HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/1/18 II Permit Number:
N04 -OM
SCANNED RECEIVED
RECEIVED
A R.Q4-1019
��11,111 �'ri ermit Applic tiorAPR 19 �01$ perml ng Department
Planning and Development Services St. ucle County
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR:. Mobile home
Address: 5230 COMPASS COVE PL HUTCHINSON, ISLAND FL34949
Legal Description: OCEANS RESORT CO-OP
Property Tax ID #: 1410-502-0394-000-1
Site Plan Name:
Project Name:
Setbacks Front Back:
INSTALL MOBILE HOME
394 (OR 3999-2246)
Side:
Left Side:
Lot No.
Block No.
ttna lowar to e e orme under this permit — check a
apply:
ZHVAC Gas Tank
❑Gas
Piping
_
Shutters
Windows/Doors
ZElectric ❑✓l Plumbing
Sprinklers
q Generator
Roof Roof pitch
Total Sq. Ft of Construction: 800
S . Ft. of First Floor: 800
8000
Cost of Construction: $ ,
Utilities:
es:
21 Sewer Septic
Building Height: 166
OWNERf LESSEEJAMES/ BAF2BARA�YOUNG
CONTRAq ORROBE'RT P!JCKE�Ti' .,
tea..
Name Cul
Name: ROBERT PUCKETT
Address: COMPA COV
;Company: J & H HOMES INC
City: HUTCHINSON ISLAND State: FL
Address: 1748 NW 58TH LN
Zip Code: 34949 Fax:
City: OCALA State: FL
Phone No. 941-626-2358
Zip Code: 34475 Fax: 352-351-1046
E-Mail:
Phone No. 352-351-8163
Fill in fee simple Title Holder on next page (if different
E-Mail: PERMITS@JHOCALA.COM
from the Owner listed above)
State or County License: IH 1025336
it value of construction is 5Z500 or more, a RECORDED Notice of Commencement is required.
I
SUPPLEMENTALCONSTRUCTIONLIEN'LAW INFOR ATI
DESIGNER/ENGINEER: xx Not Applicable
MO TGAC*-%O Vk19*A Not Applicable
Name: i
Na e:_ _
Address: -_iI -
Add: Lucie County, Permitting
City: F btate:
City. State:
Zip: Phone
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:_
Name:
Address. I
Address:
City: I
City:
Zip: Phone:
Zip: Phone:
I
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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
commesifin'90W or recording our Notice of Commenceme t.
14
igna e f Owner ssee/Contractor as Agent for Owner
Signature of Contractor/License Holder
A E OF FL A
STATE OF FLORIDA
CO NTY OF RION
i
COUNTY OF MARION
The forgoing instrument was acknowledged before me
1 MARCH `
The forgoing instrument was acknowledged before me
1 day MARCH l ' by
this day of , 201 by
this of , 20
JAMES YOUNG
ROBERT PUCKETT
Name of person making statement
Name of person making statement
Personally Known OR Produced Ide
Personally Known OR Produced Identification
\�1f�i(M�IA�I/�—
Type of I ntification �\\ �/�j
F �t \ S�\N WIN$(0� ��i��
Type of Identification INIIIN/
Produced\�141 WIN&
Prod ed
` • \SSiONi /i
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SSIONE �i
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nature o otary Public -State MG172665 :
Yature of No Public- tate fflgrida )OGG172665
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Commission No. l�'0tie�1CI'��
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17