HomeMy WebLinkAboutSigned MH Application Lot 7518All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: March 10th 2022
Permit Number:
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
CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
..
Residential
.uu. L;1111LQGK vvay, tort 5t. Lucie FL 34952
Property Tax ID #: 3424-800-0180-000-2
Lot No. 18
Site Plan Name:
Block No. 75
Project Name:
DETAILED DESCRIPTION OF WORK:
Install NewMobile Home26'8 x64
New Electrical Meter Second Electrical Meter
(Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
VtAechanical _ Gas Tank _ Gas Piping _ Shutters _ windows/Doors _ Pond
Vbectric Vplumbing —Sprinklers _Generator Roof
Pitch
Total Sq. Ft of Construction: 1715 Sq. Ft. of First Floor:
Cost of Construction: $ _ 5,200.00 Utilities: Sewer
Septic Building Haiuht•
WNER/LESSEE:
CONTRACTOR:
me Savanna Ea les's Retreat LLC
FAdd
Name: Thomas G Jennings
ress: 27777 Franklin Road Suite 200
Company: Jennings Mobile Home Setup
City: Southfield State: jL
Zip Code: 48034 Fax:
Phone No. E-
Address: P.O. Box 1428
City: Auburndale State: FL
Zip Code: 338823 Fax:
Phone No 863-581-3317
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of construction is 2500 or more- a RFmRnFn ni..«,..,. ,.r �,.._._______
E-Mail jenningsmhs(a�tampabaV rr com
State or County License IH1()2..917F
-- -- -- I=4U11cu.
I value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 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 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 paying twice for
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. consult
with lender or an nttnrnov hof.,re
� 11 '=Ht .....
wui K ur recoraing your Notice of Commencement -."—
Sign atur-e of Contractor -or - Ow,(er Builder as applicable
STATE OF FLORIDA
COUNTY OF POLK
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online
this 10tblayof_March 2022 by
Notarization
Thomaa--G J nninas
Name of person making statement
Personally Known y OR Produced Identification
Type of Ide ificatio Produced
ignature of Notary Public- t e of Florida)
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Commission No (Seal) ': ^t_aF' `•"°<<,,; KIMIBERLYW�^,TK[NS l
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s�Y C0�91VIiSSiOf l ;# GG 288786 N
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EXPIRES: January 7, 2023
Sena.x l i,r� ?' «.r, s ci;fc Uade,l,rtters
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COMPLETED
Rev 10/1272T—