HomeMy WebLinkAboutBuilding Permit Application 7-14-16ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f Date: Permit Number: / d 7 0,0c�
Building Permit Application RECEOVE®
Planning and Development Services 1 � 2016
Building and Code Regulation Division JULl�
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mobile home
PROPOSED IMPROVEMENT LOCATION:
Address: 10725 S OCEAN DR 387
Legal Description: HOLIDAY OUT AT ST LUCIE- SEC B BLK S LOT 23 AND EQUAL PRO-RATA INTEREST
IN COMMON ELEMENTS (OR 672-1470; 3696-2541)
Property Tax ID #: 4511-502-0208-000-0 Lot No. 23
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
MOBILE HOME INSTALL 21.8X36
Left Side:
Block No. S
CONSTRUCTION INFORMATION:
Additional work to b
jerrormed under this permit — check all apply:
RIHVAC L J Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers ❑ Generator El Roof
Total Sq. Ft of Construction: 756
Cost of Construction: $ 2475.00
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SHARON L BATE & PATRICIA TURNER
Name: THOMAS GRUNDEL
Address:155 WILLLIAMS ST UNIT 4
City. MIDLAND State: FL
Zip Code: L4R5N1 Fax:
Phone No.
Company: TOMS MOBILE HOME SETUP
Address: 4433 HENRY J AVE
City: SAINT CLOUD State: FL
Zip Code: Fax:
Phone No. 863 529 2370
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: nancyarmstrong61 @gmail.com
State or County License: IH1025148
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requires.
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