HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE
Date: 6/15/2020
ST. LUCIE
COUNTY ,,
rD FOR APPLICATION TO BE ACCEPTED
Permit Number: 4 006'672/2
RI:c5,9°
Building Permit Application 4510
ment
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
FeRnittljyc QOMOW
Residential X st
PERMIT APPLICATION FOR:ALUMINUM POOL ENCLOSURE
PROPOSED IMPROVEMENT LOCATION:
Address: 4205 Burnt Forest CT.
Property Tax ID #: 1313-502-0053-000-1 Lot No.476
Site Plan Name: Holiday Pines Block No. Phase III
Project Name: Emery
DETAILED DESCRIPTION OF WORK:
Screen Roof.:::....., n.� Pool Enclsoure
�ovL G'2n,F16� �
006- 07/ o
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 984 Sq. Ft. of First Floor:
Cost of Construction: $ 8,624.00 Utilities: —Sewer _Septic Building Height: 10'
OWNER/LESSEE:
CONTRACTOR:
Namel-ori & Phillip Emery
Name:Stephen J Mahlschnee
Address:4205 Burnt Forest Ct.
Company:K $ S Industries
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No.
Address:1379 SW Biltmore St.
City: Port St. Lucie State: FL
Zip Code: 34983 Fax:
Phone N0772-879-6885
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mai1KANDSIND@,AOL.COM
State or county License CGC1507642
If value of construction is 2500 or more, a RECORDED Notice of commencement is required.
ff value of HAVC 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:nmu-c
Name:
Address•4161 Tamami Tra9, UNa 101
Address:
City: PonChartoae State: FL
Zip:33962 Phoneml-n1-5aeo
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the ' bsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney f commencing work or recording ur Notice of ComrgenceTgnt.
Signature of 0 nel essee/Contractor as Agent for Owner
Signature of Con r tar/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSL wde
COUNTY OFst. Leos
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or_ Online Notarization
this 1e day of June 2020 by
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 75 day of hme 2020 by
Stephen J Mahtrlm
Stephen J MahLuhnee
Name of person making statement.
Name of person making statement.
Personally Known a OR Produced Identification
Type of Identification
P uced
Personally Known a OR Produced Identification
Type of Identification
Pr c d
Signature of Nota Public- St
Public State of FloridaNamry
King
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g ABpI�1le KiCommission
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REVIEWS
FRONT ZONING
COUNTER REVIEW
SUPERVISOR
REVIEW
PLANS VEGETATION SEATURTLE MANGROVE
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