HomeMy WebLinkAboutPERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/02/2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:FIRST SERVICE CGC INC
PROPOSED IMPROVEMENT LOCATION: _ ^
Address: 10535 S OCEAN DR, JENSEN BEACH, FL 34957 Sec Town/Range: 11/37S/41E
Property Tax ID #: 4511-500-0006-000-8 Lot No.3
Site Plan Name: BEACH CLUB COLONY -SECTION ONE LOT 3 Block No.
Project Name:
DETAILED DESCRIPTION OF WORD:
REMOVE FIREWALL, REMOVE A SINGLE ENTRY DOOR, CUT OUT CONCRETE AND INSTALL GARAGE DOOR.
New Electrical Meter Second Electrical Meter
[CONSTRUCTfON 1NF0RM_A_ IGN:
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: 2479 Sq. Ft. of First Floor:
Cost of Construction: $ 15,000.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE: - -CONTRACTOR:
Name MCGRAW ASSET MANAGEMENT LLC Name:TYRAN JACOBY
Address:2336 SE OCEAN BLVD Company:FIRST SERVICE CGC INC
City: STUART State: _ Address:1364 TOUCHSTONE RD
Zip Code: 34996 Fax: City: NORTH FORT MYERS State: FL
Phone No. Zip Code: 33903 Fax:
E-Mail: Phone No239-652-5784
Fill in fee simple Title Holder on next page (if different E-Mail OFFICE@MYFIRSTSERVICE.NET
from the Owner listed above) State or County License FL
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is S7,5W or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAVA INFORMATION:
DESIGNER/ENGINEER: X Not Applicable ` MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 payin ice for
improvements to your property. A Notice of Commencement must be recorded in t public re rds of St.
Lucie County and posted on the jobsite before the first inspection. If yo d to tain financi g, consult
with lender or an attorney before commencing. work or recording vo ce of ommenceme t.
�qnure of Owner/ Lessee/Co actor as Agent for Owner Signature of
STATE OF FLORIDA STATE OZ
COUNTY OF_ I&L44g _ COUNTY O
Sword to (or affirmed) and subscribed before me of
11/ sical Prese e o Online Notarization
this day of 202f by
Name of person making statement.
Personally Known OR
Type of Idenl Mcat!M -
Commission No.
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
oduced Identification V/
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 3 day of MARCH, zmt .2020 by
TYRANJACOBY
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
e Nuai
(Si nature of Notary Pub -
g ry
F on [}�JF]LEY R PUCKETf
DAVID MCCREA
Nota Stated
�`ap- Notary Public State of Florida
Florida.:
A
Corifi�Sn N GG 211956
Commission No. s„
GG 357878
I:o 5'! 4 . Jul 22, 2023
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'•..oF n.' My Comm. Expires Jun 27. 2022
�-,;.ark:. ' MY Corhm. Exlrres
�� Bonded through National Notary Assn -
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