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Home My WebLink AboutBUILDING PERMIT APPLICATIONr, All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: \C1may, SCANNED Permit Number: \O%W-O-O M x BY St. Lucie Countv EonOCT ECEIVED 0 Building Permit Applicat 2 2 2019Planning and Development ServicesBuilding and Code Regulation Division County, Permitti 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMITTYPE: MOBILE HOME PROPOSED IMPROVEMENT LOCATION:125 N ERIE DR Address: et4-EERIE DR FT PIERCE FL 34946 2 1433-210-0003-000-9 125 Property Tax ID #: Lot No. Site Plan Name: Project Name: TALL PINES DETAILED DESCRIPTION OF WORK: SET UP AND ANCHOR MOBILE HOME W/ ELECTRIC, PLUMBING AND A/C CONSTRUCTION INFORMATION: Block No. Additional work to be performed under this permit— check all that apply: /Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors Y Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: 1,056 Sq. Ft. of First Floor: 1,056 Cost of Construction: $ 2400.00 Utilities: ✓Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name BEDROCK TALL PINES LLC Name:THOMAS G. JENNINGS Address:650 5TH AVE F1 1601 Company: JENNINGS MOBILE HOME SET UP LLC City: NEW YORK State: a Zip Code: 10019-0015 Fax: NA Phone No. 772-461-1211 Address: PO BOX 1428 City: AUBURNDALE State: FL Zip Code: 33823 Fax: 863-967-6655 Phone No 863-965-0883 E-Mail: SDAVIDSON@BEDROCK-COMMUNITIES.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail JENNINGSMHS@TAMPABAY.RR.COM State or County License IH 1025176 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: Not Applicable MORTGAGE COMPANY: ✓ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: ✓ Not Applicable BONDING COMPANY: Name: I Name: Address: Address: City: City:_ Zip: Phone: I Zip: _ Phone: 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 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." A J. 0,- Signature of Owner/ Lessee/Contractor as Agent f r Own Signature of Contractor/Li nse Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF \ COUNTY OF Pou The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this _ day of 20_ by this 15 day of OCTOSER 2041' by THOMAS G. JENNINGS Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public- State of Florida) Signature of Notary Public- � Notary Public State or Florida � Commission No. (Seal) Commission No. GG213802 a° y1'.u�cgl)Ashbum My Commission GG 213802 o�A Expires 05/02/2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.