HomeMy WebLinkAboutPermit Applicattion Lot7502All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 4th, 2022
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Permit Number:
·u �-,.. .... IJl1l!!.iill IE)�� Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPIROVEMENT LOCATION:
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I Address: 7916 McClintock Way_., Port St. Lucie, FL,34952
Property Tax ID #: 3424-800-0164-000-4 lotNo.�
Site Plan Name: Block No. 75
Project Name: I
I DETAILltD DESCRIPTION OF WORK: 11 Install NewMobile Home 30 x 44 I
New Electrical Meter Second Electrical Meter (Affidavit required) I
I CQNS:Ji�UC'�l()N INFORMATION: 11 I
Additional work to be perfor med under this permit -check all that apply: I
�echanical Gas Tank _ Gas Piping Shutters _ Windows/Doors -Pond I --
-¥"Electric �Plumbing _ Sprinklers Generator Roof Pitch-
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 5 200.00 Utilities: Sewer _Septic Building Height: I OWN ER/LESSEE: I CONTRACTOR:
Name: Thomas G Jennings I
Company: Jennings Mobile Home Setu12 I I State: MI- Address: P.O. Box 1428
City: Auburndale State:£!:._
E-Zip Code: 338823 Fax: I
Name Savanna Eagles's Retreat LLC
Address: 27777 Franklin RD Ste
City: Southfield
Zip Code: 48034 Fax:
Phone No.
Mail: Phone No 863-581-3317
Fill in fee simple Title Holder on next page (if different E-Mail jenningsmhs@tami;1abay.rr.com I
from the Owner listed above) State or County License 11::1 j 0251 Z6 I
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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SUPPLEMENTAL CONST RUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: State: State: I City: --City: Zip: Phone Zip: Phone: -1
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY:_Not Applicable I Name: Name: Address: Address: I City: City: Zip: Phone: Zip: Phone: I OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicatJd. 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 structurewhich 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 workin 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 I 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, consylt with lender or an attorne before commencin work or recordin our Notice of Commencement. I
STATE OF FLORIDA COUNTY OF _ ___,_P-=0-=L"---K,__ ________ _
Sworn to (or affirmed) and subscribed before me of this� day of January , 2022..._ by _v(Physical Presence or __ Online Notarization ���J;i�]:f ,�ii:, ",s
Personall Known ✓ OR Produced Identification
(Signature of Notary ub 1 -State of Florida)
Commission No.GGJ,'\] 1i k (Seal)
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