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 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description: lb C� r-&
N
Property Tax ID #: � 701D - y 1, lYAT) - . R Lot No.
Site flan Name: _._�C-U'janaf— " CJm C n Block No.
Project Name: "
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: I
Replacing A/C, exact change out, no duct work with -Es A -on Car i, e.r �D
See.. i0 KW S?\'t k WC
a wa Q;
CONSTRUCTION INFORMATION:
Additional work to be aerformed under this permit – check a appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors
13Generator 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: S
5 Ft. of First Floor: _
Utilities:[]Sewer OSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name: Zacek, Dennis
Address:
Company. American Residential Services
City: Q j P_�� �i _ State:
Address: 2800 US Hwy
Zip Code: -J `-i Fax:
City: Vero Beach State: FL
Phone No nnqZip
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 $250b or more, a RtCORDED 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 Count 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 vour Notice of Commencement.
_ Signature of Ow r/ Lessee/agent Signature of Cont or/License Bolder
STATE OF FLORIDA
COUNTY OF St. Lucia
The forgoing lnstr Ment was ac
before me
this � day of 20� y
Dennis Zack
(Name of person acknowledgin
f nature of Not ubiic- Stat o lorida )
Personally Known x OR Produced Identiflcation
Type of Identification ProdurAd -.. -- -
Commission No. FF220930 1
Revised 07/15/2014
BETH A DERBY
M 1 @84 MISSION # FF220
EXPIRES April 15 2019
STATE OF FLORIDA
COUNTY OF sly
The forgoing instrument was acknowledged before me
this 417day of 20 UQ by
Denn.s Zacek
(Name of person acknowledging )
of Notary Public- State
Personally Known x OR
Type of Identification Producei
mmission No. FF22093C
BETH A DERBY
(SV&MMISSION # FF221
EXPIRES Apnl 15, 2011
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:
Accounl ;�i-.
Map ID:
Use Type:
Zoning:
City/County-
Ownership
Suzanne B Varn
3433 Gordy Rd
Fort Pierce, 1'L 34945
Legal Description
26 35 39 TI IAT PART OF N 112 OF NE 1 4 Or SE 1.4 1 YG SLY OF N
EDGE OF TEEN MILE CREEK -LESS BFG AT PT 588 1 FT S AND 60 rT
W OF NECOR OF SE 1,4 RUN W 1575 FT, TH NWLY 105 FT, TN NELY
149 FT, T1 SELY 158.8 FT TO PT ON W R/W CO RD. TE t SLY 209.3 FT
TO 11013 AND LESSE 60 FT- (7.71 AC) (OR 266-2361)
Current Values
JusUMarket Value; S203,700
Assessed Value: 5183.493
Exemptions: 650,000
Taxable Value: 5133,493
Taxes for this parcel. SLC Tax Collector's Office 0
Download TRIM for this parcel: Download PDF 0
3433 GORDY RD
2326 -411 -0010 -WO -2
14339
?] 26S
0100
R/c,
Saint Lucie Cmnly
Total Areas
Finished/Under Air (SF): 3.662
Gross Arca (SF); 6.313
Land Size (acres): 771
Land Size (SF): 335,94-76
This information is believed to be correct at this time but it is subject to change and is not warranled,
'L: Copyright 2016 Saint Lucie County Property Appraiser. All rights reserved,