HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
�PLICABLE
yt` aA �( SCANNED Permit Number:
BY
° ��° I'TUG 2 3 2016All 0
Building Permit Application
ing and Development Services O
hg and Code Regulation Division
Virginia Avenue, Fort Pierce FL 34982
ie: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERM, IT APPLICATION FOR: Mobile home
PROPOSED IN 4PROVEMENT LOCATION:
Addrll ss: 524 NETTLES BLVD
Lega' Description: NEETTLES ISLAND INC A CONDO SECTION II PARCEL
Pro lerty Tax ID #: 4502-501-0710-000-1 Lot No.
Site Plan Name: Block No.
Project Name: _
Set ll acks Front /�� Back: Right Side: Left Side:
DE; AILED DESCRIPTION OF WORK:
7 DOUBLEWIDE MOBILE HOME
CQNSTRUCTION INFORMATION:
itiona work to e nerformed under this permit — check a pp ay:
!W✓ HVAC0 Gas Tank Gas Piping M_ Shutters a Windows/Doors
Electric ❑✓— Plumbing Sprinklers O Generator 0— Roof
T tal Sq. Ft of Construction:
C Ist of Construction: $ 2475
S Ft. of First Floor: _
Utilities: Sewer Septic
Building Height: 13'
' .WN ER/LESSEE:
CONTRACTOR:
f 'al me EMILY FIGUERO
Name: THOMAS GRUNDEL
I,11
ddress: 765 SHORE RD APT 28
Company: Tom's Mobile Home Set-up
ty: LONG BEACH State: NY
Address: 4433 HENRY J AVE
ip Code: 11561 Fax:
City: SAINT CLOUD State: FL
;i
(hone No. 516-667-8966
Zip Code: Fax:
E-Mail:
Phone No. 863 529 2370
armstron 61
E-Mail: nanc Y 9 @9mail.com
dill in fee simple Title Holder on next page (if different
Irom the Owner listed above)
State or County License: IH1025148
value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPL
MENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: 11
_
Name:
Addres ''•
Address:
City: State:
City: State:
Zip: I Phone:
Zip: Phone:
FEE SI "PLE TITLE HOLDER: Not Applicable
BONDING COMPANY: _Not Applicable
_
Name: 'l
Name:
Addres' t
Address:
City: �`I
City:
Zip: Phone:
Zip: 1I1 Phone:
no work or installation has commenced prior to the issuance of a permit.
St. LuciJ'[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 consi eration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
i in acco dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foil{ wing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessi lry 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
impro'' ents to your property. A Notice of Commencement mus a ecorded and posted on the jobsite
befor the ' st inspection. If you intend to obtain financing, con It w' h lender or an attorney before
coin encing or or r ordine vour Notice of Commencemen .
_ Sign Itu f wner/ Lessee/Agent 1gnatufe of Contractor/License Holder
STAT OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF STLUCIE
i
The f ,,Irgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ;, day of 20 _by this 15 day of 'uLr , 20 by
THOMAS GRUNDEL
(Nam " of person acknowledging) a of person acknowledging
i
i
(Sign"
II ture of Notary Public- State of Florida) (Sig ature N ary Public- State of Florida )
Pers Ihally Known OR Produced Identification Personally Known x OR Produced Identification
Type i f Identification Produced Type of Identification Produced FLDL
;•'!'s"� NANCY RMSTRONG
Com Ission No. (Seal) Commission No. t3I@fa9f
MY COMMISSION # FF197899
07/15/2014
IIIIEWS
RE
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DA E
CO ', PLETE
INIJALS
tA&4-[e_5
_ Not Applicable
ame:
Iddre
,ty; State•
p: Phone
SIMPLE TITLEHOLDER: _ Not Applicable
Jdress:
ty:
p: Phone: -
MORTGAGE COMPANY: _ Not Applicable
Name -
Address:
City: _State:
Zip: Phone:
BONDING COMPANY: " _Not Applicable
Name:
Address:
City:
Zlp: Phone:
WNERJ CONTRACTOR AFFIDVIT: Application -is hereby made.to obtain permit to do the work and installation as indicated.
certify that no work or installation has commenced' prior to the issuance of a permit..
Lucie Countv makes no representation that isgranting a permit; will authorize the permit holder to build the subject structure
rucctturenPleassle consult with Home Ow.e s Asso at on and rules,
ev ewyyour deed for any resNictionswhich may Oprohibit such
consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
ie following building permit applications are exempt from undergoing a full concurrency review: room additions,
:cessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
1ARNING TO OWNER: Your failure to Record a Notice'of Commencement may result in your paying twice for
nprovements to your property. A Notice of'Commencement must.be.recorded and posted on the jobsite
afore the Irst inspection. If you intend to obtain financing, consult wi /lender oranI a/torney-before
_s�i• ..L _ .-."."1..- .• A1.�+7ro ref r^mmanrar"Ant J / // U
CUIIIIIICII to Ict-WUMF, Y%J%Al \VLlY4. V• �•••••• ••__...
_.___
`�1r114yV,VV�Uhn
41 � 1�•� h''-�'a'LY
5 ature of Owner/ Lessee/Contractor as Agent for owner
i ature of contractor/License Holder
STATE OF FL O�' R.�D�i;
STATE OF FLOR
COUNTYOF _''
COUNTY OF
The forgoing lnstru entwas acknowledge before -me
20JV by
The for oing instr-u ent,was acknowledg d//bbefore me
this day of 261 (Oby
this .� day of
A
eA
1 qa.!5 Or"(Je-1
(Name of person acknowledging)
(Name;of person:acknowledging )
(Signat re.of No PubliState of Florida }•
( nature of Notat ub4lic-State of Florida
Personally Known OR Produced Identification
I
Personally fCnow
Type ofldentifica i " NANCY MIMS ARMSTRONG
Type of ep t I MIMS ARMSTRONG
ProduceAN
Produced '•'= ON # FFISTS99
.COMMISSION # PF197899
Commis ioT` EXPIRES February 10(Wo
EXPIRES February W1 20tO
Commission No. •'"` Fioridallota j;iMIICNwin
(407)39r �3 FloridallotaryServke.0an
-
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 772014
a