HomeMy WebLinkAboutBuilding Permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
a -
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
23DO 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: _,2a 5_ -OP 11-e
Legal Description:
Property Tax ID #: 3 41R. , 57/0 ' Q 22 ' Leo _ Lot No.
Site Plan Name: V I el RIP -in Block No.
Project Name: s -en
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: I
Replacing A/C, exact change out, no duct work with 3 -rO M Arnr9A A 1 SS S E� R
10 K w Sr 1, 4 A/C sr fsfem fiAD a -rc) N A m aAl R
lip SCei2 6- 1Cvi SPL,T 41e S�ASTem
JUILIUIIdI WUI IC LU YC CI IUI IIICU
HVAC Gas Tank
ILI LIIQ IJCI IIII L— 1-91CO-K dll
❑Gas Piping_
dIJIJJy.
Shutters
❑
Windows/Doors
Company: American Residential Services
City: ehf♦ Si Loci ?_ State: _L
Address: 2800 US Hwy 1
Zip Code: 31495;R Fax:
City: Vero Beach State: FL
11 Electric 0 Plumbing
Sprinklers
E Generator
11
Roof
Total Sq. Ft of Construction: p
Cost of Construction: $ J?a
Sq. Ft. of First Floor:
Utilities: 0Sewer ElSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR -
Name N ie Nm NeVe -* Fa -f -Pm
Name: Zacek, Dennis
Address: e3�,93 61 L +i_f AV`Q
Company: American Residential Services
City: ehf♦ Si Loci ?_ State: _L
Address: 2800 US Hwy 1
Zip Code: 31495;R Fax:
City: Vero Beach State: FL
Phone NaC�7Z�
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 QONSTRUCTION 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 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
commencins work or recordiniz vour Notice of Commencement.
_s
_ Signature of Ow er/ Lessee/Agent Signature of Cant or/License Holder
STATE OF FLORIDA
COUNTY OF St Lucie
The for ping instru nt was acknowledge before me
this � day of 20 Jkby
Dennis Zscak
person
Notary Public -State
Personally Known x OR Produced
Type of Identification Pfaff" =-,
Commission No.
Revised 07/15/2014
MY g§NIpsioN 0 FF220930
EXPIRES April 15 2019
STATE OF FLORIDA
COUNTY OF stLude
The forgoing Instry mient was acknowledged before me
this il day of ZO JJ�V by
Dennis Zack
(Na arson acknowledging)
Li.2k �:/
{Signature of Nota ic- State of Florida }
Personally Knownx r C Vuced IdWfta iA1 RBY
Type of Identification Pro Fide MY COMMISSION sl FF22D930
EXPIRES April 15 2019
Commission No. FF220930 ,aes. s,•,.� 5� i]matis�,.dt:a*
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Property Card
Site Address: 223 OLIVE AVE
Secf rown/Range: 22/36S/40E
Map ID: 34/225
Zoning: RS -4
Ownership
Cleve Nielsen
Karen Nielsen
223 Olive Ave
Port St Lucie, FL 34952
Property Identification
Parcel ID: 3419-510-0278-000-0
Account #: 42018
U se Type: 0100
Jurisdiction: Saint Lucie County
Legal Description
RIVER PARK -UNIT 2- BLK 19 LOT 47(MAP 34/225) (OR 3140-1338)
Current Values
Just/Markct Value: $181,100
Assessed Value: $165,954
Exemptions: $50,000
Taxable Value: $115,954
Taxes for this parcel: SLC Tax Collector's Office
Download TRIM for this parcel: Download PDF 12
Page 1 of 1
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Total Areas
Finished/Under Air (SF): 2,444
Gross Area (SF): 3,755
Land Size (acres): 025
Land Size (SF): 10,975
This information is believed to be correct at this time but it is subject to change and is not warranted.
0 Copyright 20I6 Saint Lucie County Property Appraiser. All rights reserved.
http://www.paslc.org/RECard/ 11/17/2016