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Stroud app and subs, 2105-0292
SuPPLEMENTAL CONSTRu`CTION`'LIEN LAW IN FO'RMATI0N: DESIGNER/ENGINEER: Not Applicable MORTGAGE COIVIPANY: Not Applicable Name:Name: Address:Address: City:State:City : State : Zip:Phone Zip: Phone: FEE slfvIPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name:Vvynn®Buiidingcorp Name: Address:i2804swi22AvO Address: City:M,andZip:33186 City, Phone:asi37sun7 Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made tc) obtain a permit to do the work and installation as indicated. I certify that rio wori( or instaltation has commenced prior to the isstrance of a permit. &t[iLc:hcj:Jiiu±#!cmifeE!:ao#T&ppr#:ranifijkEmfakigtfgaotaii:i:o:n|trRE#o!r!zfi:gp#a%r;£ltgretit;#ua#[#?#s#;#;p;r,Sytpriub?!usruech ln consideration of the granting of this requested permit,I do hereby agree that I will, in all respects, perform the work in accordance wi.th the approved plans, the Florida Building Codes and St. Lucie Cctunty Amendments. The following building permit applications are exempt f;om undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, wails, signs, sc7reen rooms and acc:essory uses to another nan-residential use WARNING TO OWNER: Your failure to Record a improvements to your property. A Notice Of Commencement nray restllt in parting twice for f Commencement must be recorded in the public records of St. ;uitcLe,fatyora :i gtoisfe#ni:t&jeoggi:aT#oir±t#ikrst i re€ ion.#ok#!:: gft:#istnfneci::, cons u lt E!z-_eeeezzzz-<.zziE '7/A_c^A;ftdepL~cfl SignatgfFbftFWT n~giviaegae5j ctor as ent for owner Sign-ature qgrontractor/Licanse Holder ~ - STATE Or Ft.ORIDA €tAUTFT%FL¥rrooAwardcouNTv oF ==a. IdA~."T. ~±--REsigayF¥;c¥;rs¥:e!Fn:oT3=abrJz:t:n #jys`::a:yFHd:):::rd=on;bne,Pn:#ofarTz:tron,202¢by\I +\ ` ++ .\ . .=L\:``.`+ ,. \++ \ 1 +-+++ ++`..i:-:.ii.. I-3J- I-. Name of p.erson making statement.Name+of person making statement. Personally Known L#:OR produced Identification Personally Known |i oR produced Identification Type of ldentific ation Type of ldentificatjonPrdred /./,,~jrrf 1 j' ,:;-i #.fIf L'Produced I..I, . pF, -,~. (Sigriature of Notary Priblic-State of Florida )f a hl' a+ ` J:E' :I Co EL S¥_ap!.¥9?^.¥.EaRA, (ss=...Hi;i,,''.'±!:'`....q5.'i..i.--, .I)Commission N L``±di:!'&,,, USAN dife ::iirfu.:;:=-::M:ycD#EM!sEs.p.ry.#.ap.3.¥^04 REVIEWS `_`.-:.,i ' `. `_.` ` -,.~-,, ~_.'-._.I. Hdjvv.V SORREVIEW P _``_.'¥J .``` Ewi+uni ifov w7T-Ii •.``.,-....-.. MANGROVE lEW in'' ` .,`5EATumE COUNTER REVIEW REV REVIEW REVIEW REVIEW DATERECEIVED DATEcojveLETED P(f5N`5|6|2J) `.`pErm# j! issuEDAH j` .i I__ - ,, ``,. )'.„ =J,. I.J'=. REEEE= -:i,I-„ ,-.. ```. vM,,,f` ,,,, ul..`,ul. _ ..I -" ..-.- j„ .-,,- I,+.'-:-.,,-.. `,_.I., -I---:==_s:-==------i:::::-=:= FortheprQjeet leeatedat d fsabelb Lane Chojcet Strew Address or Proptry Tax ID Itisunderstoodthat,ifthaeisanychangeofstatusregardingourpndcipationwiththeabovementioned projeeftheBuildingandCodeReguhationDivisionofSt.LueieCourtywillbeadvi§edpursuanttothe filingofaChangeOfs`]:broontracmn.otice. <thale=¥=mheonrdNunH±acqc#*Jsto-J--dL-d Th€Gprdehrfurmtwqsd8nedb:fotezneusJ_dryof Hanib_2®Jty whfopd-bormjLorha€prduced8 LE t -.+ " £=NS±%fro?%.±Eg'er ffAJro R~]]n6co]6 EH¥LRTEEL]HfflENREHw tgiv.4rmAftyourtyarflalrfe(`h RE fongdegharfurmtrmdpedbefer€drethe=dnyof whotspenoulgrhown has proded a JsnLpe PERMIT #lssuE DATE PLANNING & DEVELOPMENT SERVICHS Building & Code Compliance Division BUILDING PERMIT SUB-CONTRACTOR AGREEMENT Blanc`hara Sub-contractor for Bj :nards r'iE9froiie Hc>nne / n€ (Company Name/hdividual Name) --M6bl le have agreed to be ®rtrycontractor)fry,na FortheprQject locatedat fro:Isabelia Lane Per+ S}. Lucle (PrQject 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, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the flling,oiachangeofsub-contractornotice. ffi\ELBLanchard |H ioa5aQ1 ~rc'vT:=v¥cmlxplcATloNNUMBER stateofHartycouptyof8rowand Theforego]nginstnlmentwasslgnedbeforemethlsLdayof March , 2oLalL by wl)olspersonauyknown]X_orl]asproduceda as idebtfflcation. th \thhoalofj Signature Of Notary Public Susar` Schooler Print Name of Notary P`iRAc Revised 11 /16/2016 STJun ifetNnrfu813nchard IH ioa5acl CERTIFICATION NUMBER =iiTe.¥Hou.dr,counfyofBfi6ward TlieforegulnginstrumentwasslgnedbeforemethisLdayof ar, March , Zen by wholspersonanyknownLXLorhasproduceda as identlficafro n.-Qfuturfu Signature Of Nbtary Public Sue.an Schooler Print Name Of Notary Ptlbllc STJLJve PERMIT #ISSUE DATE PLANNING & DEVELOPMENT SHRVICES Building & Code Compliance Division BUILDING PERMIT S UB-CONTRACTOR AGREEMENT ARC Master Electric LLC the (Company NameAndividunl N ame) Electrician (Type of Trade) For the project located at have agreed to be Sub-contractor for Blanchard'S Mobile Home removals & Transport |nc (Primny Contractor) 6 lsabella Ln, Port St. Lucie, FL 34952 ¢roject 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, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the STAMP STAMP All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATloN TO BE ACCEPTED Date: §ffoELOu@flEa- F IL © E; I ® a 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 Commercial Residential X Address: 6 lsabella Lane PropertyTax lD#: __ 34 i4-5 0J -FT0l.-OO9_j3 Site plan Name: Spanish Lakes One Proj.ectName:Stroud ( Rebuild Florida) Lot No. 6 Block No. DETAILED DESCRIPTION OF W Repalcement mobile home; set up and tie down a double wide to code New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all that apply: LXMechanical Gas Tank Gas piping Shutters Windows/Doors Pond J± Electric Plumbing _ Sprinklers Generator Roof Total Sq. Ft of Construction: Cost of Construction: S 1056 qGC>® Sq. Ft. of First Floor:1056 Utilities: 2£Sewer _Septic BuildingHeight: OWNER/LESSEE:CONTR ctoR Namewynne Building Corp Name: Regina Blanchardcompany:Blanchard'SMobile Home Removals & Transport |ncAddress:3441N72Way Address:8000 S US Highway 1 IAo2 city: Port st Lucie State: Zip code: 34952 Fax:city: Hollywood State: Fl Phone No. 772 878 5513 zip code: 33024 Fax: E-Mail:p 954 9861722 Fill in fee simple Title Holder on next page ( if different E.Mai|blanchardsmobilh@bellsouth.net from the Owner listed above)State or County License lH1025297 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. lf value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.