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Home My WebLink AboutBuilding PermitALL APPLICABLE INFO MUSf Bf COMPLETED FOR APPLICATION TO BE ACCEPTED C. Date�12/I_5 Permit Number: �60� Building Permit Application � o Planning and Development Services S. Building and Code Regulation Division n r, 2300 Virginia Avenue, Fort Pierce FL 34982 ; Z� Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X - G) 0 PERMIT APPLICATION FOR: Mobile home PROPOSED IMPROVEMENT LOCATION: Address: 4295 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 0 Back: 15 Right Side: 15 Left Side: 15 DETAILED DESCRIPTION OF WORK: NEW MOBILE HOME REPLACEMENT 2015 15'2X68 Lot No. 119 Block No. CONSTRUCTION INFORMATION: Additional work to be nertormed under this permit —check a apply: ZHVAC Gas Tank Gas Piping Q _ Shutters Windows/Doors ❑✓— Electric Plumbing 11 Sprinklers M Generator 1:1 Roof Total Sq. Ft of Construction: 1033 Cost of Construction: $ 2450.00 S,2Ft. of First Floor: _ Utilities: - Sewer 11 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 CRIES 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: nancyarmstrong61@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 Address: MORTGAGE COMPANY: _ Not Applicable Name: N/A Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: NSA BONDING COMPANY: Not Applicable Name: N/A 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 commencine work or recordine vour Notice of Commencement. Signature of Owner/ gent/ Les Signatur of Contr or/License Holder STATE OF FLORIDA I STATE OF FLORIDA COUNTY OF POLk COUNTY OF POLK The fgWing instrume was a cnowled ed efoThe f oing instrument was acknowledged before me this day of 2 yre me this A day of March 20 14 by �5 DWIGHT DOUGLAS DWIGHT DOUGLAS (Name of person acknowledging) (Name of person acknowledging) in (�� 0'��h dcr� (Signature Personally Known x Type of Identifipatig Commission Public- State of Florida ) Revised 07/ 1 S/2014 OR Produced Identification iron FLDL (Signature of kjlo ary Public- State of Florida ) Personally Known x OR Produced Identification Type of Identification 4roducad FLDL NANCY�DY I r�u� NANCY MItNS jRONG Commission No. Y C Sso FFiT g gg� �►`�C'7G�MISSION aM FF19789S) EXPIRES Fehnia— ,^ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS A _ J _ . PLANNING AND DEVELOPMENT SERVICES DEPARTMENT • Building and Code Regulations Division BUILDING PERMIT SUB -CONTRACTOR SUMMARY DWIGHT DOUGLAS will be using the following sub -contractors for the (Company/Individual Name) project located at 4295 N HWY 1, LOT 119 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/ Mechanical N/A Roofing Gas OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: Revised 07/29/2014 PERMIT # ISSUE DATE 11s� , _; 11 M�7 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): IH1025264 QUALITY HOMES/DWIGHT DOUGLAS have agreed to be the (Company Name/Individual Name) PLUMBING Sub -contractor for DWIGHT DOUGLAS (Type of Trade) For the project located at (Primary Contractor) 4295 N US HWY LOT 119, 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 SIGNATU A,R�E� �REQU �D'1 ��4MBusiness Name: �/l,� , o Address: City/State/Zip: 4775 ELES CIS LAKELAND, FL 33810 Phone: 863-608-2670 J�4t JIIVI_4� SIGNA RE email: nancyarmstrong6l@gmail.com DWIGHT DOUGLAS PRINT NAME 03/08/2015 DATE STATE OF FLORIDA, COUNTY OF POLK THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 08 DAY OF MARCH , 2015 BY DWIGHT DOUGLAS WHO IS PERSONALLY KNOWN X OR HAS PRODUCED FLDL SIGNATURE NOTARY PUBLIC SLCPDS: 08/06/2014 AS IDENTIFICATION. NANCY MIMS ARMSTRONG (STAMP) PRINT NAME OF NOTARY PUBLIC- N'Y MMAS ARMSTROpIG My COMMISSION # FF197899 !. EXPIRES February 10.2019 e07, j< 7 • onn PLANNING & DEVELOPMENT SERVICES •Oy Building & Code Compliance Division f BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: ZUE5b2— State of Florida Certification Number (If applicable): Name/Individual Name) (Type of Trade) t1-1 have agreed to be the Sub -contractor for (Primary Con actor) For the project located at �-4-1 H q? qS N� (Project Street Address or Property Tax ID #) -4 I 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: l (� email: �I �W� •� 20 SI URE P NAME DATE STATE OF FLORIDA, COUNTY OF Ic ' THE FO 7�,i ING INSTRUMENT WAS SIGNED BEFORE ME THISDAY OF �Q I�(1/ \ , 20_6 BYweS WHO IS PERSONALLY KNOWN 7 OR HAS PRODUCED AS IDENTIFICATION. (6c'evILL DoLr-� ff-z- SIGNATURE OF NOTARY PUBLIC PR NT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014 (STAMP) BRENDA MARTINEZ Notary Public - State of Florida My Comm. Expires May 31, 2015 �'%�EOF F%. Commission # EE 98807 BUILDING & CODE REGULATIONS DIVISIOR1 2300 VIRGU'%gA AVE UE FORT PIERCE, FL 34922-5652 (772) 462-1553 I, the undersigned, am the owner of the following described property, 44l/9 'Y Lds wY/ (_ft ces ff �.eg2F deswimt;oa(Add-Tess) for which I have applied to St. Lucie County for a Final (Development Perm, it. In accepting this Final Development Permit, 3P Number , I acknowledge gnat 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 &e mediate community s%? 7 NOT be adversely affected. i Rifther 2cimowledge that In gI'aniing this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or main'ain in any _form, adequate drainage of my property which will not adversely affect the immediate communtn'. f�radley r-e_ s s e r inner I am - c t) \ 3-3/ -, Owner Signature Date STATE ATE OF FLORIDA, COUNNTY OF S - ' , `.. ti L' I' e S�' ACKNOWLEDGED BEFORE ME THIS 8 / � DAY OF M Q r-r- A -,, 20�, BY 6 I ` Q 1 ( P e O Lcs, _ rwHO Is PERSONALLY mqo wN To Nm -,--'OR M40 HAS PRODUCED TURE OF NOTARY E 519 (--D G(1 CON&IISSION NUMBER (SEAL) SLCPDSD Revises 0824P_010 AS IDENTIFICATION. we //