HomeMy WebLinkAbout9400 Scarborough Court 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 Regulatlon Diuision
2300 Virginia avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772} 4s2-1578 Commercial' Residential
Address:
Property Tax ID €l: 33ZZ - 5077 - OO IZ— C)00 - Lot No.
Site Plan Name:._-9 q-+�__. Block No.
Project Name: V�rJ" r S 'r'�
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Additional work to be performed under this permit— check all that apply:
Mechanical XGas Tank . X Gas Piping ^ Shutters Windows/Doors
_ Electric _ Plumbing _ Sprinklers ` Generator _ Hoof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
'Cost of Construction: $`1(_0_LS • _5q Utilities: —Sewer —Septic, Building Height:____�,�.
Name Y4~NY-JL t- L
Cl IEk- t_u 41 A. - State: FL -
Zip Code. 12g06 Fax:
Phone No. -nZ - 90) -
E-Mail:
Fill in tee simple Title Molder on next page (If different
from the Owner listed above)
Name: Larry Licastri
Company: Arne€!Gas
Address•3301 Oleander Avenue
City: port Pierce State:
FL
Zip Code: 34982 Fax: 772465-8448
Phone No772-633-0740
E-MallAmer!Gas-7282@amedgas.com
State or County Ucense'02707128579
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of NVAC is $1,500 or mare, a RECORDED Notices of Commencement Is required.
DESIGN ERIENG1NEER! w_Not
Name:
Address:
City, State:
Zip: Phone
MORTGAGE COMPANY! Not Applicable
Name:
Address.
CRy; State:
ZIP: Phone:
FEE SIMPLE TITLE HOLDER: ____ Not Applicable I BONDING COMPANY: _Not Applicable
Name;
Address:
Zip; Phone:._.. - - - ...�...
Name:
Address:
City:
ZIP.. Phone:
OWNER/ COiNTRACrOR AFFI DVIT: Application is hereby made to obtain a perm* to do the work and installation as indicated6
i ctardry that no work or Installation has commenced prior to the Issuance of a permit.
St. Wcie Coon��ttff��{{rr makes noYYre�pp� representation tha ivs�rgranting grantingpermit will
authorize the mot holder to build pthhte�subject s ructure
sir iurenPl�easecconsuit �rlth youraHArnewnersneAssa ianarsdrreview Yc �laws eedtr�any re iritihlons vhith maY aPPhI• ro ibit such
In consideration of the granting of this tequested 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 AmeMments.
The following building permit applications are exempt from undergoing a full cone urency review, room additions,
accessory structures, swimming pools, fences, wails, signs, screen rooms and accessary uses to another non-residential use
WARNING TO.OWNER: Your failure to Record a Notice of
b pord�. nts tns*pe.r�ropfoyortyA tonic of tainfi ncl
befo the s Inspect o . If you Intend to obtain finan
as Agent far owner
STATE OUNTY01 R_ � lh
The ing Instrurnentwa a cknawledg,�before me
this ay of 20?-& oY
t'G_,YVL')r o.eGt.s�l
Name o"ars"king statement
Personally Known OR Produced Identificadon
Type of Identification
ri>'nceme reaylt In your paying twice for
t m e recor and pasted on the jobsite
consu t Ith #ender r art attorney before
ofCohiractor/Llcense Holder
STAf'EQERtRli)A •t V
COUNTY OF
The f g ng Instr nt
as ac nowled afore me
�I
this _" of
ZD
�_ nA
` �Y",
Lt C Ci. & � t
Name of pe
aking statement
Personally Known
OR Produced Identification ,
Type of Identification
(Signature #,ilotary - Is larure or ry y�nc• zia ir!" K I fi Ely
( T�ir KIRBY ;�� i'Notary PuOliC•Ststo of Flond9
,`�;�r� vl�ilC•State of Florid ammissicn N ='• �= is+sliih V�)928370
CgmmlWon No. •o Notes
F: Corr�fn,Osion a CG 926370 "-,,;,�a My Cemmilmon txplres
VV QbnjMl§5Ion ExpiFeg Octnbar 23, 2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW! REVIEW REVIEW
DATE
COMPLETED
Rev, 8/2/17