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HomeMy WebLinkAboutBuilding Permit Application 7-18-16ALL APPLICAB EIlIN,, MUST BE COMPLETED ROO R ATION TO B� E ACCEPTED p Date: C�`i�� Permit Number: I 1 E CEIV s ins Building Permit Applicat JUL 1120% 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 BY� esl ba PERMIT APPLICATION FOR: Mobile home ,P-ROPOSED'iMPROV-M,!ENT LOCATION, Address: 10725 S OCEAN DR 386 Legal Description: HOLIDAY OUT AT ST LUCIE- SEC B BLK S LOT 24 AND EQUAL PRO-RATA INTEREST IN COMMON ELEMENTS (OR 672-1470; 3696-2541) Property Tax ID #: 4511-502-0209-000-7 Lot No. 24 Site Plan Name: Block No. S Project Name: Setbacks Front_ Back: Right Side: (0. i19 Left Side: l� z t DETAILED bfSCRIPTION,OF WGQRK x y ., Z ��. MOBILE HOME INSTALL 21.8X36 cJCa_1i e ��� Q_ CONSTRUCTION INFORMATION f ..� �.. -- Additional work to be nerrormed under tis permit —c1e,k all apply: P1HVAC l—J Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors W1Electric 0 Plumbing []Sprinklers ❑ Generator ❑ Roof Total Sq. Ft of Construction: 756 S Ft. of First Floor: Cost of Construction: $ 2475.00 Utilities:Sewer ❑Septic Building Height: OWNER/LESSEE t CONTR�4CT0R r Name SHARON L BATE & PATRICIA TURNER Name: THOMAS GRUNDEL Address:155 WILLLIAMS ST UNIT 4 Company: TOMS MOBILE HOME SETUP City: MIDLAND State: FL Zip Code: L4R5N1 Fax: Phone No. 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: nancyarmstrong6l@gmaii.com State or County License: IH1025148 If value of construction is $2500 or more, a RECORDED Notice of Commencement is regwrea. SUPPLEMENTAL CONSTRUCTION LIEN LAW INIFORMATION: 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 Name: _ Address: City: Zip: Phone: BONDING COMPANY: Not Applicable Name: _ Address: City:_ Zip: I certify that no work or installation has commenced prior to the issuance of a permit. Phone: 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 improveme s your property. A Notice of Commencement m t be recorded and posted on the jobsite before the Irs spection. If y in end to obtain financing, . s It with lender o a attorney before comme in5171 or recordin Notice of Commenceme t. Signature of Owner/ Agent/ Lessee STATE OF FLOC COUNTY OF The forgoing in ru nt was acknowledgedbefore me this day o� 20 1 by --V rl� n of person Public- State of V P Q�r�Mit I entification Ty ems' (i ►tif Comm's � Co 'No{=XPIRES February 10, 2019 ( eal) ,, _.Corr Floridallotary (407098-:53 �-- Revised 07/15/2014 re of Holder STATE OF FLORfA COUNTY OF `_t� The forgoing ins u nt was acknowledged efore me this _J day of 20 by © 1 � � (Name of person acknowledging) of No(rar� Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced NANCY MIMS ARMSTRONG C r N 1a7899 (Seal) EXPIRES February 10, 2019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 14