HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB E INFP MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I `
•
Building Permit Application
Planning and Development Services
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 LOCATION:
Address: 1394 NETTLES BLVD
Legal Description: NETTLES ISLAND INC
Property Tax ID#: `503`Sbl U 00 ' Lot No.1394
Site Plan Name: Block No.
Project Name:
Setbacks Front ` Back: 3 Right Side: Left Side: 7, F
DETAILED DESCRIPTION OF WORK:-
2018 DOUBLEWIDE MOBILE HOME
26'6X34/36
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit—c ec a apply:
❑✓ HVAC Ei Gas Tank ❑Gas Pi _ Doors
— Ping Shutters ❑Windows/
ZElectric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 2475 Utilities: Sewer Septic Building Height: 13
OWNER/LESSEE: CONTRACTOR:
Name RAYMOND OR CHARLENE MC NAUGHT Name: EDDIE GRUNDEL
Address: 1394 NETTLES BLVD Company: Tom's Mobile Home Set-up
City: JENSEN BEACH State:FL Address: 4460 BRADY
Zip Code: 34957 Fax: City: SAINT CLOUD State:FL
Phone No.847-814-0455 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
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: 1
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.
ht i s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
I
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 by this 27 day of AUGUST 20 by
;
EDDIE GRUNDEL EDDIE GRUNDEL
N,anqe of person acknowledging.) (Name of person acknowledging)
(Signs re of of ry Public-State of Florida U (Signature AWtary 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
I
� ; '• NANCY MIMS ARMSTRONG
Co rn an, o. al) C k4lh Nb No. (Seal)
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TRONG = 'c MY COMMISSION#FF197899
fU?' COMMISSION#FF19 ' ,j • EXPIRES February 10.2019
EXPIRES February 90,2019 (407)39i 33 Fbr;dallota Servce.com
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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INITIALS
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