HomeMy WebLinkAboutPeppard MH ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/1/21
STIa Lac-fth
Permit Number:
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
PERMIT APPLICATION FOR:
Commercial
PROPOSED IMPROVEMENT LOCATION:
Address: 10117 Great Woods Dr. Fort Pierce, FL 34945
Property Tax ID #: 2303-211-0025-000-5
Site Plan Name: Peppard
Residential X
Project Name: Peppard
DETAILED DESCRIPTION OF WORK:
Installation of new 30' x 76' mobile home with electric, AC, and plumbing connection.
Lot No. 18 81 20
Block No.
New Electrical Meter X Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
X Mechanical Gas Tank Gas Piping Shutters
X Electric X Plumbing Sprinklers
Total Sq. Ft of Construction: 2280
Cost of Construction: $ 212,500.00
OWNER/LESSEE:
N ame David or Yvette Peppard
Windows/Doors Pond
Generator Roof
Sq. Ft. of First Floor: 2280
Utilities: X Sewer Septic Building Height: *priyateIFipark
Address: 10117 Great Woods Dr.
City: Fort Pierce
(lots 18 & 20)
State: FL
Zip Code: 34945 Fax:
Phone No. 772-708-2485
goldenpd@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Nathan Hayford
Pitch
Company: Palm Harbor Construction
Address:605 S. Frontage Rd.
City: Plant City State: FL
Zip Code: 33565 Fax:
Phone No 813-967-3361
Ewan nhayford@palmharborcom
State or County License
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.
SUPPLEM ENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 restnct 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 f'rst inspection. If you intend to obtain financing, consult
with lender attorney befor co encing work or recording your Notice of Commencement.
-Eti, n citti 4 A._
Si of Owner/ Lesse / ntractor as ent for Owner
STATE OF FLORIDA ,_,
COUNTY OF cZiAtiaiti/d
Signature of Contractor/Licens older
STATE OF FLORIDA
COUNTY OF Pasc°
Sworn to (or affirmed) and subscribed before me of
i," Physical Presence or Online Notarization
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization this j_g_ day of activa .20-2/ 24990- by iiii 13 day of April 2021 by
512Vid/i.the pp arc/ 1,6A-has\ \ \ et 46n 1/2,
Name o person making staterfient.
Personally Known vt OR Produced Identification
Name of person makinetatement.
Personally Known X OR Produced Identification
Type of Identification
Produced
Type of Identification
Produced
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COMPLETED ley. 5/6/20