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 39382
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: S991 Maiden rare, 21 Par- st Lucie. FL 3 yCisa
Legal Description: I rx1Cf. L -u t:,f_ Eni- es 00 - NO i Lz�_ 103
Property Tax ID ;
Site Plan Name:
Project Name: V 1 rl -L r 4c t r 1 Irrr��ICt q
Setbacks Front Back. Right Side: Left Side:
Lot No.102
Block No.
Replacing A/C, exact change out, no duct work with 3 +o n Y Scr_
/o x o SPI l+- 1q)0 5V *M
JUILIVIId1 WUIK LV ilC C1JV1IEMU UIIUCI
HVAC Gas Tank
11 Electric El Plumbing
LEI Ib
❑Gas
IJCIIILit dII[ndJJ1JIY.
Piping_ Shutters Q Windows/Doors
Sprinklers E Generator Q Roof
Name: Zacek, Dennis
Total Sq. Ft of Construction:
Cost of Construction: $ S'751—
i
S Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name \1krI<SAJ
Name: Zacek, Dennis
Address:93141 __ ma.;d fl(' &ne P1
Company: American Residential Services
City: RIO S} !_u t 1, -r State: _IEL
Address: 2800 US Hwy 1
Zip Code: 3 49, ]moo Fax:
City: Vero Beach State: FL
Phone No. 24 UgJ - j `? 3 �
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: _L_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.
I efw►�++ S
—Signature of Ow r/ Lessee/Agent Signature of Cont or/License Holder
STATE OF FLORIDA
COUNTY OF SL Lae
The for oing instru e t was acknowledged before me
this j day of 20 [Igby
Dennis Zacek
of
ng
STATE OF FLORIDA
COUNTY OF suL i -
The forgoing instru en was acknowledg d before me
thisl_�_ day of 20 by
Dennis Zecak
(Name of person acknowledging j
of
Personally Known x OR Pro'dtrEed Identification I Personally Known x OR
Type of Identification Produced Type of identification ProdMm
Commission No. 2220930 (5eabET 4 A DERBY Co mission No. FF220930
:'e MY coMMISSION 0
Revised 07/15/2014 1 1407"a6au`53
Corr
Florida )
Identification
BETH A DERBY
Aw r(5941 SSION q FF220930
..XPIRES April 15. 2019
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 ft:
Map ID:
Use Type:
Zoning:
City/County:
Ownership
Lorraine M Vlasaty (TR)
8241 Maidencane PI
Port St Lucie, FL 34952
Legal Description
LAKE LUCIE ESTATES PLAT NO. ONE LOT 109 (OR 1147-484: 3593-
160)
Current Values
Just/Market Value:
$113.700
Assessed Value:
594,270
Exemptions:
550,500
Taxable Value:
543,770
Taxes for this parcel- SLC Tax Collectors Office 19
8241 MAIDENCANE PL
3426-703-0123-000-3
135729
341265
0100
PUD
Saint Lucie County
Total Areas
Finished/UnderAir (SF): 1,656
Gross Area (SF): 2,554
Land Size (acres): 0.11
[and Size (SF): 4.968
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.