HomeMy WebLinkAboutBuilding permit application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �r
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Date: 9/2/2020 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginio Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMITTYPE: Demolition of House
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Address: 7790 S. US Highway 1
Property Tax ID#: 3414-501-0710-400-2 Lot No.
Site Plan Name: Block No.
Project Name:
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Demolition of House
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping Shutters Windows/Doors
_Electric _Plumbing _Sprinklers Generator _Roof Pitch
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 11,000.00 Utilities: —Sewer _Septic Building Height:
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Name MGSG Holding LLC Name: Cheryl A Jacquin
Address:_ 2521 S Indian River Drive Company:P&C Construction of the Treasure Coast. LLC
City'. Fort Pierce, FL State:_ Address: P.O. Box 4343
Zip Code: Fax: City: Fort Pierce; StOt0e:FL
Phone No, 772-216-8900 Zip Code: Fax:
E-Mail: P&C Construction of the Treasure Coast, LLC Phone No 772-216-8900
Fill in fee simple Title Holder on next page(if different E-Mail pcconstructiontc@aol.com
from the Owner listed above) State or County License CGCO56649
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable;
Name: Name:
Address: Address:
City: State- City: State.
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
city: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
1 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.Lucid 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 .JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Lessee/Contraftor as Agent for Owner Signature of n6aFtor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
The forgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this 22�1 day of ,September 20-,Z,Q• by this 2nd day of_SA tt�ember 20_M by
Name of per o making statement. Name of person` aking statement.
Personally Known X OR Produced Identification Personally Known X OR Produced identification I
Type of Identification Type of Identification i
Produced Produced
(Signature a Notary Public-St a qJ ridfiblary Pubite State of Ftori 1co
ture of otary Public-S
;9 Alyssa Modine .►*T 4atary Public State of Florida
r < �S ommission GG 30052ission.Na. �C�> �° �: 6esomodine
Commission No. ' 'y� o� �e>aoa11442023
oiw �joi*e)�f E Para 0d114t2023 360523
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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