HomeMy WebLinkAboutBuilding Permit Application3
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (] 1 (�.�
Date: Permit Number: 1 `@L`' ' l4
• "�' Building Permit ApplicationDEC
i9fy
Planning and Development services _ 3R It
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: MOBILE HOME
PROPOSED IMPROVEMENT LOCATION
754 NETTLES BLVD
PropertyTax ID #: 4502-501-0940-000-2
Site Plan Name: JOHN JENNINGS
Project Name:
DETAILED'DESCRIPTION OF WORK':
NEW NOBILE HOME REPLACEMENT 20X35/39
CONSTRUCTION "INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_Electric _Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 16500.00 Utilities: _ Sewer _ Septic
Lot No. 754
Block No.
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE: "
CONTRACTOR `
Name SV4 COMPANY LLC
Name: EDDIE GRUNDEL
Address: 17365 Parklane ST
Company: TOMS MOBILE HOME
City: Livonia, MI State: _
Zip Code: 48152 Fax:
Phone No.419-376-8665
Address:4460 BRADY RD
City: ST CLOUD State: FL
Zip Code: 3472 Fax:
Phone No 407-709-1490
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail nancyarmstrong6l@gmail.com
State or County License IH1118467
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.
S(JPRL`EMENTALCQNSTRU
10NlfRN L4W INfORMATON
tid��3
r,<, r F
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
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie CounttffyylI makes no representation that is granting a permit will authorize the permit holder to build the subject structure
strtucture. Please consult withpyolur Home Owners Associationtl ndrreviewbylaws
your deed for any restrict that
which ma or prohibit such
Y pP Y
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
wtTu Ynt iR t FNnFR nR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:'
Oh Xn U"
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Con
STATE OF FLORIDA
COUNTY OFSTLUCIE
STATE OF FLORIDA
COUNTY OFST LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this to day of DEC 20_ by this 10 day of DEC 20_ by
EDDIE GRUNDEL EDDIE GRUNDEL
Name of person making statement. fl Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
�Pmd..rarl oL
ate of Florida )
Flmiae J (Seal)
Personally Known X OR Produced Identification
Type of Identification
Prndurad DL /t
of Notary Public -State
�I1 ZONING I SUPERVISOR PPANS JIF�CaWiJ
COUNTER I REVIEW 1 REVIEW REVIEW I REVIEW
(Seal)
MANGROVE
REVIEW