HomeMy WebLinkAboutBuilding Permit Application- r 1
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �i� Permit Number: ��—l0- (D 5Z)
11-1 .�o L L, RECEIVED
APR -1 loll
a Yti - Building Permit Application
permitting D,ypartmen+
Planning and Development Services . g`. �u�,� countY
Building and Code Regulation Division Commercial Residential I�
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Construct New Garage
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Address: 1840 Coaenhaver Road Fort Pierce FL 34945
Property Tax lD #: 2313-422-0002-000-7
Site Plan Name:
Project Name: Nick Macias
New Electrical Meter
e-Engineered Buiidi
Second Electrical Meter,
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Additional work to be performed under this permit- check all that apply:
Lot No.
Block No.
—Mechanical _ Gas Tank Gas Piping � Shutters � Windows/Doors � Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 4,335 Sq. Ft. of First Floor:
Cost of Construction: $ 144,000.00 Utilities: —Sewer _Septic Septic Building Height: 16`
Name Nicolas Macs
Address: 840 Copennhayar_-Road- oad_
city: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No. 772-519-0731
E-mail: nickmacias7l@gmail.com __..._
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Cheryl A. Jacguin
Company: P&C Construction of the Treasure Coast, LLC
Address: P.O. Box 4343
City: Fort Pierce State: FL
Zip Code: 34948 Fax: 772-216-0095
Phone No 772-216-8900
E-Mail pcconstructiontc@aol.com
State or County License CCCO56649
if value of construction is 2500 or more, a RECORDED Notice of Commencement Is required.
If value of HAVG is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: M Not Applicable
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MORTGAGE COMPANY: _ Not Applicable
Name: David M. Tamborski
Name:
Address: P.O. Box 1447
City: Covington State: ,SA—
Zip: 30015 Phone 866-728-9973
Address:
City: State-
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Nat Applicable
BONDING COMPANY: iNot Applicable
Name:
Name:
Address:
Address:
City:
Zip: Phone:
City:
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 Count 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
.,.ift, ir_,nrinr - n �ffnrnnit hnfnrn rnmmnnrin❑ wnrk ew rprnrriino %intir Nntir,- of Commencement.
Signaturii-61"Owner/ Lessee/Contractor as Agent for Owner
Signature of Con c or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
Sworn to (or affirmed) and g1thscribed before me of
Sw rn to (or affirmed) and subscribed before me of
Y. Physical Presence or Online Notarization
Physical Presence or Online Notarization
this 7 lay of 11 tc irr 1� 2024 by
this �i� clay of j116i-r c h 2021 by
Cheryl A. Jacquin
Cheryl A. Jacquin
Name of person making statement,
name of person making statement.
Personally Known _ Z_ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of identification
Produced
Produced
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(Signature bf Notary Public- t TIT I r d
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Commission No. {}�2 n ecl�missionGG 300523
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW REVIEW
REVIEW
1 REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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