HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETE!VFOR APPLICATION TO BE ACCEPTED
Date: NV ID5'20 `.i6 Permit Number:
ST LuciE
COUNT�3'-
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
RECEIVED
Building Permit Application
Permitting Department
St. Line County
Residential X
PERMIT APPLICATION FOR: NEW MOBILE HOME 14X39
Pft0,PO5EDrl'IVIPROVEMENT�LOCATION
Address: 309 NETTLES BLVD
Property Tax ID #: 4502-501-0495-000-7
Site Plan Name: BLABER
Project Name:
DETAILED DESCRIPTION�OF,WORK;-
NEW MOBILE HOME 14X39
NOV 2 5 2020
Lot No.309
Block No.
New Electrical Meter X Second Electrical Meter
C6NST�RUCT[ON INFORMATION`
f,..n
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping , _ Shutters _ Windows/Doors _ Pond
_Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction: 546
Cost of Construction: $ 15000.00
Generator Roof Pitch
Sq. Ft. of First Floor: 546
Utilities: —Sewer —Septic Building Height: 13'
OWNER/LESSEE: -
__.
CONTRACTOR:
Name RICHARD BLABER
Name: EDDIE GRUNDEL
Address:21 REGINA CT #1
Company:TOM'S MOBILE HOMES
City: DELMAR State: _
Address:407 BRADY RD
Zip Code: 12054 Fax:
City: ST CLOUD State: FL
Phone No.
Zip Code: 34771 Fax:
E-Mail:
Phone N0407-709-1490
Fill in fee simple Title Holder on next page ( if different
E-Mail nancyarmstrong61@gmail.com
from the Owner listed above)
State or County License IH1118467
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.
,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 TITLEHOLDER: _ 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 attornev before commencing work or recording our Notice of Commencement.
�J�. a/ S - __JJ
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF STLUCIE
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
x Physical Presence or Online Notarization
this 20 day of NOVEMBER 2020 by
this 20 day of NOVEMBER 2020 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 Identification
Type of Identification
P ducedFLDL -
ProducedFLDL
(Signatu c- a e o o l a
(Signa rg�td9' a i9faft a tT "da
Notary Public State 4 Florida
Nancy. Mims Amlatrong
ancy Mims Armstrong
>. My Commission GG 913313
COmmiss m iscionGG9ism eaI
Commi I Expires09/16=23 ($ al)
Z cr Expires 09/1ril2023
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Rev. 6/20