HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 10-23-17ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1Sj �13 �` / 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 Residential X
PERMIT APPLICATION FOR: Mobile home
PROPOSED IMPROVEMENT LOCATION
Address: 2149 NETTLES BLVD
Legal Description: NETTLES ISLAND INC
Property Tax ID #: 4502-501-0152-000-1 Lot No. 2149
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED -DESCRIPTION OF WORK:'
2017 DOUBLEWIDE MOBILE HOME
20X35/36
CONSTR'UCTiON INFORMATION
dAdditional work to ej performedunder this permit —check a apply:
❑✓ HVAC L _I Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
❑✓— Electric ❑✓1 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 2475 Utilities:12 Sewer E] Septic Building Height: 13'
;01NNER%LESSEE
. CONTRACTOR,
Name MARK & MARINA BILLANE
Name. RONNIE BLAINE
Address: 5240 MANGO BLVD
Company: ANCHORDOWN Mobile Home Set-up
Address: 7205 SANTA CLARA BLVD
City: WEST PALM BEACH State: FL
Zip Code: 33411 Fax:
City: FT PIERCE State: FL
Phone No. 561-723-6887
Zip Code: 34951 Fax:
E-Mail:
Phone No. 863 529 2370
Fill in fee simple Title Holder on next page (if different
E-Mail: nancyarmstrong6l@gmaii.com
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.
k%616 (A
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
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 vour Notice of Commencement. A„
_ Signature of Owner/ Lessee/
STATE OF FLORIDA
COUNTY OF ST LUCIE
Signature of
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instru nt as acknowledged before me I The forgoing instrument was acknowledged before me
�� this day of 20 n by this 5 day of OCT , 20 by
RONNIE BLAINE RONNIE BLAINE
(N.x3ie of person acknowledging) (143aakof person acknowledging )
TSignatdre of No ary Public- State of Florida ) E--
Personally Known x OR Produced Identification
Type of Identification Produced FLOL
Commission No. .pNY OV.
ANCY �
I S ARMS rRONG
MY COMMISSION >t e
Ffi C7. RES February
�9
-407) 39 ;3 Florida 10, 2019
Revised 07/15/201�"`
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced FLOL
Commission N =r "''PL=NA
�ea1�
My C M1— AR oNG
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-3 Rodda%la, r ary 10, �019
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