HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL AIPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTE
Date6-2 Permit Nu
• JUN 2 7 2018
�— - Buildigg.e,SCANNED
�Mit�Alpplicati PermittingDepartment
Planr,►ng and Development Services
Building and Code Regulation Division St. LLICie COLIC tY, FL
2300I Virginia Avenue, Fort Pierce FL 34982
Pho i e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mobile home
PROPOSED I'IVIPROVEMENT`LOCATION:
Add s: 18 NETTLES BLVD
Legal description: NETTLES ISLAND INC
Property Tax ID #: 0.200 Lot No.
Site Plan Name: pz� C L_"'<z C*J Block No.
Project Name: BECKER MOBILE HOME
D �
Setb cks Front I Back: _ ,`S _ Right Side: I Left Side: y:
DET4ILE6DESCRIPTI0N OF WORK;
HOME TIE DOWN- DOUBLE WIDE 20X 44
i
CONSTRUCTION INFORMATION:
Adclitional work to b
fi
orme un ert is permit— c ec a app y:
v HVAC Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
Fv]Electric 0 Plumbing FISprinkiers Generator Roof Roof pitch
11
Tot I q. Ft of Construction: 880 S . Ft. of First Floor: 880
Cost of Construction: $ 2475 Utilities: Sewer Septic Building Height:
'bW,
ER/LESSEE: -.,
CONTRACTOR:
Nami
Add ies
City:
Zip i
Phone
IlIle
E-MIN:
Fill i t
from
. (`
Name: EDDIE GRUNDEL
Company: TOMS MOBILE HOME SETUP
FcCA _�_Stat
odeJ Fax: J —
No.
Address: 4460 BRADY RD
City: ST CLOUD State: FL
Zip Code: 34772 Fax: 8634515104
Phone No. 8635292370
E-Mail: nancyarmstrong6l@gmail.com
fee simple Title Holder on next page ( if different
the Owner listed above)
State or County License: IH1118467
II If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. II
I
SUPjI? MENTAL CONSTRUCTION LIEN LAW INFORMATION
DES
Name:
Add
City!
Zip:
I
NER/ENGINEER: Not Applicable
BRUCEBECKER
ess: 18 NETTLES BLVD
MORTGAGE COMPANY: ` Not Applicable
Name: EDDIEGRUNDEL
Address: 18 NETTLES BLVD
City: STCLOUD State:
Zip: Phone:
JENSEN BEACH State:
Phone
I
FEE
Na
Add
Cityi
Zip: II
IMPLE TITLE HOLDER: Not Applicable
e:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
ess:4480BRADY RD
Phone:
Zip: Phone:
OWNR/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certi that no work or installation has commenced prior to the issuance of a permit.
St. Lucid 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
struct re. 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 acc ' dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments:
The fo� owing building permit applications are exempt from undergoing a full concurrency review: room additions,
accesslo ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARMING 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
befo I'e the first inspection. If you intend to obtain financing, consult with lender or an attorney before
comrr encing work or recprding your Notice of Commencement.
P
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORI
COUNTY OF
The f' rgol g instr nt was acknowledged b fore me
this I , day of �a� 201�r
Name of perso aking statement
Pers, nally Known to OR Produced Identification
Type of Identification
Produced
(Signature of N(
Commission No.
1
COMPLETED
Rev. 8 / 12/17
Public- State of Florida )
(Seal)
NANCY MIMS ARMSTRONG
STATE OF FLOIkID
COUNTY OF
The forgoin instru was acknowledged efore me
this day of 20� by
I e W run dd
Name of person king statement
Personally Known R Produced Identification
Type of Identificati � 1
(Signature of No a Pub i -
�,FJFbo NANCY MINIS ARMSTRONG
-ommi rg'ri`°� N#FF1fl�5�
EXPIRES February 10, 2015
10, 20111
UPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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