HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -I�A4`11 Permit Number: 1�d�'ddilS
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit
Commercial
MAR C 4 2019 1 —
Si.
Residential x
PERMITTYPE: MOBILE HOME BY
PROPOSED IMPROVEMENT LOCATION: St.tucle Coun y
Address: 202 NETTLES BLVD
Property Tax ID #: 4502-501-0388-4 00 —
Site Plan Name: RAYMOND BEVAN
Project Name: BEVAN
DETAILED DESCRIPTION OFWORKs
NEW MOBILE HOME REPLACEMENT 20X38/38
Lot No.202
Block No.
tJE�zw t �-w . AC— STcv S L-LLR -QL
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: , Sq. Ft. of First Floor:
Cost of Construction: $ 006 Utilities: ZSewer _Septic
Building Height: 14"
OWN ER/LESSEE:
CONTRACTOR:
NameRAYMOND BEVAN
Name:EDDIE GRUNDEL
Address:6523 PENNSTONE CIR
Company:TOM"S MOBILE HOMES
City: SALINE State: _
Zip Code: 48176 Fax:
Phone No.734-358-5665
Address:4460 BRADY RD
City: ST CLOUD State: FL
Zip Code: 34772 Fax:
Phone No407-709-1490
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailnancyarmstrong6l@gmall.com
State or County License IH1118467
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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 TITLEHOLDER: _ 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN,ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
'Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFST LUCIE
COUNTY OFSTLUCIE
The forgoing instrument was acknowledge{1_before me
The forgoing instrument was acknowiedi; efore me
this 5 day Of FEBRUARY , 2U by
this 5 day Of FEBRUARY Z by
EDDIE GRUNDEL
EODIE GRUNDEL
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
P cedD.L
ProducedDL
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19