HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DaIe. 1216116 Permit Number:
Building Permit Application
P lct n ni ng a nd Deve lo pm e nt Se rvices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (712) 462-1553 Fax: (772\ 462-1"578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox. click arrow at the end of line
PROPOSED IM PROVEM ENT LOCATION :
Legal Description:
Property Tax lD #:
Site Plan Name:
1 425-606-0051 -000-0 Lot No
Block No.
Project Name:
Setbacl<s Front Back: Rieht Side:Left Side:
I
I DETAILED DESCRIPTION OF WORK:
I
LIKE FOR LIKE CHANGEOUT
2 5 TON 14 SEER HEAT PUMP SYSTEM
CONSTRUCTION I N FORMATION :
nal worK to rs perm rt -appry:
VI HVAC
Electric
Gas Tank
Plu mbing
[-lcas eiping
[
-lsprintters I S h utte rs
Generator
[-l *,noo*s/Doorsn[l noor
Total Sq. Ft of Construction:So. Ft. of First Floor:t--l r-_l
Utilities: I lsewer I lseptic Building Height:Cost of Consl,ruction' 5 4790.00
CONTRACTOR:
Name: CHRIS LANGEL
Company: SEA COAST A/C
Address: 3'108 INDUSTRIAL 31st STREET
City:FT PIERCE trl5Tare:' -
ZiP Code: 34942 V.ay. 772-466-3053
phone 11s. 772-466-240Q
E-M ait: DANISEACOASTAIR@AOL.CoM
State or County License: CIMC035421
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Address: 3100 N A1A #1 '105
OWN ER/LESSEE:
J13mg SUSAN DYES
Address: 311 PRINCETON BLVD
city: ALFI4NDRIA
Zip Code: 22?!L Fax:
phone 11o. 703-409-6869
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
/ INFORI
DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City:State:
zip:Phone:
MORTGAGE COMPANY: Not Aoolicable
Name:
Ad d ress:
City State:
zip:Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add ress:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Ad d ress:
City:
Zip: __ Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is erantine a oermit will authorize the permit holder to build the subiect structurewhich is in conflict with anv dpplicable Home Owhers Asiociation rules. bvlaws or and covenants that mav restrict dr orohibit suchstructure. Please consult With your Home Owners Association and review'your deed for any restrictions Which may a$ply.
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before
commencing work or recordin r Notice of Commencement.
Christopher P Langel DEially dsned by ChrhlopIer P Lotrgel
Gle:2o16 12 s 13 23:01 -0500
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF srLUcrE
Personally Known x OR Produced ldentification
Tvpe of ldentification Produced
Commission No. FFs6145e
(Name of person acknowledging )
Signature of Notary Public- State of Florida )
MY coMMlsruCHlf FFes t ass
EXPIRES Fsbruary 16, 2020
CHRIS LANGEL
(Name of person acknowledging )
Personally Known OR Produced ldentification
of ldentifica
nNo. F
gnature of Notary Public- State of Florida )
Revised 07l15l20I4
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