HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number:( T709
Building Permit Application SEA= r 2017
Planning and Development Services
Buildingand Code Regulation Division
9
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 LOCATION: -
Address: 10725 SOUTH OCEAN DR#288
Legal Description: HOLIDAY OUT AT ST LUCIE
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Property Tax ID#: 4511-501-0090-000-6 Lot No.3
Site Plan Name: Block No. C
Project Name:
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Setbacks Front 10'Ob Back: 5'.C>b Right Side: 1' Left Side: 8',Z
DETAILED DESCRIPTION OF WORK:.
201-T WIDE MOBILE HOM
22X35/30 2a'X 3
CONSTRUCTION INFORMATION:.
Additional work to e e orme under this permit—c ec a apply:
ZHVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
❑✓—Electric 0✓ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 2475 Utilities: Sewer E]Septic Building Height: 13'
OWNER/LESSEE: CONTRACTOR:
Name Kenneth H Stumpp Name: EDDIE GRUNDEL
Address:1472 Tether LN Company: Tom's Mobile Home Set-up
City: McDonough State:GA Address: 4460 BRADY
Zip Code: 30253 Fax: City: SAINT CLOUD State:FL
Phone No. Zip Code: 34772 Fax:
E-Mail: QLA 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
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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:
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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.
�GC.Gfi�2� s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The for g instr ent was ack wledged before me The forgoing instrument was acknowledged before me
this ay of 20(2by this 5 day of AUGUST 20 by
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EDDIE GRUNDEL EDDIE GRUNDEL
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of NotW Public-Sta a of Florida) (Sign ure o7Vry Public-State of Florida)
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced FLDL Type of Identification ProduceF
vu� NANCY MIMS A 7899
Commission No. (Seal) Commission wT COMMISSION a�
NANCY MIMS ARMSTRONG r' EXPIRES FebrusrY 10• 019
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MY.COMMISSION#
Revised 07/15/2 EXPIRES February 10,2019
.4071131.' 1 FbridaNwaryService=m
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE II
INITIALS
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