HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ~
Date: it 7 SCANNED Permit Numbe
I BY
Kffo IVED
St. Lucie County
Building Permit Application JUN 2 7 2018
I
Plannipgand Development Services (Permitting Department
Builds g and Code Regulation
i St. Lucie erount , FL
2300� irginia Avenue, Fort Pierce FL 34982 y
Pho Ile: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PER ,MIT APPLICATION FOR: Mobile home
P:ROPO$ED.IMPROVEMENT LOCATION
Address: 1080 NETTLES BLVD
Il
Legal;pescription: NETTLES ISLAND.ING
Prop6rty Tax ID #: 4502-501-1267-000-7 Lot No.
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Site li Ian Name: Block No.
Project Name: BOYD MOBILE HOME
Setbl cks Front Back: I — 1 Right Side:_ Left Side��
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DETAILErD DESCRIPTION OF WORK:
VIOBILE HOME TIE DOWN- DOUBLE WIDE 20X 35
OP-CMD
COiNSTRUCTION INFORMATION:
AC101tional work to e e orme under t-checkispermit a apply:
9HVAC I. Gas Tank Gas Piping _ Shutters Windows/Doors
Electric 21 Plumbing Sprinklers a Generator Roof Roof pitch
To ValSq. Ft of Construction: 780 S . Ft. of First Floor: 780
Colt of Construction: $ 2475 Utilities:Sewer 0Septic Building Height:
it
OUVNER/LESSEE: -
CONTRACTOR:
Name WILLIAM BOYD
Address: 1080 NETTLES BLVD
Name: EDDIE GRUNDEL
Company: TOMS MOBILE HOME SETUP
4y: JENSEN BEACH State: FL
Address: 4460 BRADY RD
City: ST CLOUD State: FL
p Code: Fax:
R one No.
Zip Code: 34772 Fax: 8634515104
-Mail:
Fl1I in fee simple Title Holder on next page ( if different
Phone No. 8635292370
E-Mail: nancyarmstrong6l@gmail.com
fom the Owner listed above)
State or County License: IH1118467
value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
{
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Nalmel: WILLIAMBOYD
Name: EDDIEGRUNDEL
Address: 1080 NETTLES BLVD
Address: 1080 NETTLES BLVD
City: STCLOUD State:
City: !�ENSENBEACH State:
Zip: !i Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: 4480 BRADY RD
Address:
City
City:
Zip: Phone:
I
Zip: Phone:
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. Lucile 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.
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The folilowing 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 recording our Notice of Commencement.
Sigrture of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
ST TE OF FLO A r
CO, NTY O��-t
STATE OF FLORI
COUNTY OFF _
The r oing instr nt was acknowledged efore me
this day of 20 by
The f r g ins rV ent was acknowledge efore me
this day o 20by
'
Name of person . aking statement
Personally Known OR Produced Identification
Name of pers"o king statement
Personally Known ✓✓ OR Produced Identification
Type of Identifi I
Produced ��—.
Type of Identifi I
Produced Ii(�
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Signat re of ota Public- State of Florida )
(Sigtns ure of N ry Public- State of Florida)
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Commi
s io9# 'Cofo"
3-ARMSTR NGNG
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# FF19789g
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V'MYCOMMISSION SSION # FF197299
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EVIEWS
FloridallotarySen
FR
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c i.
SUPERVISOR
(4
PLANS
713! 3 Florida
VEGETA
Iota ServI
-
-MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Revl. 8/2/17
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