HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 10-5-171 6.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 0
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' IMPRQVEM N:
Address: 804 OSPREY CT
Legal Description: OCEAN RESORTS
Property Tax lD#: 1410-502-0344-000-6 Lot No. 344
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED D' C131PTI.O.
41
2017 DOUBLEWIDE MOBILE HOME
22X46/54
7F
_y
n
Additional work to be ff0_r_m_e_du_nUe_ r th is pe rm it — check a 11 �app ly:
ZHVAC Gas Tank DGas Piping Shutters Windows/Doors
ZElectric Z Plumbing OSprinklers OGenerator F❑]Roof
Total Sq. Ft of Construction: SqL.FLt. of First Floor:
Cost of Construction: $ 2475 Utilities: z Sewer E]Septic Building Height:
Name BETHANN JONES
Name: RONNIEPLAINE
Address: 804 OSPREY CT
Company: ANCHOR DOWN MOBILE HOMES
Address: 7205 SANTA CLARA BLVD
City: HUTCHINSON ISLAND State: FL
Zip Code: 34949 Fax:
Phone No. 772-359-4012
City: FT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No..-ZNI (0-
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: nancyarmstrong6l@g-mail.com
State or County License.
If VdfUe UI curisEruction is -pz3uu or more, a Kt:LUKUtV Notice of commencement is required.
DESIGNER/ENGINEER: — Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State;
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
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, Fdo hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and 5t. Lucie County Amendments.
The following building. permit applications are exempt from undergoinga full concurren"cy 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.
�J s
_ Signature of Owner/ see/Agent Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The for oing instr ern�5w—as acknowledged' before me
this, day of CCU 201:7_liy
RONNIE BLAINE
(Name of person acknowledging }
(Signature of Nary Public- State of Florida }
Personally Known x r' R Pryy�atO
Type of Identificatio : b FLDL
sy, _�'�1i�-e8b4bffggt@t¢irF.
EXPIREJ&eq� a 10, 20 9
Commission No. ••`'"` ry
floridallotarySorvi�,wm .v_._--
Revised 07/15/2014
STATE OF FLORIDA
COUNV OF srLucle
The forgoing instrument was acknowledged before me
this a day of oCT 20t7 by
RONNIE BLAINE
(NRe of person acknowledging)
(519nature ot(yotary Public- State of Florida ) 6
Personally Known x OR Produced Identification
Type of Identifi ed FLDL
Commission No a NANCy MIiL}g G
1a=69MMISSIOPI # F%F1118j49G
EXPIRES. Feb. , �n n..
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