HomeMy WebLinkAboutBUILDING PERMIT - TRAILER DEMOAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: NOVEMBER 11, 2020 Permit Number: ________
Building Permit Application
Planning and Development Services
Commercial Residential xBuilding and Code Regulation Division ---------
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:DEMOLITION -MOBILE HOME
I,PROPOSED IMPROVEMENT LOCATION:
Address: 571 NETTLES BLVD., JENSEN BEACH, FL 34957
Property Tax ID #: 4502-501-0757-000-2
Site Plan Name: HODSON MOBILE HOME DEMO
Project Name: HODSON PROJECT
I DETAILED DESCRIPTION OF WORK:
DEMOLITION OF MOBILE HOME
New Electrical Meter ____Second Electrical Meter______
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit check all that apply:
Gas Tank Shutters _ Windows/Doors
Lot No. 571---
Block No. ___
Pond_Mechanical
Electric _Plumbing
_ Gas Piping
_ Sprinklers Generator Roof ____Pitch
Total Sq. Ft of Construction: ___=____ Sq. Ft. of First Floor: __________
Cost of Construction: $ ~p?O 0 Utilities: Sewer _ Septic Building Height: ____
I OWNER/LESSEE: CONTRACTOR:
NameSHERI L. HODSON Name:MACK MATOS
Address: 9530 COUNTRY PATH TRAIL Company: MEL-RY CONSTRUCTION, INC.
City : MIAMISBURG State: Address: 10967 S. OCEAN DRIVE
lip Code: 45342 Fax : City: JENSEN BEACH
Phone No. 937-609-8155 Zip Code: 34957 Fax:
E-Mail: Phone No 772-229-9439
Fill in fee simple Title Holder on next page ( if different E-Mail MACK@MEL-RY.COM
from the Owner listed above) State or County License CGC059412
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
State:~
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
~--
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name: FIFTHTHIRDBANK
Address: Address: 6301 WILMINGTON PIKE 348411
City: State: -City: CENTERVILLE State:~
Zip: Phone Zip: 45459 Phone: 937-270-6772
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 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorne before commencin work or recordin our Notice of Commence ent.
STATE OF FLORIDA
COUNTY OF ST .LUCIE-------------------------------
Sworn to (or affirmed) and subscribed before me of
_x_ Physical Presence or ____ Online Notarization
this ~day of NOVEMBER ,2020 by
Name of person making statement.
Personally Known _x__ OR Produced Identification
Type of Identification
Producer-__--:______-T'.....,f_____
Commission No Pi?~~':"""'c:=:;-,;
STATE OF FLORIDA
COUNTY OF_sT_.L_U_CI_E____________________ _
Sworn to (or affirmed) and subscribed before me of
_x_ Physical Presence or ___ Online Notarization
this 30TH day of NOVEMBER , 2020 by
Name of person making statement.
Personally Known _x__OR Produced Identification ___
Type of Identification
Produce r _____________-r-7f-___
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR PLANS VEGETATION SEA TURTLE
REVIEW
MANGROVE
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