HomeMy WebLinkAboutBuilding Permit Application All APPLICABL INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: '�� Permit Number:
RECEIVED
- -- __ - Building Permit Application APR 2
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Planning and Development Services
Building and Code Regulation Division PorMitting D. artmenr
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:MOBILE HOME
PROPOSED IMPROVEMENT LOCATION;
Address: 10701 S OCEAN DR
Property Tax ID#: 4511-805-0010-000/5 Lot No.609
Site Plan Name: SHEWMAKER Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
NEW 2021 MOBILE HOME 21X30/35
CONSTRUCTION INFORMATION
Additional work to be performed under this permit—check all that apply:
✓ Mechanical _Gas Tank _Gas Piping Shutters J Windows/Doors
✓ Electric ✓ Plumbing _Sprinklers Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 15000.00 Utilities: ✓Sewer —Septic Building Height: 13'
OWNERAESSEE: CONTRACTOR:
Name Ronald D Shewmaker&Evelyn P Shewmaker Name:EDDIE GRUNDEL
Address:6308 SW 33rd St Company:TOM'S MOBILE HOMES
City: Palm City State:. Address:4460 BRADY RD
Zip Code: 34990 Fax: City: ST CLOUD State:FL
Phone No. Zip Code: 33472 Fax:
E-Mail: Phone No 407-709-1490
Fill in fee simple Title Holder on next page(if different E-Mail nancyarmstrong61@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.
If value of HVAC is.$7,500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
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:
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 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, JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH -YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/16tsee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY�OF STLuciE
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
thls 5 day of APRIL 20_ by
this 5 day of APRIL 20_ by
EDDIE GRUNDEL' :
EDDIE GRUNDEL
Name of person making statement.
Name of person making statement.
Personally Known x" OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced DL
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(Signatur o o a6w&&# F4
(Signature of N
a ic-- ayt�j F&rLda&
Commission No.
NANCY MIMS ARMSTONG
MrCommi> 9�>S�i13
' E Y Commission
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Commissi I Ez irea 23 ?seal
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
-REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19