HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 8-29-17ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1\1 1 -1'
Permit Number: I Gq U
Building Permit Application AUG 2 9 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
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 Lot No. 23
Site Plan Name: Block No.
Project Name:
7 '
Setbacks Front .? Back: . 31 Right Side: 0,1(0Left Side:
DETAILED DESCRIPTION OF WORK:
2017 DOUBLEWIDE MOBILE HOME
21'8X42 / i I X,36
S
CONSTRUCTION INFORMATION -
Additional work to e e orme sp under —checkiermit a apply:
WIHVAC Ei Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
W] Electric 0 Plumbing Sprinklers Generator 1:1 Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 2475
S Ft. of First Floor: _
Utilities:Z Sewer 0 Septic
Building Height: 13'
OWNER/LESSEE:
'CONTRACTOR:
Name SHARON BATE
Address: 155 WILLIAM ST
Name: EDDIE GRUNDEL
Company: Tom's Mobile Home Set-up
City: MIDLAND State: ON
Zip Code: L.AR 5N1 Fax:
Phone No. 631-463-8341705-245-0332
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: nancyarmstrong61 @gmail.com
State or County License: IH1118467
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
l
'WPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
City:
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.
4�-� AN bjjj�
C-16LOO s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The fo oing in r e was acknowledged before me The forgoing instrument was acknowledged before me
this g day of 20 /1 by this 5 day of 'ULy 20 by
EDDIE GRUNDEL EDDIE GRUNDEL
(Name of person acknowledging) (Name of person acknowledging)
(Signatur Notary Public- State of Florida) (Signature of Not ublic- State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced FLDL Type of Identification Produced FLDL
Commission Nq;; (Seal) Commission No. (Seal)
',w- NANCY MIMS = _ t o�i".°�A
�'•°" EXPIRE ION # FF197 :':..Jt. 491' CO J AiSTF�ONG `-
S F ti1MISSIO
Revised /2-01144 ,,,_F_a�'Ida bruary 7Q Z019 c407i 3s, EXPIRES F N # FF197ggg
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEATURT
ROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
RECER-7-D SEP 212017