septic Building Height: OWNER/L£SSEIW: CONTRACTOR: Name HORST & FRANCOISE EMMERT Name: CURTIS SAMMONS Address: 8004 9TH HOLE DR Company: CUSTOM AIR SYSTEMS INC City: PORT SAINT LUCIE State: C. L Address: 1615 SE VILLAGE GREEN DR City: PORT SAINT LUCIE State: FL Zip Code: 34952 Fax: Phone No. 772-873-1230 Zip Code: 34952 Fax: 772-335-1968 E-Mail: Phone No 772-335-3232 Fill in fee simple Title Holder on next page ( if different E-Mail CUSTAIRSYS@AOL.COM State or County License CAC051810 from the Owner listed above) 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION. DESIGNER/ENGINEER: — Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: — Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners 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, 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 commencing work or recording our Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF 'S/ A,( STATE OF FLORIDA COUNTY OF S'� ,LllCl2 S fn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this 11 day of F 2020 by Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this t1 day of '!� , 2020 by �.u�r�-,� c7G�.r�mo+n5 � c7r�-►�� vr�,©n5 Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Type of Identification Personally Known OR Produced Identification Type of Identification Producedc Produced ' 'Notary 1 (Signature of Notary ,t blic- St`' of Florida) to D Jro2 .l Y i�,P�a�� CHRISTINE B ENGL►S Commission No.*IfYCOMMtSSION#GG \ate EXPIRES: ApdI4,2101 Boyd Tft Gudaet NotarvSe (Signature ofPu c- Sta f Florida ) �p-!�:.��4,� CHRISTINE B 5�ommission No. ir+rn !�✓' 5�,� r�f)MYCOMMISSION 0GG h/, `o� EXPIRES:AprW4, s kMed TMu Budget NaftS REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/6/20 CUSTOM AIR SYSTEMS INC. SALES * SERVICE * INSTALLATION * APPLIANCES 1615 SE. VILLAGE GREEN DR. PORT ST. LUCIE FL.34952 335-3232 465-0559 562-2777 FAX (772) 335-1968 CAC051810 CARRIER * RHEEM * GOODMAN * TRANE * AIR CONDITIONERS KITCHENAID * WHIRLPOOL * APPLIANCES February 11, 2021 NAME: HORACE & FRANCOISE EMMERT PHONE: 772-873-1230 EMAIL: hfemmert@aol.com JOB NAME/ADDRESS: 8004 91H HOLE PSL, FL 34952 WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM. BID INCLUDES THE FOLLOWING. 1. 3 '-� TON SYSTEM WITH 10 KW ELECTRIC STRIP HEAT. (SEE OPTIONS BELOW) 2. A/C SLAB IF NEEDED 3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED) 4. PERMIT (INSPECTION BY CITY REQUIRED) 5. CONNECT TO EXISTING DUCT SYSTEM 6. DIGITAL THERMOSTAT 7. TIE DOWN BRACKETS 8. ONE YEAR LABOR WARRANTY 9. FIVE YEAR ARCOAIRE PARTS WARRANTY.10 YEAR PARTS WHEN REGISTERED IN 30 DAYS OF INSTALLATION. ARCOAIRE 3 11 TON 14 SEER SYSTEM FOR THE SUM OF: $ 4,475.00 IF PAID BY CHECK: $ 4,250.00 QUOTE GOOD FOR 30 DAYS TO BE PAID: AT TIME OF SERVICE. PAJ4042, 10 KW HEAT ACCEPTED ........................... INITIAL SIGNED.. RONNIE LAUCH 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: 850487-1395 mailing address: DBPR customer contact, 1940 N. Monroe St., Tallahassee, FL. 32399-0786