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: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 555S
Llq
Legal Description: QC6CLn R'e91W -S i Vim, S I 1r$:J
Property Tax ID #t: _ 1 LUO • rjCQ ' O(g1 000. -1 Lot No.
Site Plan Name: �No'rnes U % A-+mn► r Block No.
Project Name: c �0_mp_S Da 44- m a C
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Exact change out of water heater, installed LJv gQ k C if, C.-tr % C_ w C. -V -t. V -
lnc oak -e c I p ck n , \o a.11 V cA V -Z_, C>,n Ca e% ffi -n & 6h + 0 -vi 1,
CONSTRUCTION INFORMATION;
Additional work tobe Derformed under is permit -check all appy:
HVAC Gas Tank E]Gas Piping _ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing Sprinklers EI Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $ t DaQ�
S . Ft. of First Floor: _
Utilities: Sewer Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name &Awmcs t ar
Name: Zacek, Dennis
Address: %5'5_55 &b NA3 a�
Company: American Residential Services
City: 'F N- 9tavYCf— State: Fl.
Address: 2800 US Hwy 1
Zip Code: 54 G LA C1 Fax: NIA
City: Vero Beach State: FL
Phone No. -1`11- X15 ' S�
Zip Code: 32960 Fax: 772 794-9783
E -Mail: NIA
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: CFC1428283
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 the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants that may restrict or prohibit such
structure. Please consult with your Horne 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 1 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, wails, 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.
s
weL
_ Signature of O er/ Lessee/Agent Signature of Contra r/License Holder
STATE OF FLORIDA
COUNTY OF si Wa•
The f r Ding instr ent was acknowledged are me
this day of W01,11 20 LUY
Dennis Zacek
(Name of person acknoH
7
(YAS
Ig -nature of ary Put
Personally Known x
Type of identification Pr
Commission No. FFzzos
Revised 07/15/2014
of Florida )
OR Produced Identification
STATE OF FLORIDA
COUNTY OF sl+yde
The fro(going rostrum nt was acknowledged efore me
this � day of 20 Agby
Dennis Zamk
(Name of person acknowli
ture of Notary Public- StIite OkFlorida J
Personally Known X OR Produced Identification
Type of identification Produced
B���EppT,,,II A DERBY Commission No.
MY Cvfulipi�SION # FF220930
EXPIRES April 15 2019
1 144.1i' sl
BETkt&RERBY
COMMISSION # F17220930
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DATE
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INITIALS
Property Card Page 1 of 1
Property Identification
Site Address: 5355 JIB WAY
Sec/Town/Range: 10/34S/40E
Map ID: 14/10S
Zoning:
Ownership
James Dittmar
5355 Jib Way
Fort Pierce, FL 34949
Legal Description
OCEAN RESORTS COOPERATIVE SITE 187
Current Values
Just/Market Value: $114,900
Assessed Value: $108,306
Exemptions: $50,500
Taxable Value: $57,806
Taxes for this parcel. SLC Tax Collector's Office 12
Download TRIM for this parcel: Download PDF 12
Parcel ID: 1410-502-0187-000-7
Account #: 6783
Use Type: 0205
Jurisdiction: Saint Lucie County
Total Areas
Finished/Under Air (SF): 884
Gross Area (SF): 917
Land Size (acres): 0.07
Land Size (SF): 2,850
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.pasic.org/RECard/ 11/4/2016