HomeMy WebLinkAboutBuilding Permit Application S t
ALL AP LE LE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: J I� I Permit Number:J S-0--s f Is., ME
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CIE�V[E®
' MAR 15 2017
Building Permit Application
Planning and Development Services Public WorksSt. Lucid County, �L
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mobile home
PROPOSED IMPROVEMENT
Address:]J,'OCEAN DR 755
Legal Description: VENTURE OUT-SECTION C-LOT 156 (OR 3940-40)
Property Tax ID#: 4511-805-0156-000-0 Lot No.755
Site Plan Name: Block No. ,
Project Name:
Setbacks Front Back: Right Sider Left Side:
DETAILED DESCRIPTION;OF•W,ORK
2017 DOUBLEWIDE MOBILE HOME
24X37
CONSTRUCTIOWINFORMATIGN
Additional
ona workto e e orme under this permit—check a apply:
I
✓ HVAC E Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑✓—Electric Plumbing []Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: S . FtFt.of First Floor:
Cost of Construction:$ 2475 Utilities:tr J Sewer❑Septic Building Height: 13'
OWNER/LESSEE .4. `:` CONTRACTOR:.
Name MARKSHOVER Name: THOMAS GRUNDEL
Address:54 DEER TRACK COURT Company: Tom's Mobile Home Set-up
City: WETUMPKA State:AL- Address: 4433 HENRY J AVE
Zip Code: 36093 Fax: City: SAINT CLOUD State:FL
Phone No.334-300-4760 — Zip Code: Fax:
E-Mail: Phone No. 863 529 2370
Fill in fee simple Title Holder on next page(if different E-Mail: nancyarmstrong6l@gmail.com
from the Owner listed above) State or County License: 1 H 1025148
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
J
S
SU,;PpPLEMENTAI CONSTRUCTION LIEN LAW INFORMATION; 4 '
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult w' nder or an ttorney before
com n ng work or re ording your Notice of Commencement.
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_Signature of Owner/Lessee/Agent Sign,5pdre of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I day of T0.4/) 20(Zby this A-- clay ofV ,20 /-7 by
THOSSGRUNDEL
ame of person acknowledging) (Name of person acknowledging)
C�(Signature of Wtary Public-State of Florida) (Signature of NckAry Public-State of Florida)
Personally Known OR Produ tion Personally Known X OR Produced Identification
Type of Id ion NR Type of Identification Produced FLDL
Commissi tj, ' MY COM1A!�91SSIOR! '
97399
.7 $ YfII ZU Commission N ;-MIM
ao�)�e '•s f�a c+aMot3 ggviw.oao MY COMMISSI
lao>; 3 EXPIRES February 10.20 ;
Revised 07/15/2014 FNoia ys,, �„
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS