HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL
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PLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
SCAM
By
Building Permit Applicati
ving and Development Services
ling and Code Regulation Division
I Virginia Avenue, Fort Pierce FL 34982
ne: (772) 462-1553 Fax: (772) 462-1578 Commercial
MIT APPLICATION FOR: Mobile home
POSED .1IM'P CIVEMENT LOCATION:.
ass: 10701 S OCEAN DR 655
Description: VENTURE OUT SECTION C-LOT 56 (OR3892-214)
8,97- ooay
$'
t tt 5 a b �,
JUL 3 ?pI
Permitting Department
aerie County, FL
Property Tax ID #: 4511-805-0056-000-9 Lot No. 56
Site Ian Name: CORONA PERMIT Block No.
ProjfJ II ct Name: CORONA MOBILE HOME
Setli acks Front I rj Back: Right Side:_ Left Side:
DE!AILED DESCRIPTION OF WORK:
11
VIOIBILE HOME TIE DOWN- DOUBLE WIDE 20X 40
CONSTRUCTION
LNFOAMATION:
AC1,01tional
work o (e nerformed under this permit —check
HVAC Gas Tank ❑Gas Piping
a apply:
Shutters
Windows/Doors
L_I
Electric Plumbing
Sprinklers
Generator
Roof Roof pitch
800
800
To
I Sq. Ft of Construction:
S
Ft. of First Floor:
Co�'t
I I
of Construction: $ 2475
Utilities: I. ISewer
OSeptic
Building Height:
,OVER/LESSEE:
,
CONTRACTOR:,-
N rpe KELLY J CORONA
Name: EDDIE GRUNDEL
A idress: 6830 SW 13TH ST
Ciy: OKEECHOBEE State: FL
Z� Code: 34974 Fax:
P one No.
Company: TOMS MOBILE HOME SETUP
Address: 4460 BRADY RD
City: ST CLOUD State: FL
Zip Code: 34772 Fax: 8634515104
Phone No. 8635292370
E-Mail: nancyarmstrong6l@gmail.com
State or County License: IH1118467
E
IMail-
Fi I in fee simple Title Holder on next page ( if different
frl11m the Owner listed above)
if;I*alue of construction is $2500 or more, a RECORDED Notice of Commencement is required.
II --
S'UPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION-
DESIGNER/ENGINEER: _ Not Applicable
Na I e: KELLY J CORONA
MORTGAGE COMPANY: Not Applicable
Name: EDDIE GRUNDEL
Address: 6830 SW 13TH ST
Adess: 10701 S OCEAN DR 655
Cit�,? OKEECHOBEE State:
City: STCLOUD State:
Zip: Phone
Zip: Phone:
FEEIISIMPLE
TITLEHOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Na
Ad
Cit)l
W.
Name:
ress: 4460 BRADY RD
Address:
:
City:
Phone:
Zip: Phone:
Zip
OWI ER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I cefy that no work or installation has commenced prior to the issuance of a permit.
St. LIJ ie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
whic 'is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
stru ure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In co sideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in ac ordance 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,
acce�Ilsory 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
imprjovements 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
co �mencin work or recording our Notice of Commencement.
n
Signature
of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE
COUNTY
OF FLORI
OF ��� (ate p—�
STATE OF FLOR
COUNTY OF
Thl
this
forgoing instr nt was acknowledged before me
�l of20_Dby
The forgoing instr nt was acknowledged before me
this ol'� day of Q 20�j1 �bbV
R�d�ay
( ��X7�t � 'r1tiY��
f
�� Cy�.t-,�Q.
P
T�;e
Prloduced
Name of person aking statement
I sonally Known � OR Produced Identification
of Identification
4'-[�b�--
Name of perso making statement
Personally Known ✓ OR Produced Identification
Type of Identification
ProducedFt—D�
ov_,�
(S'gn ture of N6Ary Public- State of Florida)
ignature of N to Public- State of Florida )
C m s ' "r �rRMSTRONQ
_.;
MY t)GMMISSION # FF19789A.
"'o• d� EXP
Commi sl Seal)
A . • NANCY MMS ARMSTRONG
MY COMMISSION # FF19f
(aa�►3se.q,�
EVIEWS�
Floridallotary,
iNl"""
•
SUPERVISOR
(107
PLA
"' '_
3
E AR °'N
� bruary 10, 2019
g t kMTLE MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RiCEIVED
DATE
COMPLETED
Re �
8/2/17