HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED. FOR APPLICATION TO BE ACCEPTED CC --
Date: 1/29/18 Permit Number:
C er-A
Building Permit Application` S c5
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 COmrriercial Residential x
PERMIT APPLICATION FOR: Mobile home
PROPOSED IMPROVEMENT LOCATION: '
Address: 3616 Red Tailed Hawk Dr
1
Legal Description: Lot 26 in Block 70 of Fairways At Savanna Club Replat No. 1
Property Tax ID #: 3424-800-0096-000-6
Site Plan Name:
Project Name:
Setbacks Fron �— Back: 0 Right
DETAILED DESCRIPTION OF WORK
aa` Left Side:
Mobile Home Setup with plumbing, electrical, and mechanical
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,CONSTRUCTI'ON INFORMATION:
Additional work to be performed under tis permit —check all app y:
❑✓— HVAC LJ Gas Tank
❑✓1 Electric [z] Plumbing
Total Sq. Ft of Construction: 1,560
Cost of Construction: $ 5,000.00
Lot No. 26
Block No. 70
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❑Gas Piping 1 _ Shutters ❑ Windows/Doors
Sprinklers I 0 Generator El Roof Roof pitch
SI . Ft. of First Floor:
UtilitieslSewer 0 Septic Building Height:
4;OWNER/LESSEE:.. ''
'CONTRACTOR:,.
_.
Name Savanna Eagles Retreat LLC
Address:2777 Franklin Road Ste 200
City: Southfield State: MI
Zip Code: 48034 Fax:
Phone No.
E-Mail: mknight@suncommunities.com
Name: Thomas G. Jennings
Company: Jennings Mobile Home Setup, LLC
Address: P. O. Box 1428
City: Auburndale State: FL
33823 863-967-6655
Zip Code: Fax:
Phone No. 863-965-0883
- E-Mail: jenning'smhs@tampabay.rr.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: IH1025176
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If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
'SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 permit1will 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 ireview 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner 'Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Polk
The forgoing instrument was acknowledged before me
this 29th day of January 20 18 by
Thomas G. Jennings
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signature of Notary P c- Sta c�nid
<>a"• °S,�•, KIMBERLYWATKINS
*4 eaY COMMISSION # FF 18
Commission No.
3 XPIRES: January T 2
',Gl_f}'0 Bonded Thru Notary Public Linde
STATE OF FLORIDA
COUNTY OF Polk
The forgoing instrument was acknowledged before me
this 29th day of January 2018 by
Thomas G. Jennings
Name of person making statement
Personally Known X OR Produced Identification
j Type of Identification
Produced
nggnik'Eure ofMotary Publiy/Atate
No.
KIMBERLYWATKINS
�; COMMISSION # FF 18
PIKES: January 7, 2
Bonded Thru Notary Public Linde
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVI
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17