HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u
Date:
11/17/2020 Permit Number -mod
RECEIVED
o . d�.11 C�QI � NOV 17 2020
Permitting Department
Building Permit Application St. Lucie County
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:Screen Porch
PROPOSED IMPROVEMENT LOCATION:
ArlrirPss 1403 Bradley St.
Property Tax ID #: 3402-608-0441-000-2
Site Plan Name: Indian River Estates
Project Name: Moulton
(;DETAILED DESCRIPTION OF WORK:
Screen Roof Porch
4 k J W y9 q m F-AA JA 13 %A_� r`3)/-/ . .G )C N Ca n� Cgr, Ff
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.1
Block No. 52
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: 240 Sq. Ft. of First Floor:
Cost of Construction: $ 3,750.00 Utilities: -Sewer —Septic Building Height: 8'3"
`OWNER/LESSEE:
CONTRACTOR:
NameRobert Moulton
Name: Stephen J Mahlschnee
Address:3664 SW 30TH Ave
Company: K & S Industries
Address:1379 SW Biltmore St.
City: Palm City State: _
Zip Code: 34990 Fax:
City: Port St. Lucie State: FL
Phone No.
Zip Code: 34983 Fax:
Phone N0772-879-6885
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-MailKANDSIND@AOL.COM
State or County license CGC1507642
from the Owner listed above)
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:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: Florida Engineering. LLC.
Name:
Address:4161 TamiamiTrail, Unit 101
Address:
City: PortCharolette State: FL
Zip:33952 Phoneg4l-391-5980
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: 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
%with Ipnripr nr an attnrnpv hpfnrp varnmpncinp work or recordinLy vnur Notice of Commencement.
Signature o wn r Lessee/Contractor as Agent for Owner
Signature of C ntra lior/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF stLuce
COUNTY OFstLUC1e
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 17 day of Nov , 2020 by
this 17 day of Nov 02020 by
Stephgen J Mahlschnee
Stephen J Mahischnee
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
Prod e
Signa ure of N6tary blic- tat, oPublic State of Florida
of Notary Public -
Danielle King
o40'+� No ry blic State of Florida
I.Sigri'aturemmissio
Commission No. 920935 M1 � M568�mission GG 920935
Expires 10/27/2023
n No. 920935 = 4g King
s y 0 mission GG 920935
w n Expires 10/27/2023
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Rev. 576720