HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: .r ! j �o® Permit Number:
1
J
gigi
QOM` 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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of Iine
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description:_ l
Cke"�1,_,{,1e�
Property Tax ID #:
Site Plan fume:
Project Name:
Setbacks Front Back:
DE T AI LED DESCRIPTION OF WORK:
�.� .
Right Side: Left Side:
Lot No. 1
Block No.
CONSTRUCTION INFORMATION:
Additional wor to Feer orme under this permit— c ec a t t appy:
HVAC LJ Gas Tank Gas Piping _ Shutters D Windows/Dears
Electric Plumbing Sprinklers L �1 Generator � Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $/5 L .,1Q — Utilities: D_ Sewer 7 5eptic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name QW-)
Address: C�e�
S.City.
Name: JOSEPH F TULLY
Company: GENESIS PLUMBING SERVICES INC
t)r- N ' i
Zip Code: Q Fax:
Phone No. i -
E -Mail:
State: f
i `-1 f.
Address: 1532 SE VILLAGE GREEN DRIVE UNIT B
City: POEN ST LUCIE State: FL
Zip Code: 34952 Fax: 772-335-2680
Phone No. 772-337-3682
Fill in fee simple Tit a Holder on next page ( if diiferent
from the Owner listed above)
E -Mail: genesisplumbingservicesp_gmaii.com
State or County License: CFC1429103
If value of construction is $2500 or more, a RECORDER Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERANGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
-----------------
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
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 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 I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucre 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 twine 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 our Notice of Commencement.
Signature of Owner/ seeJContractor as Agent for Owner 5ignature of Contractdr/License FTdIder
STATE OF FLORIDA, -,STATE OF FLORIDA
COUNTY OF- O .i COUNTY OF
The Y,� �ping instrument was acknowledged before me
this i' day of t _I Zp;)'Gby
(Name of person acknowfedging }
(Sign ature"af Notary Publ€ State of Florida )
Personally Known
Prdid�leF�iY��Z
Type of Identificati I I g, ;Ai Commission # GG 87150
Ar424 2021
A or. y Qmm4SSIOR X E
%:` �`n�"•d
Commission No. "'"��"" p
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this _L_1 day of 2G by
(Name of person acknowledging)
T�`
(Signature of Notary Public- 5 ate of Florida) r'
Personally KnownPr A9Aej-ANTc Z
Type of Identificati'°o i Commission # GG 9715o
° My commis+on xplre
Commission No. Aprll 021
REVIEWS
DATE
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
COMPLETE
INITIALS
5111/2020
Feature Report
k)CIE 00
4�� Saint Lucie County Property Appraiser
Y . Michelle Franklin CFA
Report generated: Monday, May 11, 2020
Parcel Report
Parcel
Parcel ID:
3322-507-0022-000-4
Property ID:
158679
Owner 1:
MaryAnn Gloss
Site Address:
9311 Scarborough CT
Owner
Overview
Owner 1:
MaryAnn Gloss
Primary Land Use:
0100 - SF Res
Owner 2:
District Group:
0002 - Saint Lucie County
Owner 3:
Subdivision:
Scarborough Estates
Mailing Address:..
9311 Scarborough CT Port St
Just/Market Value:
$464,500
Lucie, FL 34986-3357
Finished Area:
3,686
Acres:
0.336
Total Area:
14,636
Legal Description
Legal Description: PODS 12 AND 13 PUD 1 AT THE
RESERVE SCARBOROUGH
ESTATES (PB 45-13) LOT 17 (OR
3258-2034;3338-1642;4019-
1727)
https-1/pat.bhamaps.com/TabReport.aspx?appid=8c2D5c54407f4486855e54116cfd8390&PARCELN0=3322-507-0022-000-4 111