HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Y
Date: 6/15/2020 Permit Number:
ST. LUCIMAO
Building Permit Appl
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
T7 Mir
JUN 2 3 2020
rmitting DEpartment
.� Irt�ie County, FL
PERMIT APPLICATION FOR:ALUMINUM POOL ENCLOSURE
PROPOSED IMPROVEMENT LOCATION:
5180 NW Dunn Rd.
Property Tax ID #: 3403-702-0005-000-6
Site Plan Name: Dunn Road Estates
Project Name: Reals
DETAILED DESCRIPTION OF WORK:
Screen Roof Aluminum Pool Enclsoure
�Onm � � rl/1� lD • � " / � �
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.4
Block No.
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: 1620
Cost of Construction: $ 12,380.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:10'
OWNER/LESSEE:
CONTRACTOR:
Name Leah & Robert Reals
Name:Stephen J Mahlschnee
Address:5180 NW Dunn Rd.
Company,K & S Industries
City: Fort Pierce State: _
Zip Code: 34981 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-Mail KANDSIND@,AOL.COM
State or County License CGC1 507642
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I I
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: E-m—nm9LLc Name:
Address• 4161 Tanil miTraa. uNa 101 Address:
City: Pedchadotre State: Ft City: State:
Zip:33M Phone94+-39+-598D Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
Zip:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to ao the worK ana Instaiiauon as inuicateu.
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 lobsite before the first inspection. If you intend to obtain financing, consult
'th I nder or an attorne befnrp commencing work or recording our Notice of Co menceirient.
cal e
Signature of Ow /see/Contractor as Agent for Owner
Signature of ontr for/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFstLu-ie
COUNTY OFstL-i-
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or —Online Notarization
x Physical Presence or— Online Notarization
this is day of June 2020 by
this is day of June 2020 by
Stephen J MahbMrree
Stephen J Mahktlnree
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Paced
Proddced
_
a
(Signature of Notary Public- S t
t nature of Notary Pu ic-
Notary Public State of Fbdtla
Dan'``@�Ile King
920ms
yq'� NotNa"ry�PupWltic State o} Fbdda
No. szw35
Commission No. t� (11$8t}nmi u on GG 920935
01 Expires 10/27/2023
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My Comm;s's0on GG 920935
MM1 Etcpiree 10/27/2023
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