HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I0. �' SCANNED Permit Numb
BY Irr, St. Lucie County
Building Permit
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
OCT 16 2019
ermitting Department
St. Lucie County, FL
Residential X
PERMITTYPE:MOBILE HOME REPLACEMENT
PROPOSEDIMPROVEMENT LOCATION
Address: 404 NETTLES BLVD
Property Tax ID #: 4502-501-0590-000-3
Site Plan Name:
Project Name: MARCELLA PERMIT
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: «'
INSTALL NEW MOBILE HOME 20 X 40/39
CONSTRUCTION INFOR'MATION:'
Additional work to be performed under this permit —check all that apply:
echanical Gas Tank _ Gas Piping _ Shutters —Windows/Doors
Electric
✓ Plumbing _ Sprinklers — Generator — Roof Pitch
Total Sq. Ft of Construction: 785 Sq. Ft. of First Floor: 785 I
Cost of Construction: $ 119,141 Utilities: ewer _Septic Building Height:
OWN,ERAESSEE:
CONTRACTOR. ,
Name Gail Marcella
Name: EDWARD GRUNDEL
Address:404 Nettles BLVD
Company: TOMS MOBILE HOME SETUP
City: Jensen Beach State: _
Zip Code: 34957 Fax:
Phone No. 973-703-3752
Address:4460 BRADY RD
City: ST. CLOUD State: FL
Zip Code: 34772 Fax:
Phone No 407-709-1490
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 LAW INFORMATION
DESIGNER/ENGINEER:
Name: Until% fD
Not Applicable
—s 5 XW
MORTGAGE COMPANY: _ Not Applicable
Name:
Add r ss:5cp464Z2
Ll
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Address:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CONMENCEMENT.%I
STATE OF FLORIDA
COUNTY OF HIGHLANDS
as Agent for Owner I SignMdre of
STATE OF FLORIDA
COUNTY OF HIGHLANDS
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 26 day of SEPTEMBER , 2019 by I this 26 day of SEPTEMBER , 20 19 by
EDWARD GRUNDEL I EDWARD GRUNDEL
Name of person making statement. I Name of person making statement.
Personally Known x
Type of Identification
Prnducerl DL
OR Produced Identification
Personally Known x OR Produced Identification
Type of Identifications
Prnrlurod DL //
(Sign r Pu
(Sign ure of to Pu I
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otary P.bk State PI Florida
Notary PuDGc State el Florida
Commission No. GG91317
Seanp�t1jpI Swinger
MY CM
Commission No. GG9131
Sean DaajaLSlvonger
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q Expires 09/15r2023
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