HomeMy WebLinkAboutpermit 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
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
I PERMIT APPLICATION FOR: Mechanical
I PROPOSED IMPROVEMENT LOCATION: I
Address: &)L T)P.a ny)CX L eanf. sa V L_
Legal Description: C_rclr-en
Property Tax ID th 1 y_:�A ' 7 Cnr \' ���.�_' _ DOD' (Q Lot No.�
Site Plan Name: a.ksx-- Pcct Jb�.�o1� Block No. _
Project Name: gn� A1Cf ` JOSP
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacing A/C, exact change out, no duct work with c' -r
S -N -6y -
CONSTRUCTION INFORMATION:
Additional work toe gerrormed under tis permit – Check a appy:
OHVAC Gas Tank ❑Gas PipingShutters ❑ Windows/Doors
11 _
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 5g3q i
Sq. Ft. of First Floor: _
Utilities:[]Sewer Septic
Building Height:
OWNERf LESSEE:
CONTRACTOR:
Name ea 1
Name: Zacek, Dennis
Address: "AD, X)n" \_Q• WL
Company: American Residential Services
City: Q— neKCf__ State:F_
Address: 2800 US Hwy 1
Zip Code: 3yq kAU Fax:
City: Vero Beach State: FL
Phone No. —1-1-z 3y
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 thepermit 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 vour Notice of Commencement.
_ Signature of Ow r/ Lessee/Agent Signature of Cont or/L€cense Holder
STATE OF FLORIDA
COUNTY OF St.L„de
STATE OF FLORIDA
COUNTY OF 51u-�-
The fogolnginstrVoent Was acknowledgebefore me The forgoing instrument was acknowledged before me
this I day of 20 My this _J_ day of 20 '
Dennis Zack Dennis Zack
(Name of person acknowleJgiag, (Name of person ackno%
ature of Notary Public -
Personally Known x
Type of Identification
Commission No. FF220930
Revised 07/15/2014
of Florida )
MY P'Oa�MISSION #.PF220
(�7tFfRES April is. 2019
(Signature of Notary Public- State
Personally Known x ORrc
IMpe of Identification Produce
No. FF221]93FJ
Y �OMM1Y
5SIp
(S��1RES N # FF22C
ru_. APnlIS.lora
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:
Map ID:
Use Type:
Zoning:
City/County:
Ownership
Dorothy C Williford
Joseph Rainier
5062 Deanna Ln
Fort Pierce. FL 34946
Legal Description
GREEN ACRES -UNIT 3- BLK 3 LOT _ (OR 212-174' AND 301-11" 6+1-
1778, 2142-27,27)
Current Values
Just/Market Value: 59,500
Assessed Value: 59,465
Exemptions: 59,465
Taxable Value: so
Taxes for this parcel: SLC Tax Collectors Office 12
Download TRIM for this parcel: Download PDF 12
506? DEANNA LN
1430-702-0023-000-6
10296
1430S
0_00
RMH • 5
Saint Lucie County
Total Areas
Finished/Under Air (SF): 672
Gross Area (SF): 922
Land Size (acres): 0.17
Land Size (SF): 7,500
This information is believed to be correct at this time but it is subject to change and is not warranted.
,L; Copyright 2016 Saint Lucie County Property Appraiser All rights reserved.