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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 2/
Date: 11/12/2020 Permit Number:! I D
21T° LCCUIML
Q . Building Permit Application
Planning and Development Services
Building and Code Regulation D&i�ion Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Insulated Roof•screen porch
PROPOSED IMPROVEMENT LOCATION:
Address: 108 N Las Olas Dr
Property Tax ID#: 4511-500-0014-000-7
Site Plan Name: Beach Club Colony
Project Name: Clark
DETAIL-EUDESCRIPTION OF WORK:
Insulated roof screen •porch
Lot No.7
Block No. 51"O"e
�XI's L? PAJCA
r®®rops
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: 1080 Sq. Ft. of First Floor:
Cost of Construction: $ 14,322.00 Utilities: —Sewer —Septic Building Height: 8'6"
OWNERAESSEE °
CONTRACTOR:
Name Wayne Clark . <<�
,Name.StEiph6n.,j Mahlschnee .
`Address." 754'8E'Eagle: Dr. ;
"'f' K 8Silndustries''
Company:
City. Port •St: Lucie '� State: ;
Address 1379•;SW Biltm&i St.`;.
_
Zip Gode:' 34984 f Fax: 2Ci
Port,St:..Lucie,° - .^ . FL
tyJ State:
`Phone No. f ' " 3'G I i� - !�%G 7,
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
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.
a
SUPPLEMENTAL�CONSTRUCTION,-LIEN iAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x_ Not Applicable
Name: Florida Engineering LLC.
Name:
Address:4161 Tamiami Trail, Unit 101
Address:
City: Port Charlotte State: FL
Zip:33652 Phone941-391-5980
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 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 lender oran attorney before rorlgmen4ing work or recording your Notice of Commencement.,
Signature of Ownat/ Les�e�/ ontractor as Aeent for Owner
STATE OF FLORIDA v
COUNTY OF Sainti.ucia
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 12 day of Nov . 2020 by
Signature of Coritfactor/Vicense Holder
STATE OF FLORIDA
COUNTY OFsaintwpe
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 12 day of Nov . 2020 by
Stephen J Mahlschnee Stephen J Mahlechnee
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
P ced
Prad—uctid
(Signature o ary Publi -
Signature of Notary Publ c- State of Florid
TVs, N. ry Public State of Florida
Commission No. 9209
RS0 King
mission GG 920935
ommission No. 920935
j4osi S �Y Public State of Flo,
Danielle
Expires 10/27/2023
King
G My Commission GG 9209
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