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HomeMy WebLinkAboutBuilding Permit Application 772-770-0064 ARS 08:52:23 12-22-2015 1 /5 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: oZ • Permit Number: V ED RECiUVE Building Permit Application DEC 2 2 2015 Planning and Development Services PERMITTING Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue,Fort Pierce Fl.34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x PERMIT APPLICATION FOR: Mechanical US Address: 45 �1 /� L'C rT Legal Description: I Y ipC-es,�r is Coop-",n_-�-_Lyp L if 3q l Property Tax ID#: 141 �2_ tri T I `J Lot No. Site Plan Name: e I n.ei-che.ir f Block No. Project Name: L-0` 1 - Setbacks Front Back: Right Side: Left Side: NU -r.. ... x .., .e. Replacing A/C,exact change out, no duct work with oil ) ) `- Additional work to (eperformedunder this permit-ch ec a appy: ©HVAC LJ Gas Tank ❑Gas Piping _Shutters a Windows/Doors Electric 7 Plumbing Sprinklers Generator Roof Total Sq.Ft of Construction: Sq,Ft.of First Floor: Cost of Construction:$ r24oUtilities:11 Sewer ,Septic Building Height: R £1I ' - Name K(- ' Zacek,Dennis Address: F 1, _ ; �P Company: American Residential Services City: -j- N State:FL Address: 2800 US Hwy 1 Zip Code: Fax: City: Vero Beach State:FL Phone No. 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. 772-770-0054 ARS 08:54:49 12-22-2415 215 "'Ih:V 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 Nat 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 our Notice of Commencement. _Signature of Owner/Lessee/Agent Signature of ContrlLicense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St.Lade COUNTY OF sit— The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of j�(sr 'r r"t ?k'l� , 20 Eby this qday of 20 �-' by Dennis Zacek Dennis Zacek (Name of person acknowledging) (Name of person acknowledging} ignature of Nibtary Publtc- State of Florida j (Signature of Notary Public-State o'f lorida} Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Pro 1ceri ype of identification Produce,d- yY%�: BETH A D : BETH A DERBY Commission No. FF2209a 20A�gg MISSION a FF2?My } EXPIRES 15,2019 EXPIRES April ES A15,2019 a <acrrsts u,sa F Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS