HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:, � .2'al(p Permit Number:J.1(9,12�—
Building Permit Application RECEIVED
MAR 3 0 2016
Planning and Development services
Building and code Regulation D1vision,
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1,578 commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
11111cal
Address: 9326 SCARBOROUGH CT
Legal Description: PODS 12 AND 13 PUD 1 AT THE RESERVE SCARBOROUGH ESTATES(PS 45-13)LOT 20(OR 2653-2813)
Property Tax ID#: 3322-507-0025-000-5 — Lot No 20
Site Plan Name: RONALD RUSSO Block No.
Project Name:
Setbacks Front_ Back:_Right Side:_Left Side:
LIKE FOR LIKE A/C CHANGEOUT 4T/16S 10 M AND 2T/14S SKW
NO DUCT WORK
er
Additional war to 1JRW-0 med under th Mft c eckaEnappy:
HVAC Gas Tank []Gas Piping L--Ts
FL Windows/Doors
Electric Plumbing OSprinklers 0 Generator D-Roof
Total Sq.R of Construction, 7 0 SQ.Ft.of First Floor;
Cost of Construction. Utilities:M Sewer F�Septic Building Height:
Name RONALD RUSSO Name: JAMES DEGATINA
Address:9325SCARBOROUGH CT Company. ALL AMERICAN AIR&ELECTRIC,INC
City: PORT ST LUCIE - State:FL Address: $11 NW MERCANTILE PL
Zip Code: 34986 Fax: City: PORT ST LUCIE State:FL
Phone No. Zip Code. 34980
Fax: 772-878-51"
E-Mail: Phone No. 772-878-5143
Fill In fee simple Title Holder on next page(if different E-Mail: GRUF@AAAEINC,COM
from the Owner listed above) State or County License: CAC057985
If value of construction is$2500 at more,a RECORDED Notice of Commencement is required.
DESIGNER ENGINEER: ----Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name.,
Address: 7Address:
City: State:_ City:
Zip: Phone: Zip.- Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY. 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 Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is In conWict with any applicable Home Owners Association rules,bylaws or ancovenants 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.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
im rovements 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 recor'ng your Notice of Commencement.
Signature of Owner/Lessee/Agent SIgnafM%RQLZFA4aLtor/Ucdhse Holder
STATE OF FLORWA STATE OF FLORIDA .
COUNTY OF CL-EQcujo�— COUNTY OF !a I 1&A- (2-minfu
I
The forgoing instrument was acknowledged before me The fci� ment was acknowledged before me
going instru
thisanay of 20 thY th s2ff day of M Cv:Oh 20 -by
(N acknowledging) (Name of person acknowIledging)
L: �i�udl �1-011%r.L- Y
(Signature of Notary Public-Stafdd Florida) (Signature of Notary Public--St Z of Florida
Personally Known -OPLPrDd Personally Known' OR Produced Identification
Type of Identificatio ro Type of Ident uf It lit ,Y'6`
111F
,RV P�,,, "JF141da
7 2
'o
GENA LORENZ NJJF gr4—Rv P&A W" GENA LORENZ RUF
Commission No. Nollrlf"4-State 01 F101109 Commission N Notary Public-(VAWPf Fifflida
dantmistion#FF 957MM? c9inmhWon#FF 967"7
Comm,!11!n kb 1,2"Mm"O MV"M exWo fair
Revised 07/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROV5
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS