HomeMy WebLinkAboutBUILDING APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1S53 Fax: (772) 462-1578 Commercial Residential x
PERMIT TYPE: MOBILE HOME
PROPOSED IMPROVEMENT LOCATION:
rir1,, 7631 EASTERN BLUEBIRD OR P®f-t cz* uxcl e----
Property Tax ID #: 3424-800-0127-000- =
Site Plan Name: SAVANNA CLUB
Project Name: SAVANNA CLUB
Lot No, 7210
Block No. NA
DETAILED DESCRIPTION OF WORK: I
SET UP AND ANCHOR MOBILE HOME W1 ELECTRIC, PLUMBING AND A/C ^ Vi'T E, la T
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
-, Mechanical Gas Tank _ Gas Piping , Shutters _ Windows/Doors
'1k Electric k Plumbing Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: 1456 Sq. Ft. of First Floor: 1456
�1
Cost of Construction: (7 C 06) •� Utilities: Sewer ^ Septic Building Height: 14'
OWNER/LESSEE:
CONTRACTOR:
Name SAVANNA EAGLE'S RETREAT LLC
Name: THOMAS G. JENNINGS
Address: 27777 FRANKLIN RD, SUTE 200
Corn pany: JENNINGS MOBILE HOME SET UP LLC
Address: PO BOX 1428
City. SOUTHFIELD State: M
Zip Code: 48034 Fax: NIA
City: AUBURNDALE State: FL
Phone No.772-689-1812
Zip Code: 33823 Fax: N/A
E-Mail: NA
Phone No 863-9155-0883
Fill in fee simple Title Holder on next page (if different
E-Mail JENNINGSMHS@TAMPABAY.RR. COM
from the owner listed above)I
State or County License IH 1025176
If value of construction is $2500 or more, a RECORDED Notice of
Commencement is required.
if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement
is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: j
DESIGN ERIENGINEER: x Not
Name:
Addres!
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
city:
Zip: Phone: —
le
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:,
_�__ Not Applicable
State:
BONDING COMPANY: Not Applicable
Name:_
Address:
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 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 YOUR PAYING
TWICE FOR INPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
wET" rni to I ENDER nR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
9.
0 .,__
4.
Signature of Owner/ Less e
ontractor as Agent for Owner
Signature of Contractor/Lic
se Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Po-
COUNTY OF Po -
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this OLday of MARCH
2O,a D by
this jafi day of MARCH
2OW by
THOMAS G. JENNINGS
THOMAS G. JENNINGS
Name of person making statement.
Name of person making statement.
Personally Known x
OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of identification
Produced
Produ ed
4rcrre
of Notary Pu '
St
a of Notary Public- State F i
Commission No. GG 213802
�V-51. Notary PUbIC State of Fion
�S n J Ashburn
rcommission GG 21380
Co ISSion No. GG 213802
Notary Public State of
_ i4@ Ien J Ashburn
My Commission GG 21
W.1;
Expires 05102l2{322
Expires 05/02/2022
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