HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 10-23-17ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: t t -0 Permit Number: 19 r M96 O
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: 10725 S OCEAN DR LOT 387
Legal Description: HOLIDAY OUT AT ST LUCIE
Property Tax ID #: 4511-502-0208-000-0
Site Plan Name:
Project Name:
Setbacks Front Back: _
DETAILED DESCRIPTION OF,WORK
2017 DOUBLEWIDE MOBILE HOME
21'8X42
WIHVAC Li Gas Tank
❑✓— Electric ❑✓ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2475
Right Side: Left Side:
under this permit — check a
I1
Gas Piping LJ Shutters
Sprinklers Generator
Sq. of First Floor: _
Utilities: Lr ISewerF—]Septic
Lot No. 23
Block No.
QWindows/Doors
EIRoof
Building Height: 13'
`OWNER/LESSEE:
CONTRACTOR:
Name SHARON BATE
Address: 155 WILLIAM ST
City: MIDLAND State: ON
Zip Code: LAR 5N1 Fax:
Phone No. 631-463-8341705-245-0332
E-Mail:
Name: RONNIE BLAINE
Company: ANCHOR DOWN Mobile Home Set-up
Address: 7205 SANTA CLARA BLVD
City: FT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 863 529 2370
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.
:`SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:;.; ,.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: 5cksq (� <&Z- Name:
Address: 145 - - Address:
City: LA4Q 'I-?- State: City: State:
Zip: �!,-4 '3 Phone: �i�_� c o Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY:
Name: _
Address:
City:
Zip:
Phone:
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
Not Applicable
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.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forPrri instru ent as acknowledged before me
this_ day of 20 f1by
RONNIE BLAINE
(N f person acknowledging ) 7o10
)
(Signat a of Not Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced FLOL
COmmiSSi4I&W: NANCY
MY COMMISSION # FF197899
s
Signat&e of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this 5 day of OCT 20 1 J_ by
RONNIE BLAINE
(Name of person acknowledging)
(SihKature bf Nota ublic- State of Florida )
Personally Known x OR Produced Identification
Type of
NANCY MIMS ARMSTRONG
Commission :"_ MY COMMISSION # MG$99
EXPIRES February 10, 2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS