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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSUPPLEMENTAL 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 recordine +your Notice of Commencement. _ Signature of Ow r/ Lessee/Agent STATE OF FLORIDA COUNTY OF SLLude The forgoing instru e t was acknowledge before me this,r_ day of 20 iv by Dennis Zacek (Name of person acknowledging) (Signature of Notary Public- re of Florida ) Personally Known x OR Produced Identification Type of Identification Produg Commission No. FF220930 Revised 07/15/2014 s Signature of Cont rWo r/ License Holder STATE OF FLORIDA COUNTY OF StLude The forgoing instru ent was acknowledged before me this � day of u 20 JJV by Dennis Zeeek (Name of person acknowledging) (Signature of Notary Public- ri of Florida ) Personally Known x OR Produced Identification Type of Identification Produced.— mission roduce mission No. FF2209240 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ALL 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 IM LO.CATI ON : Address: 1OU5 S Legal Description: 146da o o* i ti 5cc 61 k a7 n Property Tax ID #: _W511 SOLD ' Of -1 8 ' 0Q 3 � Lot No. )I Site Plan Name: _. � + M 6ri C'. Block No. [V Project Name:]f IF I Setbacks Front Back: DETAILED DESOPTION OF -WORK: Right Side: Left Side: Replacing A/C, exact change out, no duct work with a+on C&e"0-1' e_ r )LI See -e- 10 Kw PCW*aJ'e P/1" UnJ+. CONSTRU9.10-N INFORMATION: Additional work to be nerf6rmed under t [5 permi�e�cVW appy: HVAC Gas Tank ❑Gas PipingShutters Ii Windows/Doors 11 Electric ❑ Plumbing ❑Sprinklers Generator 0 Roof Total Sq. Ft of Construction: Cost of Construction: $ y�Ja P v Sq. Ft. of First Floor: Utilities: 11Sewer E]Septic Building Height: I OWN ERAESSEE: CONTRACTOR: �I Name /Ilam r, -- Address: S. nrec..r, Dr tk 9.?/o City: z State: FL Zip Code: 7 Fax: Phone Nob $fn- a • 1qS1 E -Mail: Fill in fee simple Title Holder on next page ( If different from the owner listed above) 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. Property Identification Site Address: Parcel ID: Account #: Map ID: Use Type: Zoning: City/County: Ownership Oscar E Naria Maria S Sepe 10725 S Ocean Dr Unit 426 Jensen Beach, FL 34457 Legal Description HOLIDAY OUT AT ST LUCIE - SEC B BLK Q LOT 21 AND EQUAL PRO -RATA INTEREST IN COMMON ELEMENTS IOR 2857-1704) Current Values Just/Market Value: 553,300 Assessed Value: $53,300 Exemptions: 5o Taxable Value: 553,300 Taxes for this parcel: SLC Tax Collector's Office 12 10725 S OCEAN DR 426 4511-502-0138-000-8 123641 45.11B 0200 HIRD Saint Lucie County Total Areas Finished/UnderAir (SF). 396 Gross Arca (SF): 428 Land Size (acres): 0.04 Land Size (SF): 1,768 This information is believed to be correct at this time but it is subject to change and is not warranted_ r: Copyright 2016 Saint Lucie County Property Appraiser All rights reserved.