HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
COZlNTY��`'
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
I PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential x
Address: % It U b N y -'Y a _�:)"i-'
Legal Description: SunkrAncl C. a C L4 6kh. 5 oZ
Property Tax ID #: ,2�pii2 - bCio - 0ugl5 -Dw ,—i Lot No.L�
Site Plan Name: Block No. 5
Project Name: 101n_ e'_ 1k cox 'e-ron
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: I
Replacing A/C, exact change out, no duct work with 3 +oln Rh cern I y Se, —r-
10 KW S O i+ 1410 'z-9s+errs
CONSTRUCTION INFORMATION:
itlona work to e e orme un ert ispermit—c ec a appy:
EJ
Gas Tank ❑Gas Piping_ Shutters ❑ Windows/Doors
❑ Electric El Plumbing ❑Sprinklers ❑ Generator ❑ Roof
Total Sq. Ft of Construction:
Cost of Construction: $ C900-1 _
S. Ft. of First Floor: _
Utilities Sewer OSeptic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name
Name: Zacek, Dennis
Address
Company: American Residential Services
City: F__A= 9- *k r,f-- State:
Address: 2800 US Hwy 1
Zip Code:'Wq y :1 Fax:
City: Vero Beach State: FL
Phone No.6-70 35q_ [naco „ _ „
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
It value of construction Is 5Z500 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 thedpermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an 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,
accessary 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 your Notice of Commencement.
01
_ Signature of Ow r/ Lessee/Agent Signature of Cont or/License Holder
STATE OF FLORIDA
COUNTY OF StALM a
The forgoing instrument was acknowledged before me
this 1Q day of20 Xay
Dennis Zacek
(Name or person acunowle ng
(Si nature of Notary Public- Stdtelpf Florida }
Personally Known X
Type of identification
Commission No.
Revised 07/15/2014
OR Produced identification
STATE OF FLORIDA
COUNTY OF St Lucie
The forgoing instrument was acknowledged before me
this —10day of 20 tJ9 by
Dennis Zacek
(Name of person acknowledgi
(�a_ X_ JD
(Signature of Notary Public- State 0
orida j
Personally Known x OR Produced Identification
Type of Identification Pro 4gp.d
BETH A DERBY
MY CCIMI&SION N FF220930 Commission No.
EXPIRES April 15, 2019
My CMIlfSION 9 FF220930
EXPIRES April 15, 2019
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DATE
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INITIALS
Property Identification
Site Address:
Parcel ID:
Account #:
Map ID:
Use Type:
Zoning:
City/County:
Ownership
Shirley A Bolden
1408 N 43rd St
Fort Pierce, FL 34947
Legal Description
SUNLAND GARDENS -SECTION 4- BLK 52 LOTS 14 AND 15 (0.39 AQ
(OR 967-1640)
Current Values
Just/Market Value:
$56,800
Assessed Value:
$55,037
Exemptions:
$30,037
Taxable Value:
525,E
Taxes for this parcel: SLC Tax Collector's Office 12
1408 N 43rd ST
2406-506-0095-000-7
19735
24:06N
0100
R5-4
Saint Lucie County
Total Areas
Finished/Under Air (SF): 1,344
Gross Area (SF): 2,004
Land Size (acres): 0.39
Land Size (SF): 16,988.4
This information is believed to be correct at this time but it is subject to change and is not warranted.
rC. Copyright 2016 Saint Lucie County Property Appraiser. All rights reserved.