HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��� � 1'� Permit Number:
RECEIVED i��E 0 9'2017
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: 179 VINDALE AVE
Legal Description: BEL-AIRE ESTATES BLK 3 LOT 3
Property Tax ID#. 1312-701-0044-000-3 Lot No.3
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
USED MOBILE HOME REPLACEMENT ag 4D
1 t�
CONSTRUCTION INFORMATION:
Additional workto e performed un er t is permit—check a apply:
ZHVAC Gas Tank []Gas Piping _Shutters -a Windows/Doors
ZElectric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1680 S Ft.of First Floor:
Cost of Construction:$ 2475.00 LltilitieslnSewer W1 Septic Building Height: 13'
OWNER/LESSEE .' '. CONTRACTOR:
Name TRACY HOCHENDONER Name: RONALD BLAIN
Address:188 IMPERIAL WAY Company: ANCHOR DOWN MOBIE HOMES
City: FORT PIERCE State:FL Address: 7205 SANTA CLARA BLVD
Zip Code: 34951 Fax: City: FT PIERCE State:FL
Phone No. Zip Code: 34951 Fax:
E-Mail: Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail: CLnGhor ouln m06 r 1'e_ omesrtGma l vwl
from the Owner listed above) State or County License: T*4/0//_3-
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE_COMPANY: —Not.Applicable
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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 priorto the,issuance of a permit.
St.Lucie Counttyy makes.no-representation that is.granting apermi twill: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 feom undergoing aiull 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 our
on the jobsite
before'the.first inspection.'If you intend to obtain.financing,consult with.lender oean attorney before
commencing work or recording, our Notice of Commencement.
Signature of Owner/Lesse9e/Contractoras Agent for Owner Signature:of'Contraaor/Lice*me1Holder
STATE OF FLOR� STATE OF FLORIDA
COUNTY OF COUNTY OF SwCIE
The for ing inst�,(�e�t was acknowledged before me The.forgoing,instrument was acknowledged before me
this�dayof, Y`'L �� ML:7- y this Z day of 'Y 1,20 by.
RONALD:SLAIN
(Name of personacknowledging) (Naive of.peesomacknowledging)
(Signature of Nft ry Public-State of Florida) (Sign ure of N t" ry Publ c-State ofFlarida)
Personally.Known OR Produced Identification Personally Known,X OR Produced Identification..
Type of Identification Produced Type of Identifimtio ----=='
NANCY�
Co o. oy a ims ARMS Commission a I) Commission.No. = CQMMISs��1 1: 9g
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION' SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW, REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS