HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/07/2021 Permit Number:
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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
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
or{r{rP«• 9314 WORLD CUP WAY
Property Tax ID #: 3327-801-0016-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 3.5 TON 14 SEER HP SYSTEM WI I H 8 KW BACKUP HEATER
Lot No._
Block No.
New Electrical Meter Second Electrical Meter_----
CONSTRUCTION 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: $ 5825 Utilities: —Sewer _ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SALVATORE & JEANNE TASSONE
Name: CURTIS SAMMONS
Address:33 DEBRA LANE
Company: CUSTOM AIR SYSTEMS INC
City. AGAWAM State:
Zip Code: 01001 Fax:
Phone No. 413-537-6886
Address: 1615 SE VILLAGE GREEN DR
City: PORT SAINT LUCIE State: FL
Zip Code: 34952 Fax: 772-335-1968
Phone No 772-335-3232
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail CUSTAIRSYS@AOL.COM
State or County License CAC051810
If value of construction is 2500 or more, a RECORDED Notice of Commencement is requireo.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
— Not Applicable I MORTGAGE COMPANY:
Name:
Name:_
Address:
Address:
City:
State:
City: _
Zip: Phone
Zip:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
Phone:
BONDING COMPANY:
Name:_
Address:
City:`
Zip: —
Phone:
— Not Applicable
State:
Not Applicable
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 recordine vour Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 3T 4~V G6
COUNTY OF
Swpm to (or affirmed) and subscribed before me of
V Physical
Swojn to (or affirmed) and subscribed before me of
P ence or Online Notarization
this day of ^� �y � 202(t by
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✓ Physical Presence or Online Notarization
this day of �Q'TL' Md�ti, 202P by
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Name of person making statement.
Name of person making statement.
i Personally Known OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Niftary Pu c- State of Florida
Signature of Notary Pub K - State of F{ yj6ia) CHPJSTM IL ENOW
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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
December 6, 2021
NAME: SAL TASSONE
ADDRESS:9314 WORLD CUP WAY PSL, FL 34986
PHONE: 413-537-6886
EMAIL:
JOB NAME/ADDRESS: 9314 WORLD CUP WAY, PSL 34986
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 3 't TON HEAT PUMP SYSTEM WITH 8 KW ELECTRIC STRIP HEAT. (SEE OPTIONS BELOW)
2. CONNECT TO EXISTING REFRIGERANT LINES
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED)
4. DRAIN LINE SAFETY FLOAT SWITCH
5. PERMIT (INSPECTION BY CITY REQUIRED)
6. CONNECT TO EXISTING DUCT SYSTEM
7. DIGITAL THERMOSTAT
8. TIE DOWN BRACKETS
9. ONE YEAR LABOR WARRANTY
10. FIVE YEAR CARRIER PARTS WARRANTY.10 YEAR PARTS WHEN REGISTERED IN 30 DAYS OF
INSTALLATION FOR ORIGINAL OWNER
CARRIER 3 '� TON 14 SEER SYSTEM. 25HCE442AP03, FX4DNF043 , HEATER
FOR THE SUM OF: $ 5,825.00
IF PAID BY CHECK $ 5,525.00 INITIAL
1 --
QUOTE GOOD FOR 3 A
TO BE PAID: AT F S V /
ACCEPTED. ... .......
... 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