HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
J: _
•
- - 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
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: \506 14 4`5'd b -r- i;rnt- I? jevcc,
Legal Description:-5ok-%v,-Vd G►cardex►S clec�-loan y
3 \.tSs t Jfir'-\— " A.kl %-lyrjI�ntl� � 1
Property Tax ID #: -2&A Oka,' F' f* ( a _1 ' CzD' A
Site Plan Name: _ ?0E'\t MC1g.L•kAr\ f 1n`5rc�ln
Project Name: -M-e arc AAr\__ CA-\ v'CCA-i
F L1 .54CI L4-I
i31ac-k �1 Loac
3 ca,d 1o�E s \ + 1,1 S c -,d
Lot No.
Block No. 5 1
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: I
Replacing A/C, exact change out, no duct work with�7J SkASk-r_tr�)
ly mac- ti 1tw SP1 C Sl.�s- cxr, s
CONSTRUCTION INFORMATION: I
Additional work to be ertormed under this permit — check all apply: L
HVAC 11 Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
11 Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
0
Cost of Construction: $ f Lf,Ll &0 Utilities: Sewer Eheptic Building Height:
OWNER/LESSEE:
Name_ffiow -ft fmi+h Chuff h
Address: it _505 kJ L4Vd
City: F+ gal ewcc State: F -L
Zip Code: 31lgyl Fax:
Phone N6 ytoq -I ! S'l
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the owner listed above)
CONTRACTOR:
Name: Zacek, Dennis
Company: American Residential Services
Address: 2800 US Hwy 1
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772 794-9783
Phone No. 772 794-7221
E -Mail: bderby@ars.com
State or County License: CMC1249753
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
0
SUPPLEMENTAL CONSTRUCTION LIEN LAIN 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 Count 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
STATE OF FLORIDA
COUNTY OF st.Lude
The for ing instrument Was acknowledged,before me
thisday ofN(`s I , 20 y
Dennis Zacek
(N of per wledging )
(Sign) re o Nota ic- Stat Florida )
Personally Known x OR Produced Identification __,
Type of IdentificationProduc _ v
B1rrnAE�Rtn
Commission No. FF220„'�: MY Co�@o�ION Fp220934
=�: c EXPIRES Apt 15• 7419
r407 s s
Revised 07/15/2014
Signature of Cant or/License Holder
STATE OF FLORIDA
COUNTY OF 9tude
The forgoing instrument was acknowledged before me
this _M day of W. 1 20 _& by
"nros Zacek
(Name of person acknowledgin j
(Signa a of Notary Pu ic- State o FI ida
Personally Known x OR Pro I Identification
Type of Identification Produced
Commission No. FF22G-•au .. B&ippj� DERBY
S My COMtlisSION # FF220930
;y•; •- tnrtRe
007 r 39)3-U' 51 1`1110Nou'Y5"ce rcrr
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE I MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
Property Card
Property Identification
Site Address: 1505 N 43rd ST Parcel ID: 2406-506-0067-000-2
Sec/Town/Rangc. 06/35S140L Account #: 19719
Map ID: 24106N Use T) pe 7100
Zoning: 1 Jurisdiction Saint Luck County
Pagel of 3
Ownership
Apostle Faith Church Of Deliverance Inc
112 Devonshire DR
Fort Pierce, FL 34946 -
Legal Description
SUNLAND GARDENS -SECTION 4- BLK 51 LOTS I, 2 AND 3 -LESS E 5
FT- AND ALL OF LOTS 4, 5, 6, l2 AND 13 AND LOTS 14,15 AND 16 -
LESS W 5 FT -AND REVISED PLAT OF KEYSTONE HEIGHTS BLK 8
W 85 FT OF LOTS 2 AND 3 (1 13 AC) (OR 559-1743 608-811 $94-1627
1087-1204 1232-730)
Current Values
Just/Market Value: $265,300
Assessed Value: $265,300
Exemptions: $265,300
Taxable Value: $0
Taxes for this parcel: SLC Tax Collector's Office 12
Download TRIM for this parcel: Do%%nload I'DF 12
Total Areas
Finished; Under Air (SF)•
Gross Area (SF):
Land Size (acres):
Land Size (SI.):
5, 5? 8
6,058
1,13
49,223
http://www.paslc.org/R2ECardo` 4/1812016
Sale History
Date
Book/Page
Sale Deed Grantor
Price
Code
Jun 25. 1999
123210730
01 WD Apostle Faith Church Of
$7,500
Deliverance Inc,
Jul 9 1997
1087 1 1204
01 WD Apostle Faith Church Of
S10.000
Deliverance Inc,
Mar 22, 1994
08941 1627
01 WD Apostle Faith Church OI
$15,000
Deliverance Inc.
Oct 8. 1988
0608 1081 1
01 WI}
$8.000
Aug 31, 1987
05591 1743
01 WD Apostle Faith Church OI
$0
Deliverance Inc.
Building Information (1 of 1)
Finished Arca 5,578 Sr
Gross Total Area 6,058 SF
Exterior Data
View:
Roof Cover: Fibrglss Shg
Roof Structure: Gable
Building'fype: CH3
Year Built 1992
Frame:
Grade: Y_D+
Effective Year 1992
Primary Wall CB Stucco
Stor) Height: I Story
No. Units: I
Secondar) Wall:
Interior Dula
Bedrooms- 0
Electric: MAXIMUM
Primary Int Wall,
Full Baths: 0
Heat Type: 1--rcdHotAir
Avg llgt/Floor: 0
Half Baths: 0
Heat Fuel, ELEC
Primary Floors: Carpet
A/C %: 1000/6
Heated %, 100%
Sprinkled %-. 0%
http://www.paslc.org/R2ECardo` 4/1812016