HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/1/2018 nit Number:
BY
St LUC71P r.n1friti ReCEIVED
CE'VED
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Building Permit APPI'Cat!O JUNI 2018
Planning and Development Services
County,
ty P
Building and Code Regulotion VivisiOn -.-L,ucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34.W X
phone- (772) 4624553 Fox-, (772) 462,1510 Cpirnmerdal Residential
PERMIT APPLICATION FOR: To Selov-t VOM'dropboXt cliqk arrow at the end of line
Address: T13D Qopenhaver Road - Fort Pierce, FL'34' 945 -M
Legal
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Property TaxlD#: 2313-211-0006-000-7 Litz?
Site Plan Name,
Project Name: New
Setbacks Front !Q
New Home
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Right
S 13eaf-oa f'V'\
Left Slop';
9 , la, BCA' r-C)o M:s
Block No.
9 car-
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Additi'o-tia-1'7w-o-r-R-tFo-b-g--
orme
HVAC Mas Tank 11G.a.5 Piping Shutt' rs wilidowsl000rs
Electric El Plumbing LSPrinklors liGeneratot 1100f L112J Roof pitch
Total Sq. Ft of Construction: 3514 0
Ft caf lrst Floor,
Cost Of Construction, $ 200,000
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X ate Or
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momr Id
€Name Robert and Jennifer Jacquin
Address: 1914 Quail Court
City: Fort Piprr--,=
Sltate: FL
Zip Code: - 34982 Fax:
Phone No.- 772-528-0801
&Mail: robert-jacquin@pjsi.com
ill in fee Simple Title Hower on r$ext p*( if differeilt
from the Owner listed above)
T, —VW�Ueof —Clansir-V—Cfor. is —or ;r more, 9)Yoiif&iD-
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Che IA. Jac uin SO
('Ornpany: p&C. I
Add,,,: f the Treasure Q. Box 4343 LC
Fort Pierce
Zip code: 34948
Phone---FBX- 772-461-0095
No, 772-216-8 go()
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State or County LlCen"e-.
QGC 056649
AppEEcabEe
�ESIGIVERJEEVGIhIEER. ,_,,,_,,, fVot A EEcabt�
Name: Paul Welch Inc.
NSrT1£':
Address: 1984 S.W. Biltmore St. -Suite
114
Address:
Lit Port St. Lucie
'
•
Stet: FL
Ci#y:
State:
Zip: 34984 Phone 772-785-9888
Zip: Phone:
FEE SIMPLE TITLE HOLDER:'
Not Applicable
60NL INS Cfi# PAfe1'y:..
Not Applicable
Name:
Name: .
Address:
Address:.
City:
City:
Zip: Phone
Zip: 17hone:
OWNER/ CONTRACTOR AEFIDVIT. 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 I ermit ilil autr}�rize the permit holde to build the subject structure
Which is in conAct with any applicable Home Owners Assoc aticn r da, bylaws or andcovenantst at may, restrict or prohibit such
structure. Please consult with your Home Owners ,Assoclation and review your deed for any restrictions which may apply,
In consideration of the.granting of this requested. permit, I € her by agree KElat i w0l, In all respects, perform the work
in accordance with the approved plans, the Florida Building dodos 40 $t. Lucie County Amendments.
The following building permit applicotions are exempt from undergoing a.full concurrenc'y review; room additions,
accessory structures, swimming pools, fence,, walls; slgrls, 40f.en rooms and aoce�sory uses to another ponrresidential use,
WARNINQ TO OWNER: Your failure to Record a 0tf of C-om medcement may result in your paying twice for
improvements to your property, A Notice of Commertcerr¢ent rnust.b-e recorded and posted on the jobsite
before the first inspecti. Ifyou intend to ohtain fEranstcfrlstlt with lender or.an attorney before
I
signature of ow essee/Ccfntractar ias giant frwr 5uwflor I Signature Cot /License Motder
i
STATE OF FLORIDA STATE, OFFLORIDA
COUNTY OF St Lucie COUNTY 00St Lucie
I
The forgoing instrument was ackngwledged before me I The forgoing instrument was acknowledged before me
this 1st day of June 20—to, by iI thls.,.M day of June 2Q„L8 by
Robert Jacquin
Name of person making statement
Personally Known i,/-- OR Produced Identification
Type of Identification
Produced
Chervl A..Jacquin
Marne of person making statement
Personally l(nown ✓ OR Produced identification
Type.of Identification
Produced
(Signature of Notary Public- State of Florida ) (fgnaurL oY Notary Public- State of Florida )
Commission No. �7"u �&W]Public State of Florida t'mmission No. F C) Ll ^ eOy °os (S��i�v Public State of Flc
jw,
Alyssa Modine ��: Alyssa Modine
eMy Commission FF 208475 ° of �o�eMy Co missio 0FI92084
of" Expires 04114l2019
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