HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
ffix0
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
I PERMIT APPLICATION FOR: Mechanical
I PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Des
Property Tax ID #: 1414 • (ate - QU8 ' 000 ' _ _ _ _ Lot No.
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacing A/C, exact change out, no duct work with I - S 7LW Cc-rK)"e
5 Sf-C K & r0 -i C00 I rA; ni SPI, �—
CONSTRUCTION INFORMATION:
AflAttiAn2iiunr fn ho njarfnrmaef tin orf is normit— rhark t 2t =nn w.
Block No.
HVAC
[JGas Tank
❑Gas Piping❑_
Shutters
❑ Windows/Doors
11Electric
ElPlumbing❑Sprinklers
Address: 2800 US Hwy 1
❑ Generator
❑ Roof
Total Sq. Ft of Construction: So. Ft. of First Floor:
Cost of Construction: $ 660 Utilities: Sewer E]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name &+er-;e-I G'
Name: Zacek, Dennis
Address: `f' .).
Company: American Residential Services
City: P3Gcc, e _ Statef(-
Address: 2800 US Hwy 1
Zip Code: 6 49 4 I Fax:
City: Vero Beach State: FL
Phone No. 7?2 4 L7 �t 84
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:
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.
_ Signature of Ow r/ Lessee/Agent Signature of Cont or/License Holder
STATE OF FLORIDA
COUNTY OF se. Lude
The for oing instrment was acknowledged before me
this day of20 Eby
Dennis Zacek
STATE OF FLORIDA
COUNTY OF sm-cia
The forgoing instrument was acknowledged before me
this day of � fU1ti2 .20 by
Dennis Zacek
me of p acknowledging) (N of person acknowledging)
(Strn—ature of Notary ublic- S orida) {Sign ure of Notary Public -%50 e of Florida
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of identification P
BETH A DERBY
Commission No. FFzza930 mmission No. FFzaos MY Ct "RAON 0 FF2209M
y, B 7 H A DERBY"429'15.4"EXPIRES April 15, 2019
MY C0UM1qq1nM 9 Fr-220JI() 44071 N114-olq I
EXPIRES April 15. 2019 war
Revised 07/15/2014 f407) a�0s.u•sa rie.w,m,.�,. a.___ _ _
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Site Address:
Parcel ID:
Account #:
Map ID:
Use Type:
Zoning:
City/County:
Ownership
Alicia F Slater
4949 N A IA Unit 132
Fort Pierce. FL 34949
Legal Description
BREAKERS LANDING liNIT 132 (OR 762-683)
Current Values
Just/Market Value
$164.100
Assessed Value.
S161,267
Exemptions:
$50,000
Taxable Value-
5111.267
Taxes for this parcel: SLC Tax Collectors Office 12
Property Identification
4949 N AIA 132
1414-602-004:r-000-0
14 14N
0400
Saint Lucie County
Total Areas
Finished/Under Air (SF):
Gross Area (SF):
Land Size (acres):
Land Size (SF):
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.