HomeMy WebLinkAboutBuilding Permit MRPM
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `'� t f
Date: Permit Number: 1 1� ] •n5l y
-1 NED
Building Permit Application JUL 2 5 2017
Planning and Development Services
Building and Code Regulation Division PERMITTING Lucie cieCounty,
FL 2300 Virginia Avenue,Fort Pierce FL 34982 �t ! -
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mobile home
PROPOSED IMPROVEMENT LOCATION:
Address: 899 NETTLES BLVD
Legal Description: NETTLES ISLAND INC
Property Tax ID#: 4502-501-1085-000-7 Lot No.899
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
2017 DOUBLEWIDE MOBILE HOME
20X35/36
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all app y:
ZHVAC Gas Tank Gas Piping Shutters Q Windows/Doors
Electric �✓ Plumbing Sprinklers a Generator Roof
Total Sq. Ft of Construction: a S . FtFt. of First Floor:
Cost of Construction:$ 2475 Utilities: L Sewer 0 Septic Building Height: 13'
OWNER/LESSEE: CONTRACTOR:
Name PHILLIP COLLA Name: EDDIE GRUNDEL
Address: 15 DOGWOOD DR Company: Tom's Mobile Home Set-up
City: DANBURY State:CT Address: 4460 BRADY
Zip Code: 06811 Fax: City: SAINT CLOUD State:FL
Phone No.203-482-7769 Zip Code: 34772 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: IH1118467
1f value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
i
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 with lender or an attorney before
commencing work or recording our Notice of Commencement.
Z�L �5� U"_ S
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 I1by this 5 day of JULY 20 I by
EDDIE GRUNDEL EDDIE GRUNDEL
(Name of person acknowledging) ame of person acknowledging)
Cwi C C Y
(Si natur Notary Public State of Florida) (Si
o gnature of of)ry Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced FLDL Type of Identification Produced FLDL
Commission No. Commission No. (Seal)
,gip'• •• NAN6 mlI S AR
MSTRONG
?n;, .
•, APlCy MIMS qR
o.; EXPIRES February 10.2019 - MSTRO
Revised 07/1 S/201*071a. 3 Fbraallota i tirY COMMIss►ora NO
�r�ce— - ' EXP! - #FF197899 R
4MA
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION GROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEWIEW
DATE [�
COMPLETE
INITIALS