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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 8-29-17r=, ALL PTED APPLICABLE Permit PLICABLE I IFO MUST BE COMPLETED �OR APPLICATION TO B PCmE Number: l � O�+ Q � I off` RECEIVED - AUG Building Permit Application 2 91017 PERMITTING Planning and Development Services St. Lucie County, FL 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 Site Plan Name: Project Name: Setbacks Front �,�1 Back: . �f Right Side: �_ Left Side: DETAILED DESCRIPTION OF WORK: 2017 DOUBLEWIDE MOBILE HOME (� 20X. -1© M i) W-LI-t) `fit Lot No. 2149 Block No. CONSTRUCTION INFORMATION: Adclitional work to benerformed under this permit —check a apply: ZHVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors W1Electric Z Plumbing OSptinklers 1:1 Generator 1:1 Roof Total Sq. Ft of Construction: _ Cost of Construction: $ 2475 Sq. of First Floor: _ Utilities: I r I Sewer 0 Septic Building Height: 13' OWNER/LESSEE: CONTRACTOR: Name MARK & MARINA BILLANE Name: EDDIE GRUNDEL Address: 5240 MANGO BLVD Company: Tom's Mobile Home Set-up City: WEST PALM BEACH State: FL Zip Code: 33411 Fax: Phone No. 561-723-6887 Address: 4460 BRADY City: SAINT CLOUD State: FL Zip Code: 34772 Fax: Phone No. 863 529 2370 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: nancyarmstrong6l@gmaii.com State or County License: IH1118467 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTALCONSTRUCTION'LIEN LAW'INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable 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. s _ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instrument was acknowledged before me this day of 20 V7by EDDIE GRUNDEL of person acknowledgi (Signature' of NgfaN Public- State of Florida ) Personally Known x OR Produced Identification Type of Identification Produced FLDL Commisslog;W,U. nlanrr`v MIMS ARMSTftI%i�, M ::;OMMISSION # FF197899 STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instrument was acknowledged before me this 5 day of 'LILY , 20 _12 by EDDIE GRUNDEL of person acknowl 45ignatlure of lta Public- State of Florida ) CU Personally Known x OR Produced Identification Type of Id n-Rpedacod FIn` �" ° NANCY MIMS ARMSTRONG Commissi�fV F'= MY C ION # FF(5?E�h ',' EXPIRES February 10, 2019 a. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REV EW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE I INITIALS