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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 IMPROVEMENT LOCATION: Address: -� �o�+rtom, ndS \&ya� �-� Qi,eV-r Ca Fi_ -j�>y 4 LACI Legal Description: czrex-r0 i 4-C, C Property Tax ID #: (0$1 • 000 Lot No. Site Plan Name: �rV � ' 1 . Yxr\ n Block No. Project Name: n Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replacing A/C, exact change out, no duct work with a , 5 -}-on Car r 1 e_f k LA Sc�C S6 Y,W S1 �lc�� VGGv_a9�- �� G U +(1 �-�- . CONSTRUCTION INFORMATION: Additional work to be nertormed under this permit —check all apply: HVAC ❑ Gas Tank ❑Gas Piping _ Shutters a Windows/Doors 11 Electric 0 Plumbing ❑ Sprinklers � Generator � Roof Total Sq. Ft of Construction: So. Ft. of First Floor: Cost of Construction: $ L TDA Utilities Sewer E]Septic Building Height: OWNER/LESSEE: Name +T—t,%ii. +k 3Dh in Address: 5`la -(ouch. f1k,� q1 City: ��` P t miff_ State:L. Zip Code. '5 -ACC LO Fax: Phone No. 3310 '60 • l-1 1 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. IM 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 your Notice of Commencement. r _ Signature of Ow er / Lessee/Agent Signature of Cont or/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St. Lucie COUNTY OF stL— The for ping instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of )CCYI�,i 20 L4y this day of 20 _�_Wy Dennis Zacek (Name of person acknowledging) (S�gnature of Notary Public- Sta lb f Florida ] Dennis Zacek (Name of person acknowledg' (Signature of Notary ublic-Stat lorida j Personally Known x OR Produced identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Prodaw I BETH A DERBY Commission No. FF220930I ; ';:!•7+ Y (SeWTH A DERBY C mmission No. FF220930 '•• ••e MY C r SION # FF220930 ••i MY COMMISSION p FF220�30 EXPIRES April 15, 2019 OvI21RES April 354104.IM97 444 U'3it la .......... �,,,..w .�n t�C7i °telt'-0°�J FbnReNo��ySe••nce c'Cts' 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 S ite Address: Parcel ID: Account #: Map ID: Use Type: Zoning: City/County: Ownership John L Truitt Trust 886 Willowdale Dr Villa Hills, KY 41017 Legal Description OCEAN RESORTS COOPERATIVE SITE 81 (OR 3379-1226) Current Values Just/Market Value: 569,100 Assessed Value: 569.100 Exemptions: s0 Taxable Value: 569.100 Taxes for this parcel: SLC Tax Collector's Office 52-2 FOURWINDS WAY 1410-502-0081-000-4 6677 14;10$ 0205 Saint Lucie County Total Areas FinishedfUnder Air (SF); 748 Gross Area (SF): 858 Land Size (acres): 0.05 Land Size (SF); 2,121 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.