HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: -/-s= 15 Permit Number: !�
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Building,Permit Application
2 0 2015
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Planning and Development Services v.
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Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
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ERMITiING
L 'e County, FL
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Phone: (772) 462-1553 Fax: (772) 462-15718 Commercial
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PERMIT APPLICATION FOR:
Mobile home .,
PROPOSED IMPROVEMENT LOCATION: „a
Address: dy/N US HWY 1, FT PIERCE
Legal Description: 2134 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 #: 1 ) NaO - l Sl % -y bG 9- 600 -8 Lot No.117
Site Plan Name: Block No.
Project Name: COUNTRY COVE MHP
Setbacks Front 15 Back: 15 Right Side: 15 Left Side: 15
DETAILED DESCRIPTION OF WORK:
NEW MOBILE HOME REPLACEMENT 2015
15'2X68
CONSTRUCTION` INFORMATION
itiona wor to je nej orme under this permit - check all 11551 apply:
RjHVAC L_J Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
✓Z_ Electric 0 Plumbing Sprinklers E Generator 1:1 Roof
Total Sq. Ft of Construction: 1033
Cost of Construction: $ 2450.00
S Ft. of First Floor: _
Utilities:Z Sewer E]Septic
Building Height: 13'
OWNER/LESSEE:'..;:..
CONTRACTORI:.,
Name Country Cove MHP LLC
Name: DWIGHT DOUGLAS
Address: 49 SW Flagler Ave #201
Company: QUALITY MOBILE HOMES
City: Stuart State: FL
Address: 4775 ELON CRIES
Zip Code: 34994 Fax:
City: LAKELAND State: FL
Phone No. 772-252-4399
Zip Code: 33810 Fax: 863-606-5099
E-Mail:
Phone No. 863-529-2370
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: 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
MORTGAGE COMPANY: _ Not Applicable
Name: N/A
Name: N/A
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name: N/A
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 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.
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Sign ure of Oner/ Agent/ Lessee Signa ure of C tractor/License Ho der
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF PDLK COUNTY OF PoLK
Th or oing in ment was acknowledged before me The forgoing instrument was acknowledged before me
thi day of 20 14 by I this 20 day of DECEMBER , 2014 by
DWIGHT DOUGLAS DWIGHT DOUGLAS
(Name of person acknowledging) I of person acknowledging
(Signature of Nttdry Public- State of Florida )
(Signature of Nta�y Public- State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced FLDL Type of Identification Produced FLDL
Commissio
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Commission No..
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(407) 39B-0153
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(407) 396-0153
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