HomeMy WebLinkAboutBUILDING PERMT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
e
_..��. 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 I
I PROPOSED IMPROVEMENT LOCATION: II
Address: —I W
L_
Legal Description: L_All Uaow l ?�Mr+ll U n t T V—) PP -AV, ,tc) LOt
PropertyTax ID #:�'�.� LQi�► ' 6r7►$� 000)'0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK: 1
Replacing A/C, exact change out, no duct work with 9_54�+fi ktz' XYZ j C9
5ee-)(` t o K VJ Spl S IC sc-R S4 -em
CONSTRUCTION INFORMATION:
AaClitional work to be nartormed under this permit— check all appy:
HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing Sprinklers Ei Generator Roof
Total Sq. Ft of Construction: ' t S Ft. of First Floor -
Cost
Cost of Construction: $ ___ LQL t�] Utilities:�Sewer Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name
Name: Zacek, Dennis
Address:
Company: American Residential Services
City: V 1 r State: _,L►
Address: 2800 US Hwy 1
Zip Code: Fax:
City. Vero Beach State: FL
Phone No �� —_��
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@1,ars.com
from the Owner listed above)
State or County License: CMC1249753
iT vaiue at construction is SZ500 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 your Notice of Commencement.
3=L -L s
_ Signature of Ow r/ Lessee/AgentI ar�4
Signature of Cont or/License Holder
STATE OF FLORIDA
COUNTY OF SL Lube
The forgoing instrument was acknowledgtq before me
this day of A= 20by
Dennis Zacek
(Name of person acknowledging)
(Signature of Notary Public- St D
f Florida }
STATE OF FLORIDA
COUNTY OF s, Luce
The forgoing instrument was acknowledged before me
this -b day o�1[A= 2oUDby
Dennis
(Name of person ac
(Signature
of Florida )
Personally Known x OR Produced identificationI Personally Known x-'O"roduced Identification
Type of Identification Produced f Type of Identification Produced
Commission No. FF220 %. .: ^ EIM A DERBY 11 Commission No. FF� °
220B ' `: •••. B ,PM)A DERBY
MY COMMISSION # FF2209 _;� 7= MY COMMISSION FF220430
Revised 07/15/201 °" :"° `yam Fw.aallo a-rsemc. 3 F+a�R�•s �,��
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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
Lisa J Whipple
7103 Ocala Ave
Fort Pierce. FL 34951
Legal Description
LAKEWOOD PARK•UNIT 10- BLK 130 LOTS 22 AND 23 (MAP B."GIS)
(OR 3577-2241)
Current Values
Just/Market Value-
$95,100
Assessed Value;
570,342
Exemptions -
S45,342
Taxable Value
$25,000
Taxes for this parcel:
SLC Tax Collector's Office O
Download TRIM for
this parcel; Download PDF 12
7103 OCALA AVE
1301-612-0284-000-0
3004
13:01S
0100
RS -4
Saint Lucie County
Total Areas
Finished/Under Air (SF): 1.386
Gross Arca (SF): 21812
Land Size (acres): 0.54
Land Size (SF): 23,580
This information is believed to be correct at this time but it is subject to change and is not wan -anted.
8 Copyright 2016 Saint Lucie County Property Appraiser. All rights reserved.