HomeMy WebLinkAbout8012 9TH HOLE DR-PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: U c Permit Number:
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U ' ' b, N _ Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: ������ V6�a'►A6
PROPOSED IMPROVEMENT LOCATION(:`
Address: C) D � � `)1 erg �r C'I S�
Property Tax ID #: 1 A L5 - r 10 I " 0 -kA - b (a) "� Lot No. `1L
Site Plan Name: 1\�1\'(\ \U a--.t Lei \i6L-\no- l , LLb Block No.
Project Name: 1� IL OLL
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
Mechanical _ Gas Tank _ Gas Piping
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Shutters _ Windows/Doors Pond
_ Generator Roof Pitch
Sq. Ft. of First Floor:
Cost of Construction: $ �` S� .�� Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name NAa r-4-amI `1D
Name: SLIE-1 rpCiSK`IAddress:bn
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Company:-TQ%C PC;-e(VlLL'S
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City: � V S-1- Lub c- State: rL
Zip Code: �05Z Fax: _
Phone No. E-
Address: Silo Z C
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City: Lato._ Li))(k
Zip Code: '�-I1D�
Phone No 5[D I LA02-
_ Fax:
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State: tL
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Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-mail S64ZDLLKti @-
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State or County License C 15)LS
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.
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DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: 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 conflicts with any applicable Homeowners Association 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, 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.
ignature of Owner/ lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF j10�fh
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online
Notarization
this A_day of 0Ck!']2f , 20 LI by
Ste, b n_)�&O
Name of person making statement.
Personally Known
Certificate of Product Ratings
AHRI Certified Reference Number : 7492911 Date . 04 25-2021 Model Status Active
AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled)
Series: R41 OA AC SPP
Outdoor Unit Brand Name : TEMPSTAR
Outdoor Unit Model Number (Condenser or Single Package) : PAJ448000K'"OA
Region. All (AK. AL. AR. AZ, CA. CO. CT, DC. DE. FL, GA, HI, ID, IL IA, IN, KS, KY. LA, MA. MD. ME, MI. MN, MO. MS,
MT. NC, ND. NE, NH. NJ. NM, NV. NY, OI-i. OK. OR. PA. RI. SC. SD, TN. TX. UT, VA, VT. WA, WV. WI. WY U.S.
Territories)
Region Note : Central air conditioners manufactured prior to January 1. 2015 are eligible to be installed in all regions
until June 30. 2016. Beginning July 'I. 2016 central air conditioners can only be installed in region(s) for,
which they meet the regional efficiency requirement.
The manufacturer of this TEMPSTAR product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of AHRI 2101240 with Addendum 1, Performance Rating of Unitary Air -Conditioning
& Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F). bttih : 47000
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.50
t"Active" Model Status are ihose that an AHRI Certification Program Participant i5 currently producing AND selling or offering for sale.: OR new models that are I-inu
nuarketpri but are not yet heing produced.'Production Stopped' Model Status are those that an AHRI Certification Program Participant is no longer producing tit) i Ul
5alliny Ur allot vi f x tial.
Ratings Thal 2n - VAS indicate an involuntary re -rate Th6iew oubiished retina is shown alarm with rile nrevinus we WAS ralina
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations. warranties or guarantees as to, and assumes no responsibility tor,
the product(s) iicted on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out or the use or performance of the product(s). or 014t
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the
directory at www.shridirectory.org.
TERMS AND CONDITIONS "IMP
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individuate personal and
confidential reference purposes. The contents of this Certificate may not, in whole or In part, be reproduced: copied: disseminated: � .. -'
entered Into a computer database; or otherwise utilized. in any form or manner or by any means. except for the user's Individual,
personal and Confidential reference. AIR CONDITIONING, HEATING
CERTIFICATE VERIFICATION a REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified :u www.ahridirectory.org. click on Verify Certificate" link
and enter the AHRI Certified Reference Number and the date on which !tie :,tufic.te was iisucd.
which is listed above, and the Certificate Nu., which is listed at bottom right,
@2021 Air -Conditioning. Heating, and Refrigeration Institute CERTIFICATE NO.:
4b
R/C • RRMReMIon
Iceioeeen • ROrenRe seeteen
(5611967-7743
TEMPTECH SERVICES LLC CAC181S125 i w�
Invoice No. 12712
6901 Okeechobee Blvd
Date. 10/13/2021
Unit D5
West Palm Beach, FL 33411
Bill To. Natalie Pagillo
richienat@aol.com
561-967-7743
shbrodsky68@comcast.net/ madeirish87@gmail.com
8012 9th Hole Dr
Port St Lucie, FL, 34952
7727858811
Description
Quantity Rate Amount
Installing new 4 ton carrier unit package unit
1 $4,450.00 $4,450.00
10 years all parts warranty
1 year labor warranty
New hurricane straps
New disconnect
New float switches
New duct work seal
New thermostat
Parts Subtotal $4,450.00
Subtotal $4,450.00
Payment Details TAX 0% $0.00
If this is a changeout of any kind 50% deposit required before work is Total $4,450.00
scheduled.
PAID $3,337.50
t Pay
BALANCE DUE $1,112.50
,q Invoice2go d