HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST 1g FOR APPLICATION TO BE ACCEPTED
Date: y v� 03Y Permit Number: 1G4�- oat 5
- •1 - - -- _ R E C E P.-7-D I PR 14- 2016
Building Permit Application
E-;:1ec�-r 5-f)6 ,
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Ci mmercial Residential X
PERMIT APPLICATION FOR: Mobile home
-PROPOSED [MPROVEMENT LOCATION: (°
Address: 505 Nettles Dr
Legal Description: Nettles Island Inc, A condom
two
Property Tax ID #: 4502-501-0691-000-1 Lot No.
Site Plan Name: I Block No.
Project Name:
Setbacks Front Back: It Side: Left Side:
-DETAILED DESCRIPTION OF ,WORK:
New Mobile Home Install
,-,q,4 x. z,OAP
,CONSTRUCTI'ON INFORMATION.
Additional work to be j rformed under this permit — check all that apply:
�HVAC LJ Gas Tank Gas Pil in _ n Windows Doors
P g Shutters L_..l /
Electric 0 Plumbing �Sprin I lers Generator Roof
Total Sq. Ft of Construction: 2745.00 Sq. Ft. of First Floor: 1299
Cost of Construction: $ Utilities:Sewer 0 Septic Building Height: I3
OWNER/LESSEE: -
CONTRACTOR:
Name George R Voigt
Name: Thomas Grundel
Address:265 Nettes Blvd
Company: Tom's Mobile Home, INC
City- LaBalle State: FL
Address: 3344 Henry J Ave
Zip Code: 34957 Fax:
City: Saint Cloud State: FL
Phone No.
Zip Code: 34772 Fax:
E-Mail:
_
Phone No. `A Ol - 5"I - g 6$ rJ
Fill in fee simple Title Holder on next page (if different
E-Mail: nancyarmstrong6l@gmail.com
from the Owner listed above) I
State or County License: IH1025148
IT value of construction is $Z500 or more, a RECORDEDI Notice of Commencement is required.
�•D APR 141016
SUPPLEME�NTA''L,CON'STRUCTION.'LIE,N LAW 1k0bRMATFON'
DESIGNER/ENGINEER: Not Applicable
Name: I
Address:
City: State: I
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
I
I
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
I
BONDING COMPANY: Not Applicable
Name:
Address:
City:
I
I
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 pe
which is in conflict with any applicable Home Owners Associat
structure. Please consult with your Home Owners Association
In consideration of the granting of this requested permit, I do
in accordance with the approved plans, the Florida Building G
The following building permit applications are exempt from ui
accessory structures, swimming pools, fences, walls, signs, scr
WARNING TO OWNER: Your failure to Record a Notic
improvements to your property. A Notice of Commi
before th94irst inspection. If you intend to obtain fi
commenivig work or recording vour Notice of Com
_ Signature of Owner/ Lessee/Agent
STATE OF FLORI
COUNTY OF v
The for oing ins nt was cknowledged before me
this day of 2010--by
,Name of person acknowledgin )
'(Signa%ure f N tary Public- State of Florida )
Personally K Saco.ax
Type of Iden if ' r • i�t,ProPis� MIM
MY COMMIS
Commission EXPIRES Februsrtggl 2019
Revised 07/15/2014
:will authorize the permit holder to build the subject structure
rules, bylaws or and covenants that may restrict or prohibit such
review your deed for any restrictions which may. apply.
!by agree that I will, in all respects, perform the work
and St, Lucie County Amendments,
going a full concurrency review: room additions,
rooms and accessory uses to another non-residential use
of Commencement may result in your paying twice for
icement must be recorded and posted on the jobsite
ancing, consult With lender or an attorney before
lencement. / / �
Signature of Contractor,
STATE OF FLORI
COUNTY OF OP
The forgoing ins t was ac owledged before me
thiso2 (day of 20 d (10 by
?%:z
nowledging )
(Signatu a of Y3fAKPublic- State of Florida bl)
Personally Known ✓ OR Produce
Type of Identificati I°'""bAIMS ARMSTVION
Commission No. MY COMM1S1I9���QQ�# 101208
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