HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
J
O -
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
ii
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 2
Legal Description: Play a � �Ckr , Vc.irc' IiE� _65 —C s
Property Tax ID 9:
Site Plan Name:
ME
Project Name: It u\ U mL� . 1<100101 P—A
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No. _
Replacing A1C, exact change out, no duct work with +C- In Vhe-r-m
M Sir I Kw SP1 k-�- )RIC S�&CM .
CONSTRUCTION INFORMATION:
Additional work to be Pertormed under this permit —check all � apply:
HVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
LTJ Electric 0 Plumbing ❑Sprinklers E Generator Q Roof
Total Sq. Ft of Construction:
Cost of Construction: $ ;
Sof
of First Floor:
ElUtilitiesSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name: Zacek, Dennis
Address: c) +\, LL
Company: American Residential Services
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City: ex CC— State:
Address: 2800 US Hwy 1
Zip Code: Z214 G Fax:
City: Vero Beach State: FL
Phone Noo ::1 rZ:)3:�a79Ms
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 a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws Oran 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.
-�> el
_ Signature of Ow r/ Lessee/Agoit Signature of Cant or/License Holder
STATE OF FLORIDA
COUNTY OF st Loch
STATE OF FLORIDA
COUNTY OF sig
The fo aing instrWent was acknowledgQd before me The forgoing instrument was acknowledged before me
this day of 201JQby this day of _L , 20 JJQ by
Dennis Zacek Dennis Zacek
(Name of person acknowledging) (Name of person acknowledging)
re of Notary Public- State of,
Personally Known X
Type of IdentificatioF
Commission No.
Revised 07/15/2014
OR Produced Identification
[SETH A DERBY
My COMi &SION 0 FF220030
EXPIRES April 15, 2019
(Signature of Notary Public- State of CeIda )
Personally Known x OR ProdueIdentification
Type of Identification Pr
Commission No. fFZzos _ `�`" Mlr A D
YoouP4 ERBY
iR +as
sloN
-33
Fi°"�tia.avn! 1S. 2048
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Silc Addrc3s
Parcel Ib:
Account M
Map In:
UseTypc:
Zoning:
City/County
Ownership
ft t Kelly -Holmes
J.—a A 11.1-1
1103 N nh St
Furi Pim-c, FL 319.17
Legal Description
PLAT 2•SU\LAND GARDENS 9LK 33 LOTS 13 AND IJ 1025 AQ (Olt 19M -N); 1)
CurrentVaiues
JustlMarka Value
S34,566
Ancsrcd Valuc:
S3C.914
E:xnnptiuns
S1F.914
Taxable Value:
so
Taxa far diil parcel: SLC Tax Wkcior r Office 0
Download TR1hI for Itis parcel: Duwnl,ad PDP D
Total Areas
Fmishcri'Undcr Air (SF):
Gross Area (SF) haC
Laid Size (acres): 6.25
Land Svc (SF): 10 890
Property Identification
1103 N 37th ST
2405.70341012•001iW
I X936
2aruss
6106
RS•a
Saint Lucie C—ay
This wifonuation is believed to he wrrerl at this Wric but it is subject to Ilan a andis nod wm2nted
G Copynght 2016 Saint Lucie County Property Appraiser Alin Ls ieserved.