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HomeMy WebLinkAboutBuilding Permit Application JUN/12/2015/FRI 11 : 17 AM ARS Rescue footer FAX No, 772-794-9783 P, 001 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r� Date:1,O_ Permit Number: V 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 :}.- Y 1.. '$'� nc,�n(I`�ou.N t• I_ b. �w9 1 I r:l I�p�w, . Address: EDD V F,(� tr -�" �j°ere'' F1_ 34 Legal Description:4-bJiCao-es s a-_- __ n S-C./ Lt r Property Tax ID#: I 31 5,00 100 3 9'00 ' to _ Lot No.� Site Plan Name: ,T�Cw'(* 3f'XBlock No. Project Name: Setbacks Front Back: Right Side: Left Side: Replacing AIC, exact change out, no duct work with 3`rani en-rrier- itiona woto ffasTank orme un ert ispermit-c ec a appy: HVAC ❑Cas Piping _Shutters Windows/Doors 11 Electric 0 Plumbing O Sprinklers 1=I Generator Roof Total Sq. Ft of Construction: Sq. Ft.of First]Floor: Cost of Construction:$. `�_l¢. !R Utilities: Sewer[]Septic Building Height: '�•i' F .�. � D _ �° �4n;- Name Y Name- Zacek,Dennis Address: OEq.-,If r Company American Residential Services City: �t"C Stater- Address: 2500 U5 Hwy 1 Zip Code: 9495/ Fax: N l4 _ City: Vero Beach State:FL Phone No. 13 7- J © 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. JUN/12/2015/FRI 11 : 18 AM AIDS Rescue Rooter FAX No, 772-794-9783 P, 002 • .aq s ... r u o vw ry0.yEW� �.;�y �y - _ .,,.. � .W sd'31iiMf' ,.,x'08'�iTi .....n _ s.,�..,� ,_b --- •-• 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 BOLDER: 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 commencin work or recording our Notice of Commencement. s gnature of Owner Les /Agent Sign ure of Contra cto r/LirwVe Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF SLLmi� COUNTY OF s-.Lu�is The forgoing instru ent was acknowledged before me The forgoing instru ent was acknowledged before me this,Q day of ; P— 20/�by this�day of 2 0 L by Dennis Zecek Dennis ncak e of person acknowledging) (Name of person acknowledging) (Signature of Notary lic-State iorida) (Signature of NotaryPu ic-State ofo 'da) Personally Known x OR Produced Identification Personally Known X OR Produced Identification Type of identification Produced Type of Identification Produced Commission No.,FF2209aoH A DERBY mmission No, razz 12C.1 _ �• BE H A DERBY MY COMMISSION N FF2209MY COMMISSION#PF220930 ._ . EXPIRES Apri115.201 '-, EXPIRES AprG 15.2012 Revised 07/15/7,014 1407)999 0 sa Fk. +�� s .,00R tne1171M-o•57 �odderla. sen4e.,earr. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS