HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUS',T// BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date --I- '�' rt Permit Number:
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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: 4297 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 Lot No. 120
Site Plan Name: Block No.
Project Name: COUNTRY COVE MHP J3
Setbacks Front 1 D Back: 15 Right Side: 15 Left Side: 15 M-
.o
DETAILED DESCRIPTION OF WORK: 9�
NEW MOBILE HOME REPLACEMENT 2015 s
15'2X68 `
T!
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit— check aH apply:
W1HVAC LJj Gas Tank Gas Piping Shutters Windows/Doors
ZElectric ❑✓ Plumbing Sprinklers a Generator Roof
Total Sq. Ft of Construction: 1033
Cost of Construction: $ 2450.00
S.Ft. of First Floor: _
Utilities: lr 1 Sewer El 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: FIL
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: nancyarmstrong6l@gmaii.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 I MORTGAGE COMPANY: _ Not Applicable
Name: N/A
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name: N/A
Address:
City:
Zip:
Phone:
State
Not Applicable
Name: NIA
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name: N/A
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
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
commencing work or recording vour Notice of Commencement.
re of ner/ Agent/ Lessee Signat Cont or/License Holdery
STATE OF FLORIDA
COUNTY OF POLk
The fo%ping instr as cl ged before me
this day of 20 14 by
DWIGHT DOUGLAS
(Name of person acknowledging)
(Signs re of ary Public- State of Florida )
Personally Known
Type of Identifical
Commission No.
Revised 07/15/2014
Identification
CommMy
1L� # FF 197a"
e
ORES ary 10, 2019
p0f1�'�_ r car
STATE OF FLORIDA
COUNTY OF POLK
The for oing instrument was acknowledged before me
this day of March . 2014 by
DWIGHT DOUGLAS
(Name of person acknowledgin
(Signature of N a Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification
Commission No. r` y Comm 8TRONG
# FF197899
EXPIRES February 10. 2019
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