HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: WPermit Number:
o - -
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION: 11
Address: -N -` -
Legal Description:
Property Tax ID #: -iia Lot No.a:z_
Site Plan Name: Q LIA cikgaS—1 1 ME Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: III
Replacing A/C, exact change out, no duct work with
'5 -koN, t7l SE?. i. LOW
CONSTRUCTION INFORMATION:
ACIclitional worK toe errormed under this perms --Checka appy:
&VAC Gas Tank ❑Gas Piping_ Shutters ❑ Windows/Doors
11 Electric 1:1 Plumbing ❑Sprinklers ❑ Generator ❑ Roof
Total Sq. Ft of Construction:
co
Cost of Construction: $
S Ft. of First Floor: _
Utilities: Sewer ❑ Septic
Building Height:
OW N ERAESSEE:
CONTRACTOR:
Name p_ QLIX
Name: Zacek, Dennis
Address: t--LI,,�
Company: American Residential Services
City: tv� St. L a(l L State:_
Address: 2800 US Hwy 1
Zip Code: 3LQ Z�e Fax:
City: Vero Beach State: FL
Phone No.��a-a "' �� r��
Zip Code: 32960 Fax: 772 794-9783
E -Mail:
Phone No. 772 794-7221
Fill In fee simple Title Holder on next page ( if different
E -Mail: bderby@ars.com
from the owner listed above)
State or County License: CMC1249753
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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 vour Notice of Commencement.
_ Signature of Ow er/ Lessee/AEent Signature of Cont or/license Holder
STATE OF FLORIDA
COUNTY OF St. Lucia
The forgoing instrument was acknowledgeq before me
this "L� day of Y� 20 Uby
STATE OF FLORIDA
COUNTY OF s+Luci-
The forgoing instrument was acknowledged before me
this -11 day of 20 4 by
Dennis Zecek Dennis Zacek
(Name of person acknowledging) (Name of person acknowledging }
(S gnature of Notary Public- St& of Florida } (Signature of Notary Public State o Flo ida }
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of identification Produced
Commission No. FF220MO " :: ( N A DERBY ommission No. FF2209311 4 CpBETH a GE
MY COI4IMISSION # FF29ea 1 MMlSSI
a. r._._ ON#
Revised 07/15/2014
ew
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Michelle Franklin, CFA— Saint Lucie County Property Appraiser—All rights reserved.
SileAddress
Pored ID
Account p
Map ID
UScTW..
Zoning
City1county
Ownership
Ovinift P.I.
Frederid L 11"4
9554 Mimi LN
P-1 Sr L -mc FL 31995
Legal Description
PINES AT THE RESE RVE LOT 2' IOR }U2 n U•i
Current Values
JusL%IWkct Vduc
S237 Snit
Assessed V4luc
5222141
E9cmptiom
f50.mo
Tm&blc Value
5172,14+
Tases for dtis pmcd SLC Tar Cullectur i OJr.ce O
Download TRIM fur this parcel: J)"nlasd POF O
Total Areas
FuushaWnder Air ISF) 2,241
C,rosrAma(SF) 3.453
Land Swe (acres) 0.19
Lorin Sue (SF). X,19A
Property Identification
4311 Avcncl LN'
332'_.502.001119X49
136.1!2
3H'�' f
lieu infrn lion is believed to be correct u this tine but itis subject to chma and is not wurarACCL
C Copyright 2017 Sault Lucie ColoProperty Appraiser PropAppraiser AR n tts."Vned