HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5y �'� SCANNED Permit Number: 1�a 5 �0335
BY
St. Lucie County
COUNTYERECEIVEID
Building Permit Applicatio
Planning and Development Services 19
Building and Code Regulation DivisionrhllfE(fl9
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMITTYPE: MOBILE HOME
PROPOSED IMPROVEMENT LOCATION:
Address:.541 NETTLES BLVD
Property Tax ID #: 4502-501-0727-000-3
Site Plan Name: SANDRA ANDREAS
Project Name: ANDREAS
DETAILED DESCRIPTION OF WORK:
NEW MOBILE HOME REPLACEMENT 22X39/39
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
'Mechanical
JElectric
_ Gas Tank
,Plumbing
_ Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction:$ 24Z5-OL 'A !h Utilities: _Sewer _Septic
Lot No. 541
Block No.
Windows/Doors
Roof
Building Height: 14"
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Sandra G Andreas
Name:EDDIE GRUNDEL
Address:768 Main St
Company:TOM"S MOBILE HOMES
City: Sewell, State: _
Zip Code: 08080 Fax:
Phone No.609-560-7195
Address:4460 BRADY RD
City: ST CLOUD State: FL
Zip Code: 34772 Fax:
Phone N0407-709-1490
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailnancyarmstrong6l@gmaii.com
State or County LicenselHl118467
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.
I (�
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
Not Applicable I MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Zip:
Not Applicable I BONDING COMPANY: _Not Applicable
Name:
Address:
Zip:
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."
F'Lessee/Contractor
Signature of Owner/ as Agent for Owner
Signature ofCCConntr`aact_orr/'License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFsTLUCIE
COUNTY OFsrwCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 5 day of FEBRUARY 20 by
this 5 day of FEBRUARY , 20— by
EDDIE GRUNDEL
EDDIE 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
Pro edDL
RFeducedDL
STR0-,413
Y 1 PR
lei
jt0
7_ 9
(Signatur p. a'9; 'Et�,�6ge ` b,iCW4
(Signatu f;1!, PlR Ic- ti @i@ oSi�I,B¢t9
MAN
Commission Nd,^; ''3 (Seal)
Commissi irN ' .. EXPtREs ion Ball
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 217119