HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR A PLVTION TO BE ACCEPTED
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Date: BY Permit Number:
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St.
Lucie County
_ JUN 2 7 2018
Building Permit Application
Planning and Development Services Permitting Department
Building and Code Regulation Division
' St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR:, Mobile home
I PROPOSED IMPROVEMENT LOCATION:
Address: 987 NETTLES BLVD
Legal Description: NETTLES ISLAND INC
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Property Tax ID #. 4502-501-1174-000-8 Lot No.
Site Plan Name: Block No.
Project Name: SCHACHINGE R MOBILE 1-10%
Setbacks Front Back:^ Right Side: Left Side:
�:�bETA'IE'E.D'"'D'ES"'CRIPTI'O'N OF WORK: .;'
'MOBILE HOME TIE DOWN- DOUBLE WIDE 20X 39
CONSTRUCTION INFORMATION:
itiona work to e nertormed under tispermit—check all apply:
�HVAC 0 Gas Tank ❑Gas Piping Shutters a Windows/Doors
i
Electric 0 Plumbing F]Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 780 S . FtFt. of First Floor: 780
Cost of Construction: $ 2475 Utilities: L� I Sewer 0 Septic Building Height:
OWNERAESSEE:
CONTRACTOR:..
Name DUANE SCHACHINGER
Name: EDDIE GRUNDEL
Address: 6911 32 MILE RD
Company: TOMS MOBILE HOME SETUP
City: BRUCE TWP State: MI
Address: 4460 BRADY RD
City: ST CLOUD State: FL
Zip Code: 48065 Fax:
Phone No.
Zip Code: 34772 Fax: 8634515104
E-Mail:
Phone No. 8635292370
Fill in fee simple Title Holder on next page ( if different
E-Mail: nancyarmstrong6l@)gmail.com
from the Owner listed above)
State or County License: IH1118467
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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J "SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
DESIGNER/ENGINEER: Not Applicable
Name: DUANESCHACHINGER
Address: 987 NETTLES BLVD
City: BRUCETWP State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: i
Add ress: 4460 BRADY RD
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: EDDIE GRUNDEL
Address: .691132 MILE RD
City: STCLOUD State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone
_Not Applicable
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.
i
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 recordingivour Notice of Commencement.
Signature of Owner Lessee/Contractor as Agent for Owner
I
STATE OF FLORI A
COUNTY OF
Thefor ping inst ment was acknowledged before me
this day of 201 Aby
4H, 4 i-o— (30 ,/Y-., S_ �11
Name of person statement
Personally Known V OR Produced Identification
Type of Ideritificatign.
(Signature of Notry�jublic- State of Florida )
'ommissi (// (Seal)
NANCY Mims
MY COMMIcc1.
c
m-a 1,��
Signature of Contractor/License Holder
STATE OF FLORI
COUNTY OF
The forgoing instpiMent was acknowledg before me
this -cE-day of 20 by
Name of person making statement
Personally Known _� OR Produced Identification
Type of Identificat'or,�
Pr duced 1r�fJ
(Signature of N to Public- State of Florida )
Commission
MY COMMISSION # FF197899
Qd EXPIRES ebn►unaI�' I1(� 201 a 7 s Fy I N s rvIc com
REVIE '�'I39 I�ONTFlo.1a., ot�DMr�ixm S PERVISOR PLANS TI - ROVE
COUNTER --- —REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
!v. 8/2/17