HomeMy WebLinkAboutBUILDING APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
�77-
COUNT
Permit Number;
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
I PERMIT TYPE: MOBILE HOME
PROPOSED IMPROVEMENT LOCATION: I
Address: 7812 MCCLINTOCK WAY
Property Tax ID #: 3424-800-0172-000-3
Site Plan Name: SAVANNA CLUB
Project Name: SAVANNA CLUB
DETAILED DESCRIPTION OF WORK.
. Wu t V-C 3`fg5a
SETUP AND ANCHOR MOBILE HOME WI ELECTRIC, PLUMBING AND A/C — Q I 1 5 E i
CONSTRUCTION INFORMATION:
Lot No. 7510
Block No. NA
Additional work to be performed under this permit —check all that apply:
it Mechanical _ Gas Tank — Gas Piping _ Shutters ^ Windows/Doors
J Electric _ Plumbing _ Sprinklers — Generator _ Roof
Total Sq. Ft of Construction: 1485
Cost of Construction: $ q W 11
Sq. Ft, of First Floor: 1485
Utilities: X Sewer _ Septic
Building Height: 14'
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name SAVANNA EAGLE'S RETREAT LLC
Name; THOMAS G. JENNINGS
Add ress:27777 FRANKLIN RD, SUTE 200
Company: JENNINGS MOBILE HOME SET UP LLC
City: SOUTHFIELD State: tlnl
Address: PO SOX 1428
Zip Code: 48034 Fax: NIA
City: AUBURNDALE State: FL
Phone No, 772-589-1812
Zip Code: 33823 Fax: NIA
Phone No 863-965-0883
E-Mail: NA
Fill in fee simple Title Holder on next page ( if different
E-Mail JENNINGSMHS@TAMPABAY.RR.COM
from the Owner listed above)
State or County License lH 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: I
DESIGNS
Name:_
Address:
City:
Zip:
Phone
x Not Applicable
State
FEE SIMPLE TITLE HOLDER: , Not Applicable
Name:
Address:
City:
Zip: Phone:,
MORTGAGE COMPANY:
Name;
Address:
Citv:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip; Phone:
Not Applicable
State:
Not Applicable
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, l 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 IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDER AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ L ssee/Contractor as Agent for Owner
Signature of Contractor/Lice a Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF POLK
COUNTY OF POLK
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this i� day of ARCH Zp ao by
this day of ARCH , Zp,X 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
Produ
oulyceo
r
L f
`of Notary Public- State of Florida j
re of Notary Public -State
Commission No. GG 213802 2r� (�Stgjy Pubft State of Florid
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ov Notary Public State or
C mission No. GG 213802 r7�eA�ierl J Ashburn
my Commission
My Commission GG 213802
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Rev. 2/7/ 19