HomeMy WebLinkAboutBuilding Permit Application==21
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 8/30/21'
Permit Number: a,%
RECEIVED
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SEP 2 2 NZI
Building Permit Application St. Lucie 0001Y
Planning and Development Services Permitting
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: REPLACEMENT MOBILE HOME
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Address: 234 NETTLES BLVD
Property Tax ID #: 4502-501-0420-000-1
Site Plan Name:
Project Name: CARONE
NFW MOBILE HOME REPLACEMENT
New Electrical Meter
Second Electrical Meter
(Affidavit required)
Lot No. 234
Block No.
Additional work to be performed under this permit— check all that apply:
17Mechanical 03as Tank []Gas Piping []Shutters OWindows/Doors Pond
WIElectric Zkumbing Dprinklers OGenerator DRoof Pitch
Total Sq. Ft of Construction: 730
-
Cost of Construction. -t , 15000.00
Sq. Ft. of First Floor: 730
Utilities: Viewer Deptic Building Height: 14'
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Name Joseph A Carone (TR)
Name: EDDIE GRUNDEL
Address: 1113 Nettles BLVD
Company: TOMS MOBILE HOMES
City: Jensen Beach State:
Address: 4460 BRADY RD
Zip Code: 34957 Fax:
City: ST CLOUD State: FL
Phone No. E-
Zip Code. 34772 Fax:
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 IH1 118467
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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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 conflicts with any. applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 attornev before commencing work or recording our Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY O F ST LUCIE
Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization
this 30 day of AUGUST 2021 by EDDIE GRUNDEL
ail 15- ar(A✓ Ae J
Name of person making statement.
Personally Known xx OR Produced Identification
Typ ification Produc_ ed DL
(S. e o Notary Public- State of Florida)
Ow
Co rel Nt°t*ry Public Stft of Flo ri{{aeal)
My Commission 3
or ExOres 0e/1&2023
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Rev 5/20/21