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 I
I PROPOSED IMPROVEMENT LOCATION: I
Address: clow S
Legal Description: s t •�-
Property Tax ID #: 2-1-!71-'101 • 60t ' 15M 5 Lot No. 1 �3
Site Plan Name: 5i 'D(5k1 Block No.
Project Name: SI (-
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacing A/C, exact change out, no duct work with 3 • S -rc>N lehecm / 4 Srenr-
9 K w 5pt I+ MC Sys+em
CONSTRUCTION INFORMATION:
ACIclitionalworl(tobPaPrformedunder this permit —check all appy:
OHVAC Gas Tank ❑Gas Piping_ Shutters ❑ Windows/Doors
Electric 0 Plumbing ❑Sprinklers E Generator EIRoof
Total Sq. Ft of Construction. SFt. of First Floor:
r ��� dO
Cost of Construction: $ [�'3 0� Utilities: Sewer[ Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name i o1rS ;
Name: Zacek, Dennis
Address•,A' Lo Sht.rw oo[Q Cm
Company: American Residential Services
City: _ - la P'e-rcx State: Ft
Address: 2844 US Hwy 1
Zip Code: �-349 907 Fax:
City: Vero Beach State: FL
Phone No4t4 YL19.LQZIE
Zip Code: 32960 Fax: 772 794-9783
E -Mail:
Phone No. 772 794-7221
Fill in fee simple Title Halder 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:
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 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
commencine work or recordine vour Notice of Commencement.
_ Signature of Ow r/ Lessee/Agent Signature of Cont or/License Holder
STATE OF FLORIDA
COUNTY OF SL ted
The forgoing instrument was acknowledged before me
this tl day of J uns+ 201 Eby
Dennis Zacek
Name
STATE OF FLORIDA
COUNTY OF StLude
The forgoing Instrument was acknowledged before me
this day of , 20 , l_ by
Dennis Zacek
of persons
(Sig ture of Notar7l(c- State of :Frkda j (Siinature of Notary-Mu6lic- State ofPersonallyKnown x OR Prc iIdentification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission NO. FF220930 ,•lilt ($loll A DERBY
Ommission NO. FF224930 ✓!►4i(SeaIJB A DERE
MY COMMISSION # FF22093
MY
.j. �1 COMMISSION # FF2
S April i3, 20
II �O1 April 1lC7l9-0'S3
Revised 07/ 15/2014 l4C7! 797 U'SJ FkxMallosary9r•vr� core Fto�lc4eAiaayse•vrtr cum
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
Tracy Sikorski
2906 Sherwood Ln
Fort Picrcc, FL 34982
Legal Description
SHERWOOD ACRES UNIT I LOT 13 (0.25 AC) (OR 1230-lG lG)
Current Values
lust/Markct Value:
$52,300
Assessed Value:
552,300
Exemptions:
$27,300
Taxable Value:
$25,000
Taxes for this parcel: SLC Tax Collector's Office 0
2906 SHERWOOD LN
24? I-701-0013-000.5
29356
24 21 S
0100
RS -4
Saint Lucie County
Total Areas
Finished/UnderAir (SF): 1,553
Gross Area (SF): 2,230
Land Size (acres): 025
Land Size (SF): 10,890
This information is believed to be correct at this time but it is subject to change and is not warranted.
Z Copyright 2016 Saint Lucie County Property Appraiser. All rights reserved.