HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
r
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: MOBILE HOME
PROPOSED IMPROVEMENT LOCATION:
Address: 1215 W JOY LANE
Property Tax ID ##: 2303-613-0030-000-8
Site Plan Name:
Project Name: EISEMAN
DETAILED DESCRIPTION OF WORK:
REPLACEMENT NEW MOBILE HOME
CONSTRUCTION INFORMATION:
Permit Number:
Building Permit Application
Commercial Residential x
Lot No. 2
Block No, B
Additional work to be performed under this permit –check all that apply:
V' Mechanical Gas Tank —Gas piping Shutters -Windows/Doors
1(. Electric V"' Plumbing -Sprinklers Generator _ Roof Pitch
Total 5q. Ft of Construction:
Cost of Construction: $ 15000.00
Sq. Ft. of First Floor:
Utilities: —Sewer V/ Septic Building Height: 14'
OWNERAESSEE:
CONTRACTOR:
Name Mitchell Eiseman
Name: EDDiE GRUNDEL
Address: 35 Brown AVE Manchester, NH 03101
Company, TOM'S MOBILE HOMES
City: Manchester, State: _
Zip Code: 03101 Fax:
Phone No. 863-357-4848
Address: 4460 BRADY RD
City: ST CLOUD State: EL
Zip Code: 34771 Fax -
Phone No 863-529-2370
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail nancyarrnstrong6l@gmaillcom
I State or County License IH1118467
if value of construction is �2SUU 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.
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 Horne 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 Fforida 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 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.-
I�
:
Signature of Owner_/ Lessee/Contractor as Agent for Owner
DESIGNER/ENGINEER:
Not Applicable
COUNTY OF FLORIDA
MORTGAGE COMPANY: _ Not Applicable
Mame:
The forgoing instrument was acknowledged before me
th1S 25 day of EDDIE GRUNDEL 20_ by
Name:
Address:
EDDIE GRUNDEL
Name of person making statement.
Address:
City:
State:
Type of
City: State:
Zip: Phone
Produced DL
NANCY MIry15 ARMST❑N
' My Eommi won G9133 3
Zip: Phone:
3
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
gnatu of of y IIc- t o I
BONDING COMPANY: _Not Applicable
Name:
Commission No. (Seal)
REVIEWS
Name:
Address:
SUPERVISOR
PLANS
Address:
City:
MANGROVE
City:
Zip: Phone:
REVIEW
REVIEW
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 Horne 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 Fforida 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 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.-
I�
:
Signature of Owner_/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF FLORIDA
COUNTY OFFLORIDA
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
th1S 25 day of EDDIE GRUNDEL 20_ by
this 25 day of JAN 20____ by
EDDIE GRUNDEL
EDDIE GRUNDEL
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of
Type of identifi
Produc oL
Produced DL
NANCY MIry15 ARMST❑N
' My Eommi won G9133 3
NANCYFlorida
Myr„# � STf3NG
My Commission 9t3
Expires 313
ExPirec 1 2
Q91i8/ 3
gnatu of of y IIc- t o I
R 5 to f for
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
LATE
I
I
I
COMPLETED
eV.