HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 �aal 1 SCANNED Permit Number:
BY
es_ ` ' ``' ' St. Lucie County RECEIVED
Building Permit Application MAR 2 2 2019
Planning and Development Services
Building and Code Regulation Division 5T, Lucie county, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
I PERMIT APPLICATION FOR: Mobile home III
CARLTON RD
Legal Description:
ID #: 421022300010009
Site Plan Name:
Project Name: CIUFO PERMIT
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
I'MOBILE HOME INSTALL32 X 76-
Lcj
CONSTRUCTION INFORMATION:
Mona wor to e e orme under tispermit—check all apply:
EHVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors
2 Electric Plumbing Sprinklers Generator 0--� Roof Roof pitch
Total Sq. Ft of Construction: 1600 Sq. Ft. of First Flow. 1600
Cost of Construction: $ 2475 raw
Utilities: IMSevver.Zeptic Building Height:,
O W,N ER/LESSEE:
CONTRACTOR:
Name KIMBERLY CIUFO
Name: EDDIE GRUNDEL
Address:448 NW RAVENSWOOD LN
Company: TOMS MOBILE HOME SETUP
City: PORT ST LUCIE State: _
Zip Code: 34983 Fax:
Phone No.
Address: 4460 BRADY BLVD
City: ST CLOUDState: FL
Zip Code: 3_C1n22i Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
E-Mail: NANCYARMSTRONG61 (iPGMAIL.COM
State or County License: IH1118467
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: KIMBERLY CIUFO
_ Not Applicable
Address: CARLTON RD
City: PORTSTLUCIE
Zip: Phone
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
Add ress: 4460 BRADY BLVD
City:
Zip: Phone:
MORTGAGE COMPANY: _Not Applicable
Name: EDDIE GRUNDEL
Address: 448 NW RAVENSWOOD LN
City: STCLOUD State:
Zip: Phone:
BONDING COMPANY:
Address:
Zip: Phon
_Not Applicable
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 recordin our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FIL D
STATE OF FLOR��
COUNTY OF
COUNTY OF
The f ing instru nt as acknowledged before me
The fo ing instrum t s acknowledge efore me
this_�!day/of�/20 by
this of 20�by
/
Name of person Taking statement
Name of person aking statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identificati
Type of Identific 7
Produced L
Produ ed
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':°wt. EXPIRES FebNary 10, 2019
- MY COMMISSK)N # FF797899
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Commission NA - o„ Ise I)
Com No. EXPIRES Febmary 10, 2019( al)
(d0]i3W J FbriAallota'Y3erv::c.cem-�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17