HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUS?BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-14-18 Permit Number: T�
Buiidin9 Permit Application
Planning and Development services MAR 15 2018
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Demolition
PROPOSED IMPROVEMENT;LOCATION.::
Address: 368 SILVERSTREAM CIRCLE, LOT 11, MOBILE HOME UNIT
Legal Description: 33 34 40 S 650 FT OF NE 1/4 LYG W OF US 1-LESS TRACT TO RUSSO-AND THAT PART
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OF N.10 AC OF NW 1/4 OF SE 1/4 LYG W OF US 1 (25.12 AC)(OR 1768-2079)
Property Tax ID#: 1433-130-0004000-1 Lot No.
Site Plan Name: RIDGECREST MOBILE HOME PARK Block No.
Project Name: 368 SILVERSTREAM CIRCLE,LOT 11,MOBILE HOME UNIT
Setbacks Front Back: ,Right Side: Left Side:
DETAILED DESCRIPTIONQFWORK. .
EXPLORATORY OF UNIT TO DETERMINE REHAB POTENTIAL
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CONSTRUCTION:INFORMATIOM.
Additional work to be nertormed, under this permit–check all that appy:
.1 ]HVAC 1 Gas Tank OG Gas-Pi in Shutters Windows Doors
�— O P g Windows/
Doors
Plumbing `Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: 672 SF MOBILE HOME Sq.Ft.of First Floor:
Cost of Construction:$ ) �� Utilities:L_9 Sewer Septic Building Height:
' 01N VER/LES5EE:.;
COIVTRAcoR
Name Ridgecrest Mobile Home Park LLC Name: MICHAEL WALDROP
Address:Ridgecrest Mobile Nome Park LLC Company: INNOVATION CONTRACTING,INC
City: Southwest Ranches State: Fig Address: PO BOX 12757
Zip Code: 33332 Fax: City. FT PIERCE State:FL
Phone No.954553-1833Zip Code: 34974 Fax:
E-Mail:TI'ETERSON@RIDGECRESTI?.ROPERTY.COM phone No. 772-519-9108
Fill.in fee simple Title Holder on next page(if different E-Mail: INFO@INNOVATIONCONTARCTING.COM
from the Owner listed above) State or County License: CGC1511910
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
S�UPPLEMENTAyL CbNSTRUCTIO�V`L`IE�tLA�VU INFORMATION �}� � � �'' �� � � _
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: y _Not Applicable "
Name: Name:
Address: Address:
City: State: City: State:
Zip: 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 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 thepermit 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 WNER:Your failure to Record a Notice of Commencement ay result in your paying twice for
improveme s to your property.A Notice of Commencement must be corded and posted on the jobsite
before th Irst inspection. If you intend to obtain financing, consult th lender or an attorney before
comme n work r ordin our Notice of Commencement.
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I at ne ontractor as Agent for Owner Sig atur Co rac icense Holder
TATE OF FLORIDA (`� ` AT LORIDA ` t
COUNTY OF ��1.{��,LC_(� C NTY OF ��� �1., u
The fgr{going Inst t <nowledgepefore me The f oing instrMr—U=
edgedi fore me
this day of 20 by this day of20n y
U L I(v
Name of on making statement Name of p r n making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identifica ion Type of Identificati n
Produced Produced
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Signature of Notary Public-State of Florida �ig i ture of Notary Public-State of Florida)
Commission No. W I NELLE pI NOV. � "ssion No. I" � N►�NESEA5
MISSION#F 20 ::p' ppN M IssloN# 1s.zp20
Co S Feb�uaN 1 ,20 ;�.. '' : MY Co M FebNaN
F1��Noua•vse � ���
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REVIEWS FRONT � I�Iit 'g' ERVISOR PLANS VEGETATION ,''s ' ��. FANGROVE
COUNTER EW REVIEW REVIEW REVIEW A0" EW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. B/2/17
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