HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 11/17/2021 Permit Number:
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Building Permit Application
Planning and Development Seniices-
Building and Code Regulation Division Commercial Residential-
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:,(772)462-1578 f
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PERMIT APPLICATION FOR: Residential Mobile Home i
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PRC}POSEDIMPRQI/EMENl'L.®CA"QN smile
Address: 4081 N Federal Highway
Property Tax ID#: 1420-141-0009-000-0 Lot No.0000
Site Plan Name:Block No. 0009
Project Name: Cynthia Rutkowski
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Install new mobile home using existing utilities.
Sunshine Dig#322101621 1
1 New Electrical Meter Second Electrical Meter
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CON5TRU LION INFORMATION r
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Additional work to be performed under this permit—check all that apply:
x_Mechanical Gas Tank Gas Piping Shutters _Windows/Doors Pond
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Electric x Plumbing Sprinklers Generator Roof Pitch
Total Sq._Ft of Construction:11193 Sq. Ft. of First Floor:
Cost of Construction:$-.6 000. tJtilrties:. Sewer' x :
Septic Building Height: .14'6 ':' - w
WNER/LES5EE: gam CONTRA ORIR
Name Cynthia Rutowski Name:Daniel Burnham
Address:4081 N Federal Highway Company:Timberline Construction Group LLC
City: Ft. Pierce Florida I State:_ Address:1 Perimeter Parks 145 i
Zip Code: 34946 Fax: City: Birmingham State:AL
Phone No.772-971-9956 Zip Code: 35243 Fax:
E-Mail: Phone No 919-738-4054
Fill in fee simple Title Holder on next page_ (if different E-Mail Kcastro@timberinecg.com
from the Owner listed above) State or County License IH1101837
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/iENGINEER: X NotAppjicabie MORTGAGE COMPANY; Not-Appiicab(e
Name.. . ; : Name.
Address is i ii 3. Address..
City, 7 State:.... City State.:
Zip: E 1l ` Phone: Zip:Phone:
FEE SIMP11,ThTLE HOLDIEW _- x ,Not A licabie BONDING COMPANY: Not Applicable:pp
Name. i i i... Name:
Address.: , 11 i i,Address:
City I City:
Ii'• Phone. ._ Zip:,Phone'
OWNER]C,'b' TRACTOR AFFIDti1T;AppiicationisHereby made io:.obtain;a:permit todb the wark'a d"instaliaticn as'indicated
1"certify thafina Work or installation has commenced prior w.the'is"nuance of a permit.
St.,Lucie Courityy`makes no representation that is granting a ppe.r itwill allthorize the ppermit Folder--to build-the subject structure
which-is in cin)% %ith any applicable Home Owners Association rules;bylaws or and,covenants•that mayrestrlct;ot prohibit suchstructure.P(dasei tonsuit withyour HomeOwners Association and review-your.deed forany restrictions which may apply.
In consideration pfthe grantii g of this requested,permit,I'do hereby agree thatl;will,:in'al!respects,perform thea work'in accordance wtth the apsproved:.plans,the Florida Building Codes and St.Lucie Gourity Amendments.
The-followini tiuWing perrnit6pplications.areiexempt from und@rgoing.a full conturrency review:'roomi additions,,•
accessory S,w6mming'pools fences,,walis signs,screettrooms and accessory usesto another non-residential use
itARNING`Tt3 OWNER:youefailuie to:Record a Notice:of Comcrrencerrient may.result.in paying twice for
improaie r ts to your roe A Notice of Commencement rust be recorded in the public records of St.,p . PrtY; . .,Lucie Cattrtty and posted on the jobsite before the first inspection.If you intend to obtain finaricing,.consuit
with le` or a -attorne before commencin work.orr rdin our Notice of Corrimencement:.
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Si ore o t loe, •Lessee/Contractor as Agent for Owner gn re,of o ctor icense Holder
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ATE d, Ff t3RIDA ATE .,..FLOR.IbA
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Sworn to{or affirmed}and subscribed before me of'. Sworn to(or affirniei#1 and sutsscrited before i e'of
x Phys ca11 1 sence or Online Notarization• xx Physical Peesence or ,. . 'Online Notarization
this is day;ofttatier zo2t, by ` this is ,day of oar,zort by,
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Name of persir ,making-statement.< v lame of person making;statement-
Personalir{KribWwx OR Produced identification Personaiiy'Known x OKProduced identification
T e of ldentjfication Type of Identification
Producced£! v
raduced:
5ignature'o`FN tart'Public-'S e„ : orr ANN E MfIOR i afore of Notary Public-S
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ANN E"MC?OR
Commission
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REVIEWS i i FRONT ZONING SUPERVISOR 'PLANS VEGETATidN SEA TURTLE. MiANGROVE;
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