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
I PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: Cx taf e S� 7 r-�'n k 1
Legal Description: 1 it t 1j7_CP—j14E 9rt=-114_4--- 1
V+4 (q L s j y LeS5 e 30-
PropertyTax ID #: 1 �41$ • 0006 • OCA - 7 _ _ Lot No.
Site Plan Name:
Project Name:
Setbacks Front Back:
Side: Left Side:
Block No,
DETAILED DESCRIPTION OF WORK:
Replacing A/C, exact change out, no duct work with 3. 5 n Ca -re', ems'
s -e -e_ r- /o K w 5pl , + 41C sc/5f-r_rn .
Aouit1:1 1onai worK to o errormea unser ini5 permit— cnecK all apply:
HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
11 Electric 0 Plumbing U Sprinklers 1:1 Generator � Roof
Total Sq. Ft of Constructio12)(000-0
n::� r� II,_ S . Ft. of First Floor:
Cost of Construction: $ 1 3 (00 � Utilities Sewer 0 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name: Zacek, Dennis
Address: 5 ►-
Company: American Residential Services
City: State: F1 -
Address: 2800 US Hwy 1
Zip Code: 314'75-/ Fax:
City: Vero Beach State: FL
Phone No.( -77z q C01 - 15941
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 apermit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws Oran dpcovenants 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
commencine work or recordine vour Notice of Commencement.
Signature of Ow r/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF St.I.We
The forgoing instru_Tenj was acknowledged before me
this 64 day of 20 14 -by
Dennis Zecek
(N f person n wle
I
(signature of Notary Pub 11 tate of Florida)
Personally Known x OR Produced Identification
Type of Identification PfWuEed- - - —
"a BETH A DERBY
Commission No. FF2zasbn• G MY CO(3El IOM # FF220930
'` EXPIRES April 15, 2019
Revised 07/15/2011
��. s
Signature of Cont or/License Holder
STATE OF FLORIDA
COUNTY OF s+ucw
The forgoing instrument as acknowledgedbefore me
this day of 20 by
Dennis Zacek C:ii
(Name of person ack edging
(5 gnature of Notary Public- Stat(of lorida )
Personally Known x OR Produced Identification
Type of identification Prodpeed•_____
ET
Commission No. FF220930_ •
MISSION
VA DERBY
# FF220930
EXPIRES April 15 2019
w
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Property Card Page 1 of l
Property Identification
Site Address: 5093 Bald Cypress TRL
Sec. 1-owrd Range: 18:34S/40E-
Map
8:34S/40EMap ID: 14/18N
Zoning: AR -I
Ownership
Lundy Hogan
177 Blvd
New Milford, NJ 07646
Legal Description
IS3440N 1;'2OFNE 1/4 OF SW 1/4 OF NW 1/4OF1
FT- (1 16 AC) (OR 1993-2900)
Current Values
Just/Market Value- $162,70
Assessed Value: S162.70
Exemptions: 5+,
Taxable Value: $162,700
Taxes for this parcel: SLC Tax Collector's Office 12
Download TRIM for this parcel: Download PDF 12
Parcel ID: 1418-123-0005-000-9
Account #: 7862
Use Type: 0100
Jurisdiction: Suint Lucie County
Total Areas
Finished/Under Air (SF); 1.843
Gross Area (SF): 2.803
Land Size (acres): 1.16
Land Size (SF): 50.530
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:o-'.,'www.pasIc.org/RECard.,-' 10/2712016