HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 8-29-17ALL APPLICAB E INFO M" ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: - Permit Number:
b1Bc �:nrks
Building iermitApplication
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: 804 OSPREY CT
Legal Description: OCEAN RESORTS
Property Tax ID #: 1410-502-0344-000-6
Site Plan Name:
Project Name:
Setbacks Front_ Back: � Right Side: _ Left Side: 2'
DETAILED DESCRIPTION OF WORK:
2017 DOUBLEWIDE MOBILE HOME
22X46/54
Lot No. 344
Block No.
CONSTRUCTION INFORMATION:
Additional work to jeperformedunder this permit— check a apply:
WIHVAC L_J Gas Tank Gas Piping _ Shutters a Windows/Doors
R1Electric ❑✓— Plumbing Sprinklers L Generator Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 2475
Sq. of First Floor: _
Utilities: LJ Sewer F Septic
Building Height: 13'
OWN ER/LESSEE:
CONTRACTOR:
Name BETHANN JONES
Name: EDDIE GRUNDEL
Address: 804 OSPREY CT
City: HUTCHINSON ISLAND State: FL
Zip Code: 34949 Fax:
Phone No. 772-359-4012
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Company: Tom's Mobile Home Set-up
Address: 4460 BRADY
City: SAINT CLOUD State: FL
Zip Code: 34772 Fax:
Phone No. 863 529 2370
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.
1 SUP...,PLEMEN.TAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not App
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:'
City:
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
_ Not Applicable
State:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:_
Zip: _
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 our Notice of Commencement.
�1&Az,�s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instru ent wA acknowledged before me
this S day of 2011� by
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this 5 day of 'IDLY 120 T by
EDDIE GRUNDEL EDDIE GRUNDEL
(Name of person acknowledging ),.� ,,, (Name of person ackn
(Signature of Nota Public- State of Florida) (Sig ature COotary Public- State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced FLDL Type of Ide FLDL
:►�`'-°���= NANCY MIMS ARMSTRONG
Commission N . ; 'P�'o� ply MIMS d Prl f RONG Commissio ' LUSSION # FA"9
MY COMMISSION # FF197899
°;'o;p EXPIRES February 10, 2019
February 10, 2019 _
Revised 07/ P= 14 3 FtoridallotaryServicexom
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS