HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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 IMPROVEMW LOGATION:
Address: 4 (0 0 NlaVc .` 0(_
Legal Description: La lbuor%Q j Ara 000 G-�' W'00A% L.� \7�!)
Property Tax ID #: 3Ll aU ' Ula" - O o %3 ' 0 00 k Lot No. 3
Site Plan Name: t_)4ESA-ear QZ 1'- Block No.
Project Name: 2 'P—
Setbacks Front Back: Right Side: Left Side:
DETAI LED DESCRI PTION :QP WORK:
Replacing A/C, exact change out, no duct work with
% K VI) Po. Gk-, cue 44-- (e=
;5 rt-o�-� Q_.h-r'-e_rn -� y Se'e-r'
urs 1-k-
CONSTRUK,,fQN, IN` FQRMA7ION:
AC10itionaiworKtOUrrormed un er t is permit — check all that appy:
HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing []Sprinklers ❑ Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ LA Utilities: Ind Sewer 0Septic Building Height:
OW NERAESSEE:
CONTRACTOR:
Name WeEA_-rU"L1
Name: Zacek, Dennis
Address: cdi C or
Company: American Residential Services
City: P 5L State:Fij
Address: 2800 US Hwy 1
Zip Code: ?>qq5a-, Fax:
City: Vero Beach State: FL
Phone Non'? ) gFX5 - i '6'
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
I 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: Picone:
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 your Notice of Commencement.
Signature of Ow r/ Lessee/Agent Signature of ContrWor/License Holder
STATE OF FLORIDA
COUNTY OF 51.Lude
The forgoing instrument was acknowledged before me
this eJ?? day of _91arC_ '1 . 20 iEby
Dennis Zack
(Name of person acknowledging)
STATE OF FLORIDA
COUNTY OF SILude
The forgoing instrument was acknowledged before me
thisX23dayof mCi<—CVA 20 L by
Dennis Zacek
(Name of person acknowledging )
(2) , a �. 0 � � � <,-, � -_ � LD
(Signature of Notary Pub10 State of Florida } (Signature of Notary Public- State of Ooa }
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of identification Produced Type of Identification Pro uced
FF220930 " ( } BETH A DERB FF22093 ' - A DERBY
Commission No. ' MYICOMMI5SlON OFF �D 3D issipn No. MY C�MMI5SI0[Y # FF22D93D
"
Revised 07/15/2014
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DATE
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INITIALS
Property Identification
Site Address:
Parcel ID:
Account #:
Map ID:
Use Type:
Zoning:
City/County:
Ownership
Susie Wester
460 Natalie Dr
Port St Lucie, FL 34952
Legal Description
LA QUONA VITA COOPERATIVE UNIT/LOT 13 (OR 2703-1647)
Current Values
Just/Market Value: $32,700
Assessed Value: 532,700
Exemptions: 525,500
Taxable Value: 57,200
Taxes for this parcel: SLC Tax Collector's Office 12
Download TRIM for this parcel: Download PDF EJ
460 Natalie DR
3426-664-0013-000-1
145970
34/265
0205
RMH-5
Saint Lucie County
Total Areas
Finished/Under Air (SF):
1,084
Gross Area (SF):
1,612
Land Size (acres):
0.04
Land Size (SF):
1,732,47
This information is believed to be correct at this time but it is subject to change and is not warranted.
0 Copyright 2016 Saint Lucie County Property Appraiser. All rights reserved.