HomeMy WebLinkAboutSigned MH Application lot 7519All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: March 10th 2022 Permit Number:
91`1To ILI CIML ....
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1 c c ttl - 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 IMPROVEMENT LOCATION:
Address: 7704 Mclintock Way Port St Lucie FL 34952
Property Tax ID #: 3424-800-0181-000-9 Lot No. 19
Site Plan Name: Block No. 75
Project Name:
DETAILED DESCRIPTION OF WORK:
Install New Mobile Home 26'8 x64
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
Additional work to be performed under this permit — check all that apply:
V40echanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric 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 Height:
OWN ER/LESSEE:
CONTRACTOR:
Name_ Savanna Eagles Retreat LLC
Name: Thomas G Jennings
Address: 27777 Franklin Road Suite 200
Company: Jenninqs Mobile Home Setup
City: Southfield State: MI
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)
E-Mail_ ienningsmhs@tampabay.rr.com
State or County License IH1 f1?5176
vauc 1Z.4JUU ur n►ure, a REwKIJtU ivoiice or commencement is required.
If 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
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
n\A/NFR/ rnh1TDnrTrlo nee1n%11T. .
WSJ , ,,, y, I. Hpp„cation is nereoy 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 attorney before commencing work or recording your Notice of Commencement.
I
Signature of Contractor - or - Ow l er Builder as applicable
STATE OF FLORIDA
COUNTY OF POLK
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this 10thoy of Mar .h 202 by
Thomas G Jenninas
Name of person making statement.
Personally Known fir/ OR Produced Identification
Type of Ide ificatio Produced
-Mignature of Notary Public- t e of Florida) _
Commission No (Seal) 5!r: of `�r`O<<;; iQMBERLYWP,TKINS
=PAY COMMISSM ft GG 233736 Is
EXPIRES: January 7, 2023
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on ieu ii i1 u ry rubl. Unoeasr!iers
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED