HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
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Date: ` Permit Number:
1—I
SCANNED �p�j� RECEIVED
BY
uilding Permit Application NOV z.�
St. Lucie Coun y 7019
Planning and Development Services Permlttin
g Department
Building and Code Regulation Division St. Lurie County
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: 13450 WILLIAMS RD
PropertyTax ID k: 3308-320-0000-000-7
Site Plan Name:
Project Name: CONCANNON PERMIT
DETAILED DESCRIPTION OF WORK:
MOBILE HOME TIE DOWN
J
CONSTRUCTION INFORMATION:
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 Pitch
Total Sq. Ft of Construction: Ad
Cost of Construction: $ is—
Sq. Ft. of First Floor:
Utilities: _Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Gerald Concannon & Iris Concannon
Name: EDWARD GRUNDEL
Address:13450 WILLIAMS RD
Company: TOMS MOBILE HOME
City: Port St Lucie State: _
Zip Code: 34987 Fax:
Phone No.
Address.4460 BRADY BLVD
City: SAINT 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 nancyarmstrong6l @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:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 dR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF. COMMENCEMENT-"
Signature of Owner/ Lessee/Contractor as Agent for Owner I Signature of Contractor/License Holder
STATE OF FLORID // " ST
(ATE OF FLORID I _
COUNTY OF C4-- �1C, COUNTY OF
The forgoing ins was acknowledg before me
this day�ofIlm , 20� by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification /
Produced
Commission No.
REVIEWS
Public gqFbrida
Mim dtrong
nmisaion GG 913313
i D911612023
The forgoing inst m nt was acknowledged before me
thisdayof by 2019by
� e rui-idet
Name of person making statement.
Personally Known LI I
Type of Identification
P=duced
Produced Identification
FRNT COUONTER I ROEVIEW I S REVIEWOR I REVIEW V EV EWON I S EV EWLE I M EVIEWVE
r-
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION 4TO BE'ACCEPTED' /} `
Date; Permit Number,
SCANNED
f{ 1�
l
St. Lu a Colin ` � -
Buiiding Permit App icat on
Planning and Development Services Penritttfn De
Buildbig and Cade Regulation D_&isian g partmepf
St Uiote County,
2300 �rgllnla Avenues fortPlerrce FL34982= "
Ph6ne(7.72)462=1553 Fax;.(774462-157g Commercial' Resldentlal X__
.Property"TakiDIk 3308=320-OObO-0007 Lot No.
Site Plan Name:
131ock Nn_...
Additiarial work to;be performed =under this permit - check ail thatapply
✓ Mechanical - Gas.Tank, _Gas Piping ;Shutters Windows/Doors
r1unwm}g Sprin;;iers uenera:or nocr r¢ch
Toial Sq. Ft of.Construdion- V o ;Sq._ Ft: of First Floor.
Cost of Construction: $, Utilities: , —Sewer Septic Buiiding;Height:
OWNER/LESSEE: .''
.CONTRACTOR: ;.• ;
Nam" e,Gerald Concannon & Ids�Concannon
Name: EOWARD GRUNDEL
-13pcn r r IAAAhaaress• uOD
- omp any: iwlLVl lvx"
sty;'Port St`Lucie .,State:-
Zip -,Code: 34907 Fax::
P46ne;No;
Address; 4460,BRADY BLVD
City: SAINT CLOUD State: FL _
7 p Code: 34772 ;Fax:
PhoneNo407-709;%149O
E=MaiG ;
Fill in fee simple`ntle Holderonmext page (if different
from tho flurno. lSeto.1 �i.....nj ..
E-Mail nangyarmstrong6l @gmail.COM _ -..--"
e� m ..r„�rp � i iw�w IH711 C34fi7 __
ttvarue of construction Is $2500 or more, a, RECORDED Notice of Commencement is,required.
Off value of HVAC is'$7,500 or more, a RECORDED Notice of.Commencement Is required.,