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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: i Permit Number: 'nb-/� , I _ ���q SCANNED - Building Permit -Application- BY - Planning and Development Services St. Lucie Count` Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT TYPE: MOBILE HOME PROPOSED IMPROVEMENT.,LOCATION Address: 17787 OKEECHOBEE RD Property Tax ID #: 320233300250003 Site Plan Name: Project Name: MCDONALD PERMIT MOBILE HOME INSTALL 28X 60 Lot No. Block No. Additional work to be performed under this permit -check all that apply: ,GMechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors LElectric Plumbing _Sprinklers _Generator _Roof Total Sq. Ft of Construction: 1600 Sq. Ft. of First Floor: 1600 Cost of Construction: $ 2475 Utilities: Sewer _Septic Building Height: Pitch OWNER/LESSEEt'r.. " ;;, . CONTRACTOR. a Name DON & SAUNDRA MCDONALD Name: RONNIE BLAINE Address:17787 OKEECHOBEE RD Company: ANCHOR DOWN MOBILE HOME City: FT PIERCE State: _ Zip Code: Fax: Phone No. :7r�/ ' / // Address:7205 Santa Clara BLVD City: FT PIERCE State: FL Zip Code: A -q — Fax:: Iy n Phone No : floc- `n E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail 114vv p iv a %I State or County License IH1101 7 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. J V f P Ltii VEGtY / r7L 1.�!"-1i1�G1�Y 7'rF"�tYtnl 1�Ny 777 DESIGNER/ENGINEER: x Not Applicable Name: Address: MORTGAGE COMPANY: Name: _ Not Applicable Address: City: Zip: Phone: State: City: State: Zip: __ Phone FEE SIMPLE TITLE HOLDER: _ Not Appiic ble Name: BONDING COMPANY: Name: _Not Applicable Address: City: Zip: Phone: Address: City: 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 ermit will authorize the permit holder to build the subject structure which is in conflict with an Y applicable Home Owners Assoc Fa rules, bylaws or ancovenants 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 WITHYOUR LENDEWOR 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 FLORID COUNTY OF I[� COUNTY OF � The for ng instru� �al{� �w�a,s �acknowiedg efore me 20,�by The forgoing instru a was acJsaewledg d before me this day by this day of— �'�`A4 _ of Name of person making stat ant. Name of person making statement. Personally Known Prod identfication Personally Known OR Produced Identification �LOA ced Type of Identification Produced Y NcbryPob6astateorFlorda Type of 1 entif+g�tipn Pro uced J/ (� gmbwt biAnnSl�au Fter .. Kimberly Ann Slaughter y r • My Commisnron GG 1237tia ,r°� r„ y. My Commission GG12375a i �Nf' Fvires 07/24I2027 Ta�,n ices 07124t2027 n (Signature of Public- St of Florida) Signatur f otary P blic-State of Florida ) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 'ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 1 `05I014`f"j I SCANNWE"" Building Permit Application BY 910% -St.-Lucie C!W - - oeP Bluilding and Code Regulation Division Pe St Luc Cote n' nt 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Mobile home III Address: 17787 OKEECHOBEE RD FT PIERCE, FL34945 Legal Description: Property Tax ID #: 320233300250003 Site Plan Name: MCDONALDS PERMIT Project Name: Setbacks Front Back: Right Side: Left Side: Lot No. Block No. DETAILED DESCRIPTION OF WORK: III MOBILE HOME INSTALL 28X 60 I 0 CONSTRUCTION INFORMATION: itiona wor to e e orme under tispermit—check a apply: 0HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors 0 Electric ✓❑_ Plumbing Sprinklers Generator Roof Roof pitch 1�, Total Sq. Ft of Construction: 1600 S Ft. of First Floor: 1600 'Cost of Construction: $ 2475 Utilities. Lr I Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name DON & SAUNDRA MCDONALD Name: EDDIE GRUNDEL Address:17787 OKEECHOBEE RD Company: TOMS MOBILE HOME SETUP City: FT PRIECE State: _ Zip Code: Fax: Phone No. Address: 4469 BRADY BLVD City: State: Zip Code: Fax: Phone No. t) — � j L� E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mai .. State or County Lic nse: IH1118567 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. ,SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: DON & SAUNDRA MCDONALD MORTGAGE COMPANY: _ Not Applicable blame: EDDIE GRUNDEL Address: 177870KEECHCBEERDFr PIERCF-FL34945 Address: 17787 OKEECHOBEE RD City: FTPRIECE State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: 4460 BRADY BLVD 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 commencing work or recording vour Notice of Commencement. W 'L hlt_r_� 9" " Z Signature of Contractor/License Holder Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FL STATE STATE OF FLL%� COUNTY OF 4C�i— aJ COUNTY The fo Ding instru nt as acknowledge efore me this! da, 20aby The f°� Ding instru e t acknowledg before me thismdayof C /' .207Tby ALie Name of persor>making statement Name of perso making statement Personally Known OR Produced Identification Personally Known V OR Produced Identification Type of Identi I Type of Identificati n / Produced Produced l� (SignalL•, NljfAiY�9MAfM I (' of Nc a Public- State of Florida J �. _ '_ MY COMMISSION # FF197899 ICY a#MS ARMS7RONG (Seal) Commission No. Seal CommiEXPIRES February 10, I • ' I .' MISS SK7N # Fp197899 .3, •7 FlmNaN° rYS rvice.mm • =XPIRES February 10, 2019 - REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17