HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONM
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date a\, IVdt Permit Number:
RECEIVED
Building Permit Application FEB 0 i 2019
Planning and Development Services
Building and Code Regulation Division PT, EF de G@UntVk PermlttIng
2300 Virginia Avenue, Fort Pierce FL 34982 - - - -
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mobile home SCANNED
Address: 3705 Doral Court
Legal Description: Savanna Club Plat Phase Three Blk 43 Lot 27 (OR 3747-2388)
Property Tax ID q: 3425-705-0163-000-8
Site Plan Name:
Project Name:
Setbacks Front15 Back: 15
Right Side: 7.5 Left Side: 7_5
Lot No. 27
Block No. 43
I DETAILED DESCRIPTION OF WORK: III
Mobile Home Setup with plumbing, electrical, and mechanical
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CONSTRUCTION INFORMATION:
ltlona wor to e e orme under this permit— check a apply:
L✓HVAC UGasTank ❑Gas Piping _Shutters Qwindow ors
Electric 0 Plumbing Sprinklers Generator g Roof Roof pitch
Total Sq. Ft of Construction: 1,792 SFt of First Floor:
Cost of Construction: $ 5,000.00 Utilities: Sewer J Septic Building Height:
OWNER/LESSEES
CONTRACTOR:
Name Daniel H Figureras Linda Figueras
Name: Thomas G. Jennings
Address: 3705 Dora] Court
Company: Jennings Mobile Home Setup, LLC
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No.
Address: P O Box 1428
City: Auburndale State: FL
Zip Code: 33823 Fax: 863-967-6655
Phone No. 863-965-0683
E-Mail: cmerrifield@suncommunit]es.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: jenningsmhs@tampabay.rr.com
State or County License: IH1026176
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
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. 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.
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
commencine work or recordine vour Notice of Commencement.
Signature of Owner/ Le ee/Contractor as Agent for Owner Signature of Contrail r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Pak COUNTY OF P-1k
The forgoing instrument was acknowledged before me
this sm day of February 2019 by
Name of person making statement
Personally Known k
OR Produced Identification
Type of Identification
ZIA
(Signature of Notary P
ie G
!YWATKINS
Commission No.
. MY ON0GG288766
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REVIEWS I FRONT I ZONING
COUNTER REVIEW
RECEIVED
Rev.
The forgoing instrument was acknowledged before me
this sa, day of Febmary 2019 by
Thomas G. Jennings
Name of person making statement
Personally Known k
OR Produced Identification
Type of Identification
Produced
(Signature of NoTa
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Commission No.:
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' (138S ON # GG 288786
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