HomeMy WebLinkAboutBuilding Permit Application 10-10-17ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 18yd' \1 Permit Number: d Nil
RECEIVED OCT 101017
Building Permit Application
Planning and Development Services RooTj
4)
Building and Code Regulation Division ��� .�
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: 429 NETTLES BLVD
Legal Description: NETTLES ISLAND INC
Property Tax ID #: 4502-501-0615-000-5 Lot No. 429
Site Plan Name: Block No.
Project Name:
Setbacks Front 11.9 Back: 5•5 Right Side: 1 Left Side: 10.6
DETAILED DESCRIPTION'OF'WORK:.-
12x38 PARK MODEL CHARIOT
CONSTRUCTION TNFORMATIONu
Additional work to je nertormed under tis permit —check all h apply:
WIHVAC LJ Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors
❑✓— Electric 0 Plumbing Qprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
4M Cost of Construction: $ 2475 - Utilities:Z Sewer []Septic Building Height: 13'
, SSEE: OW,
CONTRACTOR:
Name DWAYNE WALKER
Name: EDDIE GRUNDEL
Address: 825 GAZETTA WAY
Company: Tom's Mobile Home Set-up
City: W (ALM BCH State: FL
Zip Code: 33413 Fax:
Phone No. 863:�ID`! 33
Address: 4460 BRADY
City: SAINT CLOUD State: FL
Zip Code: 34772 Fax:
Phone No. 863 529 2370
E-Mail: nancyarmstrong6l@gmail.com
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: IH1118467
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION
LIEN LAVI%INFORIVIATION
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: _
Name:
Not Applicable
Address:.
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 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
improvements to your property. A Notice of Commencement must be recorded 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.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instriat vyas acknowledgeM—by
efore me
this ( day of 4 ip 20
EDDIE GRUNDEL
(Name of person acknowledging)
(Signature of Nota ublic- State of Florida )
Personally
Type of Ide
Commission NO:,
14
Revised 07/15/2014
ced Identification
tj6"" s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this ' day of OCT , 20 1 7 by
EDDIE GRUNDEL
(Name of person acknowledging)
fv�v
ignature of Not ublic- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced FLDL
••vYV 1pliY p` ,
MY COMMISSI(��IjFl9yggg CommissionNA MlMSgp
6)EPIRES February: .
3 �IortdaNptarySen,'��2019 :�G'vri r;u*,a M �COMMISS1pN
10, 2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
I�
INITIALS
tit