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Home My WebLink AboutBuilding PermitV ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:`/ 5 Permit Number: Zp Building Permit A�ticat16n Planning and Development Services Building and Code Regulation Division ore C+o 2300 Virginia Avenue, Fort Pierce FL 34982 v�fl Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial F< Residential X PERMIT APPLICATION FOR: Mobile home PROPOSED IMPROVEMENT LOCATION: Address: 4149 N US HWY 1, FT PIERCE Legal Description: 21 34 40 THAT PART OF S 730 FT OF SW 1/4 OF NW 1/4 LYG W OF US 1 (2.13 AC) (OR 3649-1987) Property Tax ID #: 1420-141-0009-000-0 Site Plan Name: Project Name: COUNTRY COVE MHP Setbacks Front 1 v^ Back: 15 Right Side: 15 Left Side: 15 DETAILED DESCRIPTION OF WORK: NEW MOBILE HOME REPLACEMENT 2015 15'2X68 Lot No. 115 Block No. CONSTRUCTION INFORMATION: Additional work to be ertormed under this permit —check a apply: W1HVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors ✓❑_ Electric �✓ Plumbing Sprinklers M Generator Roof Total Sq. Ft of Construction: 1033 Cost of Construction: $ 2450.00 Sq. of First Floor: _ Utilities: I ZJ Sewer 1:1 Septic Building Height: 13' OWNER/LESSEE: CONTRACTOR: Name Country Cove MHP LLC Name: DWIGHT DOUGLAS Address: 49 SW Flagler Ave #201 Company: QUALITY MOBILE HOMES City: Stuart State: FL Zip Code: 34994 Fax: Phone No. 772-252-4399 Address: 4775 ELON CRES City: LAKELAND State: FL Zip Code: 33810 Fax: 863-606-5099 Phone No. 863-529-2370 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: nancyarmstrong6l@gmail.com State or County License: IH1025264 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: NSA MORTGAGE COMPANY: _ Not Applicable Name: N/A Address: City: State: Zip: Phone: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: NSA Address: City: BONDING COMPANY: _Not Applicable Name: N/A Address: 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 commencin,q work or recording? vour Notice of Commencement. Signa ure of Owner/ Agent/ Lessee S' nature of ntractor/Lic nse Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF PoLk COUNTY OF Po- The f&going ins w s cknowledged More me The fo oing inst(ument was acknowledged before me this day of ent 20 /S this K day of Mara, 2014 by DWIGHT DOUGLAS DWIGHT DOUGLAS (Name of person acknowledging) (Name of person acknowledging) (Signa re oLN6tary Public- State of Florida) (Si ature tary 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 Commissiop NANCY MIME ARMSTW" M'r COMMISSION X FF197899 Revi sed IM 15/: Commission NNANC1'IW + OMj a +AY COMMISSION O FF197899 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVI W REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 6�b • 0 PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division DWIGHT DOUGLAS (Company/Individual Name) project located at BUILDING PERMIT SUB -CONTRACTOR SUMMARY will be using the following sub -contractors for the 4149 N HWY 1, LOT 115 FT PIERCE (Street address or Property Tax ID #) It is understood that if there is any change of status regarding the participation of any of the sub -contractors listed below, I will immediately advise the Building and Zoning Department of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ State of Florida License Number Electrical MATULA ELECTRIC EC13001643 JAMES MATULA Plumbing QUALITY MOBILE HOMES IH1025264 DWIGHT DOUGLAS HVAC/ N/A Mechanical Roofing Gas OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: Revised 07/29/2014 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES J - J- '`'" Building & Code Compliance Division 0101_41VIIM� BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): l(_ have agreed to be the (Company Name/Individual Name) S4�/-1 ( - Sub -contractor for kua�_,Am W4),*v Hzyw�, (Type of Trade) (Primary Contrctor) For the project located at � \ `�) 41qc� (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: Address: City/State/Zip: Phone:, C. VAPJy '' -\\ � I 1 111.EVA email A 04 • usn SIG TE PRINT NAME DATE STATE OF FLORIDA, COUNTY OF S LIC11C , THE FO GOING INSTRUMENT WAS SIGNED BEFORE ME THI DAY OF ffl(_�� , 20�� BY G WHO IS PERSONALLY KNOWN OR HAS PRODUCED AS IDENTIFICATION. SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014 (STAMP) BRENDAMARTINEZ Notary Public - State of Florida r� My Comm. Expires May 31, 2015 P�, Commission # EE 98807 • • PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): I H 1025264 QUALITY HOMES/DWIGHT DOUGLAS have agreed to be the (Company Name/Individual Name) PLUMBING Sub -contractor for DWIGHT DOUGLAS (Type of Trade) (Primary Contractor) For the project located at 4149 N US H WY LOT 115, FT PIERCE (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNAT S ARE REQUI19ED p J Business Name: Address: 4775 ELES C S City/State/Zip: LAKELAND, FL 33810 Phone: 863-608-2670 Iv email: nancyarmstrong61@gmail.com DWIGHT DOUGLAS S GNATU E PRINT NAME STATE OF FLORIDA, COUNTY OF POLK 03/08/2015 DATE THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 08 DAY OF MARCH BY DWIGHT DOUGLAS WHO IS PERSONALLY KNOWN X PRODUCED FLDL AS IDENTIFICATION. NANCY MIMS ARMSTRONG SIGNA*RE O"OTARY PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014 2015 OR HAS (STAMP) E NANCy MIMS ARMSTRONG MY COMMISSION S FF197899 EXPIRES February 10. 2019 3 f,p,Naf4ptaryS4��u_oom -- LI i' M 1 R qG & .JA VMr O :YU d' B-SPARI T.IM TINT BUILDING &- CODE REGULATIONS DIVISION 2300 VIRGINIA A?retUE FORT PIERCE, FL 34982-5652 (772) 462-1553 I, the undersigned, am ;he owner of the following described property_ (?w ce! I 'uCLeg2I desergptlop/hddress) for which I have applied to St. Lucie County for a Final Development Permit. in accepting this Final Development Permit, BP Number , I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage so that the immediate co=uniiy %?r— NOT be adversely aff',ected. Ilrther acknowledge that in granting this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, , adequate drainage off my property which will not adversely affect the immediate cormmunin,- �Jr ssler� ^d caner I ame _ c ' t) � Owner Signature Date STATE OF FLORIDA, COUNTY OF Sf L- u G I , -e ACISNO«'LEDGED BEFORE lE THIS 54- DAY OF 21 BY I r 4 CA I e U O CA GS I C I^ WHO IS PERSONALLY INOWN TO ME OR WHO HAS PRODUCED SIGNATURE 0FN0T_4RY PUBLIC TYPE OF, P RNT NOTARY 44 COIviivIISSION NUMBER (SEAL) SLCPDSD Revised 08/24P-010 AS IDENrIFICATION.