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Building permit application
FAllAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9/2/2020 Permit Number: �a©Q / OOPS i i Building Permit Application Planning and Development Services Building and Code Regulatlon Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X PERMITTYPE: Demolition of Pool Q ❑ ...^.', :,� C .MP ,� y'E M ! a Q.IN ✓�.y n: w.l�,✓;�,a a�/// ,.ec.✓<;,; es,,. <( «!!u,.,,lw, ,✓/ a,r„../r,.;;!E.,//,,..2'iyiY.f.,.s s>�r.„� Address: 7790 S US Highway 1 Property Tax ID#: 3414-501-0710-400-2 Lot No. Site Plan Name: Block No. Project Name: i =.;Is,:tJ,.„ 4i.Ar/kr,.'1./�t:,E/D:,,�6zuG.®:ua o%Lr;l//'� '� ,/ihw 1.< e;dis�c��f/J�UT)�f'lp§l._-b{z��3 i ' *{9 yri r z �r,✓„f r;e,.�,�x.z✓ 7ai/ ys a' -:.r s s%.. Fj 1">,yl. s'yrw,, X/:;. y r s$yr q j/9f/'/✓r,ry7/ Yv/' ,✓_y aatF a �glu fl xQP, 3 S.. "c x .x�.,::Er�..w...._..,t.d<;%%/z,�/ 6`f/'" z.c..F. y✓9, r ry yr y.. y r : s yrir,.,«,« / r Demolition of Pool sxW'r;���: :w,w,<w.��j✓fi*.,I < �'t:',:z1".r :xr„x K�%�x✓ 's"rt; '� "�e,'rw.�`� Y'..r , ,zy ; g;!: ..,ter w,�ilie�:.�:,... d��%x>''^sx,�. ,P✓.��r,a,..Y�ia',-..n„vfAw,�� �.w����+� �...,....::...< s.«.���,fx.'��."4�..�,a.sy<c,.._....•:.:, s� »r'rti.,�4��,.4 w,,,;; Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank Gas Piping _Shutters _ Windows/Doors Electric _Plumbing _Sprinklers _Generator _ Roof Pitch Total Sq.Ft of Construction: Sq.Ft.of First Floor: Cost of Construction:$ 2,000.00 Utilities: —Sewer _ Septic Building Height: rt M;. �.$ �y,rb',>�J`�< ��'.<;,.x�'�* 4 rr w r rr��.��r�v�'� kris � v _x � ✓�J s .`cr.�e F„s t Sr ^t z y34 k'.3✓� g�s�� �x�l _ ,���;/,i r_,,..,e...�ves���.u�:/i.9�F��x�ry%�.;.�s^` ..;%-.5:. - ��,,.;/���� �i�., /�ri �� w �Rl 9'd �� 6'as a: ..f F. t lx✓4i,��,Y.n,,,�,..f..uw'a�'��c'r A3 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 34950 Zip Code: Fax: City: Fort Pierce State:FL Phone No. 772-216-8900 Zip Code: 34 Fax: 61-009 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 CGC056649 i If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. If value.of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. I ,::'%�� ;:kd txxn rh<ifr ✓��,1.::-> 7.,zv:., .� �s.x z,:s a,;x,5wy`:n fr a.ii � '4rr:: �.J �. 4 /� jay # 5 -1 n Y:� .,'r f"✓e �.fv ;,t 9 ynn`j;y7'7���:JN `6?"3.�ra.,:x1�s#r��li3�z�� �,✓�/%��r °S. 3,'�vc��,.i���/l..,i s.r:�y � v�:T ,�,Mn��s ��A�sr�l:�� L�'.NY � �', :...�,�� �:r . _'1vr��,rx a'�ea�a'„, ..:,j � ��.SwS s-,a,,. <� �r$x�.�:;, s,.,.;:,��,Yzt`�w��'+�✓�<�..';vey,,.r; ,,i<:sr�.:..,wh,^�.ssvc.,;:°'E-.�n;�r�;h�'�-,.%/xJq�,�.�,;!;,,�.�sr/1"'�%�G'rrr„ DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: 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. 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 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 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/Lesse q-tractor as Agent for Owner Signature of Contractor`]0—cense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St Lucie COUNTY OF St Lucie I The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this,2pcj day of igpptpmh .r 20_M by this,2nd day of apt mh _r ,20_M by Name of persolx making statement. Name of person making statement. Personally Known X OR Produced Identification Personally Known X OR Produced Identification Type of Identification Type of Identification Produced Produced {Signature df Notary Public-State of Florida) S' ature of otary Public-St I r' d N pry Putttit State a3 Flcx r �q'� ora PuistEc Slate o!Ff Commission No. t'I� , �(S sa �� Co ission No. "ti�i �.,., �. f' a F ub c slate on h! obine y Camm�ssron GG 30032 ' Yv Can1MISSIon GG 300523 � d Hxpt6s 04114r2023 ai R Exp,rga 0414 eV%0V REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGRO ..� COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 1 I i