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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/10/21
Permit Number:
o j
_Building PermitAppl.ication— _— __.__
Planning and Development Services X
BuildingResidentialandCodeAeyulatlonDivision Commercial —
2300 Virginia Avenue, Fort Pierce FL 349B2
Phone: (772) 462-1553 Fax: (772) 4624578
PERMIT APPLICATION FOR:
I) Address:8441 MUIRFIELD WAY
3328-802-0022-000-8 Lot No.
Property Tax ID tt: __ _ _ 11
Block No,
Site Plan Name:
Project Name: DOROTHY/EDWARD LYNCH
LIKE FOR LIKE A/C CHANGE OUT on, seer, w
New Electrical Meter Second Electrical Meter
Additional work to he performed under this permit —check all that apply:
'Mechanical _Gas Tank
Gas Piping _Shutters
, Ft, of First Floor:
Windows/Doors _Pond
Roof Pitch
Utilities: Sewer ^,Septic Building Height:
Name DOROTHY/EDWARD LYNCH
Address: 8441 MUIRFIELD WAY
City: PT ST CIE _State: FL
Zip Code: 34986.Fax: _
Phone No. 772-595-1092
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the owner listed above)
Name: Christopher Langer
company: Sea Coast A/C and Sheet Metal Inc.
Address _3108 Industrial 31st Street
city: Ft Pierce State: FL
7..ip code: 34946.Fax: 772-448-4416
Phone No 772-466-2400
E-Mail Info(@seacoastal
State or County License CMC035421
value of construction is 2500 or more, a RECORDED Notice of Comm
NTALCOIV�TRUC1'ION�IEN lAW1f�F0RIJ/IATION
$UPPLMI
Not Applicable MORTGAGE COMPANY: Not Applicable
DESIGNER/ENGINEER. _ _
Name: — Name:
Address: _ Address:
State:
City: State: _ City:
—_—Phone--- ---._. —_Zip_._.__-._._P-hone-:—._--- --- —
—
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. Luele Cc On makes no representation that is granting a permitwill authorize the permit holder to build the subject structure
that may or prohibit such
which is in conflict with any applicable Home Owners Association rules, bylaws of and covenants restrict
deed for any restrictions which may apply.
structure. Please consult with your Home Owners Association and review your
in of -the -granting of this requested.permit, i.do bet eby agree that 1.will, In all. respects, perform the work,,,_
consideration
in with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
accordance
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
use
accessory structures, swimming pools, fences, walls, signs, sa een rooms and accessory uses to another non-residential
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
be in the public recordsof Stl
improvements to your property. A Notice of Commencement must recorded
If intend to obtain financing, consult
Lucie County and posted on the jobsite before the first inspection. you
Notice Commencement.
wit(}`hh Mender or an attorney before commencin work or rec(oor/ddiing your of
as Agent for Owner Signatute of Contractor/License Holder
Si gnature of Owner/ lessee Contractor
STATE OF FLO I P STATE OF FLOf31pA
OF
COUNI COUNTY
S to (or affirmed) and subscribed before me of S o n to (or affirmed) and subscribed before me of
om
PhXysical Presence or_Online Notarization Physical Presence or Online Notarization
DECEIVUER.20ZE by
this Udayof IIFirFAAR__G[7,202by this _Mday of
CRrift jCi (��G�
Name of person totalling statement. Name of person making statement.
X. OR Produced Identification PersonallyKnown OR Produced Identification--
Personally Known __ Type of
Type of Identification Produced —
Produced
ignature of Notary Public -//State ofFlorida) (Sigi ture of Notary Public- State of Florida)
Commission No.�(Seal) ommisslon No. 'r'rQ
L
• JUSTINAL.HOPKINSCONNE
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REVIEWS � =VIEW REVIEW
COUNT
DATE
RECEIVED
DATE
COMPLETED
ev.
Eligible for Federal Tax Credit
AHRI Certified Reference Number : 201384390 Dale : 12-10-2021 Model Status :Active
Old AHRI Reference Number : 8242082
AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Series : GSX16
Outdoor Unit Brand Name: GOODMAN
Outdoor Unit Model Number (Condenser or Single Package) : GSX16O481 F*
Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT49D14A*
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN,
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, 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 1, 2016 central air conditioners can only be installed in region(s) for
}"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being
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Iling or offering for sale.
Ratingsthat are accompanied by WASindicate an involunt ry re -rate. re-rate.The w published mine 1.9 shown alone with the previous (I e WAS) rating_
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entered into a computer database; m otherwise utilized, in any form or manner or by any means, except forthe user's individual,
NG, HEATINGI
personal and confidential reference. &I REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we make lit better'°
and enter the AHRI Certified Reference Number and the date on which the certificate was Issued,
which is listed above, and the Certificate No., witch is listed at bottom right. 132836232069742028
©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: