HomeMy WebLinkAboutSigned Application lot 7516All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: March 17th 2022
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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
PERMIT APPLICATION FOR:
Commercial
CBDG Funding
PROPOSED IMPROVEMENT LOCATION:
Residential
Address: _7720 McClintock Way Port St Lucie El, 34952
Property Tax ID #: 3424-800-178-000-5 Lot No. 16
Site Plan Name: Block No. 75
Project Name:
DETAILED DESCRIPTION OF WORK:
Install New Mobile Home 30x44
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
VIVlechanical _ Gas Tank _ Gas Piping _ Shutters
Electric Plumbing
Total Sq. Ft of Construction: 1311
Cost of Construction: $ 5,200.00
(Affidavit required)
Windows/Doors Pond
Sprinklers _ Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Savanna Eagles's Retreat LLC
Name: Thomas G Jennings
Address: 27777 Franklin Road Suite 200
Company: Jennings Mobile Home Setup
City: Suthfield State: -MD
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 vnh.n of
E-Mail_ienningsmhs(a)tampabay.rr.com
State or County License IH1 ng.r,17P
_ _ _ __..__. ___._... , , ,,,,,, o LLP ivuuce uj t,ommencement Is requiretl.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not A licable
— pp
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
niAiKirD/ rnrwroAf"rr%n ArrlMlilT_
.no" , ' „�,-,,,�„ , Hppncation 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 commPnrinu WnrL, nr rornrrli—,,,, Kl-+;,.,, _-r.-,._,.._ -____
I .,u, IVLLIUc wiiiiiiciiLernenL.
Signature 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 Notarization
this 17thay of March , 2022 by
Thomas G Jennings
Name of person making statement.
Personally Known V OR Produced Identification
Type of Id tif'cation Produced
'T
(Signature of Notary P lic- State of Florida)
- •yn•7 ,- KIMBERLYyt«irKIP:S
�y
Commission No. (Seal) ,` S_ MY COMMISSION # GG 288788 ;I ,
i
EXPIRES: January 7, 2023
°'`'` Mo! tara P,;Uic Underwriters
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