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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 IMPROV81YIENT LOCATION: Address: 10:3C ()C C- 1J� CJ _.:� Legal Description: C-cl-n -fir ►t1C) on 4rcpeAl ::N .�aS S� • LUQ ,.� a�n oes�.a Property Tax ID #: Lot No. Site Plan Name:�Ot '$1� '�Y1�0.ri a G -f— Block No. Project Name: 5k1QjAWW At .. NX\ AU Setbacks Front Back: Right Side: Left Side: .DETAILED DE-SCRIPTION OF WORK: Replacing A/C, exact change out, no duct work with 37-00 9_vw_)e� 14 CONSTRUCTION INFORMATION: orme un er t is permit — c ec ` a appy: Additional work to El ❑ HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors 11 Electric El Plumbing Sprinklers El Generator � Roof Total Sq. Ft of Construction: S. Ft. of First Floor: Cost of Construction: $7� Utilities Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name_-mQY101 C,1 GGt�(fcS� Name: Zacek, Dennis Address: Q Company: American Residential Services City: Q W_CC 1 State: Address: 2800 US Hwy 1 Zip Code: Fax: City.. Vero Beach State: FL Phone No. 3 a 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 $25D0 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. 5 _ Signature of Ow r/ Lessee/Agent Signature of Cont or/License Halder STATE OF FLORIDAI STATE OF FLORIDA COUNTY OF SLLude COUNTY OF St Lucie The forgoing instrument was acknowledge{ before me The forgoing instrument was acknowledged before me this day of J iizin 20 LlJby I this 15day of ffYt(Y'� - 20 ,U by Dennis Zacek Dennis Zarek (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public -Sae of Florida j (Signature of Notary Public- Statef lorida ) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Identification Produced ■: B TpHal DERBYCommission No. Y COMMISSION FF2209 a . =MYCION 9 FF22 0930EXPIRES April 15 2019 007P F1andaNarrySevKe oR p orn EXPIRES April 15 2019 14071373-0'53 FkmdeNaa"rnxe-qr Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Property Identification Site Address: Parcel ID: Account #: Map ID: Use Type: Zoning: City/County: Ownership Maria Cicalese Catherine Nygard Judith Carpenter 10701 S Ocean Dr Lot 815 Jensen Beach, FL 34957 Legal Description VENTURE OUT AT INDIAN RIVER INC LOT 815 (OR 1281-2956- 1296-2897; 3852-1309) Current Values Just/Market Value: $122,900 Assessed Value: $122,900 Exemptions: S80,500 Taxable Value: $42,400 Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Download PDF 12 10701 S OCEAN DR 815 4511-510-0016-000-2 123722 45. I1B 0200 HIRD Saint Lucie County Total Areas F inished/Under Air (SF): 814 Gross Area (SF); 1,055 Land Size (acres): 0.06 Land Size (SF): 2,409 This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2016 Saint Lucie County Property Appraiser. All rights reserved.