HomeMy WebLinkAboutBuilding Permit Application__1
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Planning and Development Services
Permit Number'/'� / C/ (U c/(D G 3
Building Permit Application
Building and Code Regulation Division Commercial Residential XX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: MOBILE HOME REPLACEMENT
PROPOSED J 51
VE NLOCATION
Address: 10725 S OCEAN DR 421
Property Tax I D #: 4511-502-0143-000-6
Site Plan Name:
Project Name: HURD
DETAILED 4k- — , 9�0"C NEW MOBILE HOME REPLACEMENT
24X40/26
New Electrical Meter Second Electrical Meter
OAIMA 4, F TTICI
710N '._gof$!�TRU4
Lot No. 421
Block No.
Additional work to be performed under this permit— check all that apply:
L/Mechanical — Gas Tank —Gas Piping Shutters Windows/Doors Pond
ZElectric ZPlumbing _ Sprinklers — Generator Roof Pitch
Total Sq. Ft of Construction: 792 Sq. Ft. of First Floor: — Cost of Construction: $ Utilities: V/Sewer — Septic
Building Height: 14'
CONTRACTOR ` CtbA
NameMonica S Hurd
Name: EDDIE GRUNDEL
Address: 10713 State Route 49
Company:TOMS MOBILE HOMES
Address:4460 BRADY
City: Edon, State:
Zip Code: 43518 Fax:
City: ST CLOUD State: FL
Phone No.
Zip Code: 34771 Fax:
E-Mail:
Phone N0407-709-1490
Fill in fee simple Title Holder on next page (if different
E-Mail nancyarmstrong61 @gmall.com
State or County License ihl 118467
from the Owner listed above)
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.
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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 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 first inspection. If you intend to obtain financing, consult
with lender or an attorneybefore commencingwork or recordingour Notice f Commencement.
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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:
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF Stlucie
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
XX Physical Presence or Online Notarization
this day of 02020 by
this 10 day of iune 12020 by
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