HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p r�
Date: Permit Number:
IZ
O
a _ ° Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
PERMIT APPLICATION FOR: Pool Enclosure
PROPOSED IMPROVEMENT"LOCATION;
Address: 7020 Shanas Trail
Property Tax ID #: 3414-501-1007-050-9
Site Plan Name: St. Lucie Gardens
Project Name: Gryner
Lot No.7
Block No. 2
DETAILED DESCRIPTION OFWORK;° -
Screen Roof Pool Enclosure
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: 1200
Cost of Construction: $ 10,840.00
_ Generator
_ Windows/Doors ` Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: _Sewer _Septic Building Height: 8�6"
-OWNERAESSEE:
CONTRACTOR:
Name Gerry & Maria Gryner
Address:7020 Shanas Trail
City: Port St. Lucie State: _
Zip Code: 34952 Fax:
Phone No.
E-Mail:
Name: Stephen J Mahlschnee
Company: K & S Industries
Address:1379 SW Biltmore St.
City: Port St. Lucie State: FL
Zip Code: 34983 Fax:
Phone N0772-879-6885
E-Mail KANDSIND@AOL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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.
l'SUPPLEMENTALCONSTRUCTION LIEN LAW 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-
City: State:
Zip:33952 Phone941-391-5980
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
with lender or an_attornev before commencing work or recording vour Notice of Commeneemerlt.
Signature of
STATE OF FLORIDA
COUNTY OFST. LUCIE
as Agent for Owner
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 8 day of Jan , 2024 by
Stephen J Mahlschnee
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
' -U*' ^ ` Notary Public State of
Danielle King
Commission No. GG920935 yq e?Ay Cornmission GG 9
7OF M1dF Expires 10/27/2023
Signature of ContractUr License Holder
STATE OF FLORIDA
COUNTY OFST. LUCIE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 8 day of Jan 2024 by
Stephen J Mahlschnes
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
rw�ar y r uvn�- a w� �r'4%faryad61ic State of Florida
Nnielle King
No. GG920935 t Vf+$e��)missio�. Or 920935
REVIEWS
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DATE
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Rev. 5/b/20