HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr_
ALL APPLICABLE NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Cby of f1 Permit Number: _C�)
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Building Permit Application AUG 2 9 2017
Planning and Development Services Pubiic works
Building and Code Regulation Division St. Lucie County, Fie
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commbrcial Residential X
PERMIT APPLICATION FOR:
Mobile home
PROPOSED IMPROVEMENT LOCATION:
Address: 1187 NETTLES BLVD
Legal Description: NETTLES ISLAND INC
Property Tax ID #: `/S 0a-V--. 13 74 XQ--0 Lot No. 1187
Site Plan Name: Block No.
Project Name:
S
Setbacks Front � ' Back: Right Side: _� Left Side:
DETAILED DESCRIPTION OF -WORK:
2017 DOUBLEWIDE MOBILE HOME
20X32.5/37.5
tONSTRUCTION-INFORMATION:
Additional work to e e orme under this permit- c ec a apply:
W1HVAC E] Gas Tank Gas Piping In _ Shutters Q Windows/Doors
❑✓— Electric 0 Plumbing Sprinklers E Generator 11 Roof
Total Sq. Ft of Construction: Sq. of First Floor:
Cost of Construction: $ 2475 Utilities: Ir !Sewer Septic Building Height: 13'
;OWNER/LESSEE:
CONTRACTOR:
Name MARY & MARSHALL THOMAS
Address: 1187 NETTLES BLVD
Name: EDDIE GRUNDEL
Company: Tom's Mobile Home Set-up
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:'
Phone No. 772-229-0280
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
iT vague oT construction is :>zsuu or more, a RECORDED Notice of Commencement is required.
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Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER -
Name:
.Address:
City:
Zip: Phone:
Not Appiicable
'MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY. Not Applicable
Name:'
Address:
City:
Zip; Phone.
I certify that no work or installation has commenced priorto the"issuance of a permit.
St- Lueie•County makes no representation that Is granting.a permit will authorize the permit holder to build the subject structure
which is in contflictwith aby'applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and reviewyour 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 cpncurrency review: roomadditions,
accessory structures, swimming`pools, fences, wails, signs, screen rooms and',accessory uses to another non-residential use
WARNING TO OWNER: Your'faliure.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 pasted on the jobsite
before the first inspection., if you intend to obtain, financing, consult with lender or an attorney before
commencing work or recordina vn° °r nlntira
S
_ Signature of Owner/ Lessee/Agent signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFsrwcir= COUNTY`OF srwclE
The forgoing ins ent as acknowledged before me
this day o 20 �by
of
Personally Known x OR Produced Identification
Type of Identification Produced FLDL
Commission No. klpaqcy MIt qhq$1PQNO
:• 97a99
MY COMISIMSQN#FF1
Revised 07/
The forgoing,instrument was acknowledged before me
this s day of. 'Iu'y i 20 4J_ by
EDDIE GRUNDEL
(Ikme of person acknowledging)
(Signature ¢f Notary Public- State of Florida)
Personally Known x OR Produced Identification
Type of Identificaticneed ^
NANCY MIMS A
Commission No. = All'! COMMI( 911)l FF:197299
' EXPIRES February 10, 2019
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