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HomeMy WebLinkAboutJacquin permit app boarding facilityAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1-20-2021 Permit Number. ;jA i3 E a 9 ° a ��_ Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial x Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone:1772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: 7790S. US Hwy 1 Part St Lucie FL 34952 Property Tax ID #: Site Plan Name: ❑DS 18.060 Block No. Project Name: .vEf'AILED DESCRIPTION OF WORK: 320 if of 8' precast wall New Electrical Meter Second Electrical Meter I. >vONSTRilCT[ON INFORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical Gas Tank —Gas Piping , Shutters Windows/Doors , Pond _Electric Plumbing ,Sprinklers —Generator Roof Pitch Total Sq. Ft of Construction: NBA Sq. Ft_ of First Floor: Cost of Construction: $ 38,352.00 utilities: —sewer —septic Building Height: awNERAESSEE: COMTRAt ;oR:: !Name MGSG holding LLC Address:2821 S Indian River ©rive City: Pt- Pierce State* Zip Code: 34950 Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page i if different from the [homer listed above) Name. Mchard Stites Company: Precast Walk Systems Inc Address: 1 888 NW 22nd Court City:Pompano Beach State: FL Zip Code: 33069 Fax: 954-973-7772 Phone No 954`973-8488 E-Mail debbie@precastwalls.com Richardeprecastwells.com State or County License GBC1252163 If value of construction is 25DO or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNERJENGINiEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: J-4 arouse Name, Address:3300 Nrn im Termo Address: City: Pcfnpanoscach State: FL City: State: Zip: 33064 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 AFEIDVIT: Application is hereby made to obtain a permit to do the woric and installation as maicated. 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 wl-,ich is in conTtict with any applicable home 0>.9ners Association rules, bylaws or and covenants that may restrict ar prohibit Sue h structure. Please consult vAth your dome 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 at 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, galls, signs, screen rcorms and accessory uses to another neon -residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for improvements to your property_ A Notice of Commencement gust be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspectirar. ,4 intend to obtain financing, consult ..r;+k I-1— nr nn nttnrrmotr hofnrn rr rnnvPrwrino wnrk nr rer n� �rQuY�f Commencement. f..17, 5igit3tlJre`af OL'Jnerj 1 5 gfContr#ctor as Ag nt F Oviner nature of ontractor/License Holder I STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OFS Sao n to (or affirmed) and subscribed before me of Sworn to for affirmed) and subscribed before me of Physical Presence or online Notarization P�ysicaI Presentee or Online Notarization this day of Z(12o by this .s� day of . j _, 2020 by id ii.<;�ir.l. s�i'TA In•f'/1 Richard stows name of person making sta erne t. Name of person: making statement, PArsonai Kn wn � OR Produced identification Personally Known OR Produced Identification Type of dent ftcatiori Type of Identification Praduc Produced (Signs a of notary Eo gshley Taylor ill • ignature of Not rRbra qWNxt of Florida * Rey Comfrsssean HH 051284 .Mh E>� Commission 9 HH 017740 CamrniSS n illy. FW07=4 mmission IVo. ,`.ortti LAY Comm. Exp ;t1�5, 2014 Sanded through National Notary Assn. REVIEWS FRONT ZONING SUPERV15OR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev. S/ u/ Lu