HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/2212020 Permit Number:
"' 5"CEIVED
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p Building Permit Application[im
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Planning and Development Services c;e Coun
tl', Perms., .
Building and Code Regulation Division Commercial Reside�-
2300 Virginia, Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Porch
t `OOO ' Eb IMPROVEMENT. LOCATION:.,
Address: 6820 Wadsworth Ter
Property Tax ID #: 3415-705-0040-000-9 Lot No.39
Site Plan Name: Oleander Pines Block No. 1
Project Name: Wright
DETAILED,DESCRIPTION OF WORK:.
Remove existing walls and 'pan' roof (& 7, C 3 '
Replace with new walls and 'poly' roof
Ex tSTlluG Cbm-tf-_
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
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 132
Cost of Construction: $ 5,434.00
_ Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof
Pond
Pitch
Utilities: _ Sewer _ Septic Building Height: I I is
OWNER/LESSEE.. k :.. :.
CONTRACTOR:
NameJade & Bryan Wright
Name: Stephen J Mahlschnee
Address:6820 Wadsworth Ter
Company:K & S Industries
City: Port St. Lucie State: _
Address-1379 SW Biltmore St.
Zip Code: 34952 Fax:
City: Port St. Lucie State: FL.
Phone No.
Zip Code: 34983 Fax:
E-Mail:
Phone No772-879-6885
Fill in fee simple Title Holder on next page (if different
E-Mail KANDSIND@AOL.COM
from the Owner listed above)
State or County License CGC1 507642
If value of construction is 25W 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 . ` .
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Florida Engineering LLC
Name•.
Address:4161 Tamiami Trail, Unit 101
Address:
City: PortCharaee State: FL
City: State:
Zip: 33s52 Phone941-m-mo
Zip: Phone-
FEE SIMPLE TITLE HOLDER: _ 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 - 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 jobsite before the first inspection. If you intend to obtain financing, consult
..:+h lenr4-r —r ter, n++r,rnnv hnfr%rn rnmmonrinn.e.nrlenr rarnrriino vnitr Nntirp of Commencement.
Signature 4f Ow !sseeeEgntractor as Agent for Own
Signature of ntra r/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFsT-LUCIE
COUNTY OFST. LUCIE
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 24 day of SEPT . 2020 by
this 24 day of SEPT . 2020 by
Stephen J Mahlschnse
Stephen J MehIsOnee
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
Pr ed
Prod ed _
(Signature of Notary Public-
ignature of Notary Public
TNote blic State of Florida
of -amQlle Kin
Commission No. s2o935 T74 GbinMission
V Not��y _P—uq�lc State of Florida
mmission No. 920936 Daili lfIng
P� GG 920935
7*07,dF Expires 10/27/2023
�Y gG My Commission GG 920935
Expires
p F 10/27/2023
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