HomeMy WebLinkAboutBuilding Permit ApplicationSAFE HARBOR HOMES,LLC Fax:863-658-2218 Feb 3 2015 10:Oiam P001/006
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � FEB 08 z�
Date: 1/27/2015 Permit Number: 1601-0318
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•:•.IMP:ROV�MfN"i:;LOCATIQ�N:�•��<:•:::•::..':•.;,•;:,.• •.;•.:.••.:;•.•;• :••••,::•:.: ••:::.,.•:,.;:•,',• •... •..::;�,.:,''. :••.::.:•.;:•::::':: ;�:.•;::.,,..:•..:�°�:,,
Address• 10725 S OCEAN DR 209
Legal Description: HOLIDAY OUT AT ST LUCIE
Property Tax ID ##: 4611-501-019"00/3
Lot No. 25
Site Plan Name: -
M4,
_
Block No.
-Project Name:
Setbacks Front Back:
Right Side:
Left Side:
DETAILED;DESCRI.R 1ON.O,F:WORK:::'::.;-:.'.::•::..:.
NEWMOBILE REPLACEMENT
�
;COINRV TION::INEORMATION:.;
rme un er
Adonlonal work o R.MeGasTank
Z✓ HVAC
is perm —c ec
❑Gas Piping
a app y:
Shutters
❑
_
Wlndows/Doors
Electric Z Plumbing
Sprinklers
1:1 Generator
Roof
Total Sq. Ft of Construction:
Sol Pt, of First Floor:
Cost of Construction: $ 2450,00
Utilities, Sewer 11 Septic
Building Height: 13»
OW,N ER'. LESSEE:
Name TIMOTHY Q MC AVOY
Name: THOMAS GRUNDEL
Address- 10725 S OCEAN DR 209
Company: TOM'S MOBILE HOME'
City: JENSEN BEACH State: FL
Address: 3344 HENRY J AVE
Zip Code: 34957 Fax:
City. ST CLOUD State: FL
Phone No. _ , , ,
Zip Code: 34772 Fax:
E-Mail: �.
Phone No. 407-908-
Fill In fee simple Title Holder'on next page (if different
_
E-Mall; nancyarmstmng6l@gmall,com
from the Owner listed above)
State or County License: IH1025148
it value or construction a *zbuu or more, a RECORDED Notice of Commencement is required.
SAFE HARBOR HOMES,LLC Fax:863-658-2218 Feb 3 2015 10:02am P002/008
§.%UPPLEMEh L toN..STRUCTION°,LIEN :LAW:`INFQRMATIdN :::... ...
:....:.........:..........:...:..:....... ...:.....:......:.... :.
DESIGNER/ENGINEER.: T Not Applicable
MORTGAGE COMPANY: Not Applicable
-
Name: wA _
Name: NiA
Address:
Address:
City: State:
City: State:
Zip: _ Phone: -- _
Zip: Phone:
FEE SIMPLE TITLE HOLDEN: Not Applicable
BONDING COMPANY: Not Applicable
Name: NIA
Name: N/A
Address: -
Address:
City:
City ._•_•..__
Zip: Phone:
Zip; Phone:_ -
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 gontlict with any appllIcabblle Home Owners As50Cfation rules, bylaws or and•covenants that may restrict or prohlbit 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 Recorda' Notice of Commencement may result in your paying twice for
ro Impve is to your property. A Notice of Commencement must be recorded and posted on the jobsite
beforX,(e.f�st inspection. If you intend to obtain financing,con t with lender or an attorney before
comm g work or reeordinit Your Notice of Commencement./ //
Lessee
STATE OF FLORIDA
COUNTY OF aTLUrAr;
The gin ru nt was acknowledged before me
thi�ay o 20 14 by
THOMAS cHUNAL
PIRme of person acknowledging)
,'(Sign ture otary Public- State of Florida)
Personally Known X OR Produced identification
Type of Identification Prod rg�l ►
Co ' ' ;oNANGhf MIPd RRo596 f)
d 2's _ram: M� nuarY 3Q, 2016
REVIEWS
INITIALS
Holder
STATE OF FLORIDA
COUNTY -OF, BTw=
The - Ming i tr entwas acknowledged before me
t day q 20 by
THOMAS QRUNDEL
(Name of person acknowledging )
(Signature of V,
Public-State of Florida)
Personally Known x OR Produced Identification
Type of id n ifi ;On prndur�eli,Rt,.,..,--.�-T
NANGY MIMS ARMSTRONG
Ry-6AMMISSION As IFE4504
PxpiRP-S Janusry 80, 2016
FRONT ZONING
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