HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED C/
Date: 10/13/2020 Permit Number: 76/0 , G 3
O
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:POOI Enclosure
'PROPOSED IMPROVEMENT LOCATION:
q
Address: 71U7 U
rover ur.
Prooerty Tax ID #• 3412-414-0001-000-2
Site Plan Name:
Project Name: Mathias
DETAILED DESCRIPTION OF WORK:
Screen Roof Pool Enclosure
New Electrical. Meter Second Electrical Meter
'CONSTRUCTIDN 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 _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 1,885
Cost of Construction: $ 18,700.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:916"
OWNER/LESSEE:
CONTRACTOR:
NameMichael Mathais
Name:Stephen J Mahischnee
Address:7107 S Indian River Dr.
Company: K & S Industries
City: Fort Pierce State: _
Address:1379 SW Biltmore St.
Zip Code: 34982 Fax:
City.. Port St. Lucie State: FL.
Phone No.
Zip Code: 34983 Fax:
E-Mail:
Phone N0772-879-6885
Fill in fee simple Title Holder on next page (if different
E-Mail KANDSIND ,0LC01W
from the Owner listed above)
State or County Ucense9�7,41507642
If value of construction is 2500 or more, a RECORDED Nottce of CommenCemem is regwrea.
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: x Not Applicable
Name:Finxia Ewneeim,uc
Name:
Address:4161 Temiami Tra7, Unit 101
Address:
City: PortCharotte State: FL
City: State:
Zip:33952 Phone941491-m0
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x 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 jobsite before the first inspection. If you intend to obtain financing, consult
...i+k Innrinr nr mn n#nrncv hafnro rnmmanrina wnrl[ nr rprnrdino vntir Noticp of Commencern4ht.
Signatur of er/ Lessee/g6ntractor as Agent or Owner
Signature o Contra o or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST.LUCIE
COUNTY OFsT.wcE
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 13 day of OCT . 2020 by
this 13 day of OCT , 2020 by
Stpehn J Mahlschnee
Stephen J Mahlachnee
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
Produced
Pr ed
Signature of Notaryubli
(Signature of Notary P7�5
�ri►,r�
p9'r Notary Public State of Florida
Nota y PuG ia:)tatc ct Flonua
Commission No. s20935 D King
�P` M am iss�on GG 920935
•Expires10/Z7I2023'
Commission No. 920935
r King
.MyCammission GG 920935
Expires 10/2712023
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