HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: i Permit Number: 'nb-/� , I
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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
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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)
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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