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, Fart Pierce FL 34982
Phone: (772) 452-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: U?nE) iU xl\o rl krA -95 4q5
Legal Description: L__rkP"YnCeA Q12X)6,, t, r\ i +-l �,1 K ��i—i I-c�z 21.6
-
Property Tax ID #: 4 (OB + ` 2E- oco , D Lot No.��
Site Plan Name: ��c 1 Cay.105 Block No. 15-1
Project Name: V f,,Q2 , C ejir 10S
Setbacks Front Back: Right Side: Left Side:
Replacing A/C, exact change out, no duct work with 3.5
9-1
ioajonai worK to DUGasTank
rrormeo unser irns permit - cnecK an apply:
HVAC ❑Gas Piping _ Shutters
11 Electric ❑ Plumbing ❑Sprinklers Generator
Total Sq. Ft of Construction: S��Ft. of First Floor: _
Cost of Construction: $ dad 0 Utilities:Sewer ❑septic
�a'Yl 1 Lp
Windows/Doors
Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name V6c2 • CnYkcF_:,
Name: Zacek, Dennis
Address:W� DWI Itin (A
Company: American Residential Services
City: � Q! prr,p— State: 'j=- L.
Address: 2800 US Hwy 1
Zip Code: aLL_ARr]k Fax:
City: Vero Beach State: FL
Phone No. 3!j:1 • 29 - OF-Apy
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 your Notice of Commencement. _ w
r
_ Signature of OwMr/ r/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF st.Ludn
The for oing instr ment was acknowledged before me
this day of u 20 1by
Dennis Zacek
(Name of person acknowled
(• nature of No ary Public -
Personally Known x I
Type of Identification Produ
I
Commission No. FF220930
Revised 07/15/2014
Identification
rrGG
ETH A DERBY
M4 MISSION # FF22
EXPIRES April 15. 201
er� J � s
Signature of Cont or/License Holder
STATE OF FLORIDA
COUNTY OF sl ucie
The forgoing instrument was acknowledged before me
thisQQ day of c Jlxn p 20 L�a by
Dennis Za.,ak
(Name of person acknowledging)
(Signature of Notary Public- State of
Personally Known x OR Produced Iden i kation
lype of identification Produced
No. FF220930 . ti"" "F (Sel3FM A DERBY
MY COMMISSION40 FF22
t0- 1413.0,51
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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
Carlos Velez
Juanita Velez
6805 Donlon Rd
Fort Pierce , FL 34951 CQ
Legal Description
LAKEWOOD PARK -UNIT I I- BLK 137 LOT 25 (MAP 13112N) (OR 3738-
663)
Current Values
Just/Market Value: 584,E
Assessed Value: $94,00
Exemptions: $0
Taxable Value: $84.000
Taxes for this parcel: SLC Tax Collector's Office 12
6805 DONLON RD
1301-613-0025-OOD-0
3140
13.12N
0100
RS -4
Saint Lucie County
Total Areas
Finished/Under Air (SF): 1.719
Gross Area (SF): 2,706
Land Size (acres): 0.42
Land Sizc (SF); 18,200
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.