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, Fort Pierce FL 34382
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Mechanical
I PROPOSED IMPROVEMENT LOCATION:
Address:
X
Property Tax ID #: 1 U ' 1 Lot No.
Site Plan Name: r0 1 Block No.
Project Name:. _ israt]li , L0I I I i P
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: I
Replacing A/C, exact change out, no duct work with � -t-on Phi f cs�eea''
5 kw spi l-- fiJC sysiem
CONSTRUCTION INFORMATION:
ACIClitional work to be nerrormeEun er th is permit- check a 11 that appy:
HVAC Gas Tank Das Piping _ Shutters ❑ Windows/Doors
Electric 0 Plumbing Sprinklers E Generator 11 Roof
Total Sq. Ft of Construction:
00
Cost of Construction: $ %_,J I—.,�'r
S Ft. of First Floor: _
Utilities: Sewer E]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name B62M I 101
Name: Zacek, Dennis
Address: A I -25th Sfi
Company: American Residential Services
City: El A P,%�e_ State: �
Address: 2804 US Hwy 1
Zip Code: Fax:
City: Vero Beach State: FL
Phone No.] -71 ,,5q5 q
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 $Z500 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.
_ Signature of Ow r/ Lessee/Agent Signature of Cont or/License Holder
STATE OF FLORIDAf STATE OF FLORIDA
COUNTY OF St.t-uie I COUNTY OF Stead
The for Ding instr ent was acknowledged before me
his
tday of 20/_11�by
LJ
Dennis Zack
(Name of person acknowledging
(Signature of Notary Public -a of Florida )
Personally Known x O roduced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
BETH A DERf31r
CoblII 0bN # FF220930
EXPIRES April 15 2019
The for Ding instrument was acknowledged before me
this day of 20 4 by
Dennis Zacek
(Name of person acknowledging }
(S gnature of ry Pu i State of Florida )
Personally Known x
Type of Identification P
MY COMMISSION # FF220930
Commission No. FF220930
E"OS April 15, 2019
1AC7!• f ', a3 r1ondaNwill0emace cow
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Property Card Page 1 of 1
P1LIJCI LY INCnLIe44041V11
Site Address: 3216 N 25th ST
See/Town/Range: 291345.401
Map ID: 14/295
Zoning: IL
Ownership
Willie M Brown
Joseph Brown
3216 N 25th St
Fart Pierce, FL 34946
Legal Description
SAN LUCIE PLAZA SID -UNIT ONE- BLK 57 S 11 LOT 25 AND ALL
LOT 26(MAP 14295) (Olt 1280-1885)
Current Values
Just/Market Value: $26,000
Assessed Value: $26.000
Exemptions: $25.000
Taxable Value: 51,000
Taxes for this parcel: SLC Tar Collector's Office
Download TRIM for this parcel: Download PDF 12
Parcel ID: 1428-702-1272-000-6
Account 4: 9967
Use Type: 0100
Jurisdiction: Saint Lucie C-ounty
Total Areas
Finished/Under Air (SF); 1,150
Gross Area (SF): 1,508
Land Size (acres): 024
Land Size (SF): 10,350
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.
http://www.paslc.org/RECard/ $.' 18.?2016