HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \6�� tq SCANNED Permit Number: \c1\8'0 \1-a"
BY RECEIVED
St. Lucie County
• OCT 0 8 2019
Building Permit Applicati . Lucl
Planning and Development Services county, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:MOBILE HOME
Address:
U0
Property Tax ID #: 4104-243-0040-000-0
Site Plan Name:
Project Name: RODRIGUEZ PERMIT
INSTALL DOUBLE WIDE MOBILE HOME 26'8" X 68
Lot No.
Block No.
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
Total Sq. Ft of Construction: 1836 Sq. Ft. of First Floor: 1836
Cost of Construction: $ 104,560.10 Utilities: ✓Sewer _Septic Building Height:
Pitch
OWNER%LESSEE .r"
CONTRACTOR t s'
Name D & B Inc
Name: EDWARD GRUNDEL
Address:9300 S Dadeland Blvd FL 5
Company: TOM'S MOBILE HOME SETUP
City: MIAMI State: _
Zip Code: 33156 Fax:
Phone No.
Address:4460 BRADY RD
City: ST CLOUD State: FL
Zip Code: 34772 Fax:
Phone No 407-790-1490
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail NANCYARMSTRONG61 @GMAIL.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 LAVV INFORMATION .
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable -
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
City:.
Zip:.
NG COMPANY: _Not Applicable
Address:
22
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
., •....,., . c.,nrn nn AAA Ar nRNEy B!E RE Dpenionmr: YnI1R NnTICF nF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
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Name of person making statement.
Name of person making st-tement.
Personally Known OR Produced Identification
Personally Kndwn (// OR Produced Identification
Type of Identification
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Rev.Z/7/19