HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
a t�
lair
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
23W Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Mechanical
X
PROPOSEDIMPROVEMENT LOCATION: I
Address:
Legal Description:
Property Tax ID i
Site Plan Name:
Lot No.
Block No.
Project Name: \_
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacing A/C, exact change out, no duct work with '-%gym 1 �0 CC>C> Y-`
w ��„ � 5 W\1r %C sy .
3amonat worK co oe errormea unser tnis permit— ci
HVAC Gas Tank ❑Gas Piping
11 Electric El Plumbing []Sprinklers
Shutters ❑ Windows/Doors
Generator ❑ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ LD to o� 9— Utilities: Sewer 0 Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name
Name: Zacek, Dennis
Address: 51 &ken Vlotts C, r
Company: American Residential Services
City: -keg'cL State:Q__
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.
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:
1 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 thepermit 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 si. Lude
The for oing instrument was acknowledged before me
this day of 20 i&y
Dennis Zecek
(Name of person acknowledge
[Sign re of otary ublic- Stat(y Florida ]
Personally Known x
Type of Identification
Commission No.
Revised 07/15/2014
OR Produced Identification
Signature of Cont or/License Holder
STATE OF FLORIDA
COUNTY OF s1 Lucie
The forgoing instrument was acknowledged before me
this lt� day of 20 A4by
Dennis Zacek
[Name of person acknowledging j
(Signature of Notary Public- State of I ida j
Personally Known x
Type of Identification
MY Clgl3"SSION a FF22093Commission No.
EXPIRES April 15, 2019 j
'.Yr_u..e.w5e.vlt�
VOW
OR Produced Identification
COMKft3VPN it FF220930
EXPIRES April 15, 2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
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
Susan J Smith
5102 Paleo Pines Cir
Fort Pierce, FL 34951
Legal Description
HOLIDAY PINES SID -PHASE II -13- LOT 297 (MAP 13113N) (OR
2194-1671)
Current Values
Just/Market Value: $139,400
Assessed Value: S106,496
Exemptions: S51,000
Taxable Value: S55,496
Taxes for this parcel: SLC Tax Collector's Office 12
Download TRIM for this parcel: Download PDF 12
5102 PALEO PINES CIR
1312-801-0100-000-1
4541
13/13N
0100
RS -4
Saint Lucie County
Total Areas
Finished/Under Air (Sl:). 1,944
Gross Area (SF): 3,504
Land Size (acres): 0.26
Land Size (SF): 11,250
This information is believed to be correct at this time but it is subject to change and is not warranted.
m Copyright 2016 Saint Lucie County Property Appraiser. All rights reserved.