HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n
Date: 11/25/2020 Permit Number: CY oa-
(�
St 1z ep vnt
Residential X
PERMIT APPLICATION FOR: Single Family Residents
`PROPOSED IMPROVEMENT LOCATION:
Address: 6 eacock Rd. eo 6(�L `
Property Tax ID #: 3213-421-0001-000-3 Lot No.
Site Plan Name: King Residents Block No.
Project Name: King Residents
-DETAILED DESCRIPTION OF WORK:
Single Family Residents
New Electrical Meter x 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 5/12 Pitch
Total Sq. Ft of Construction: 4376 Sq. Ft. of First Floor: 4376
Cost of Construction: $ 250,000.00 Utilities: _ Sewer _ Septic Building Height: 91
°OWNER/LESSEE:
CQNTRACTOR:
Name Danielle & Carey King
Name: Stephen J Mahischnee
Address:6750 NW Omega Rd.
Company: K & S Industries
City: Port St. Lucie State: _
Address:1379 SW Biltmore St.
Zip Code: 34983 Fax:
City: Port St. Lucie State: FL.
Phone No.772-216-0715
Zip Code: 34983 Fax:
E-Mail:DANIELLEKINGX4@GMAIL.COM
Phone N0772-879-6885
Fill in fee simple Title Holder on next page (if different
E-Mail KANDSIND@AOL.COM
State or County License CGC1 507642
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: Pual Welch
Name:
Address• 1984 SW 6iltmore St , suit# 114
Address:
City: Port StLucie State: F-
City: State:
Zip:34984 Phone772--18"88e
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 your Notice of Commencement.
Signature 6f O er/ Lessee/Contractor as Agent for Owner
Signature o Co actor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSt Lucia
COUNTY OFSL LUC1e
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
'X Physical Presence or Online Notarization
this 1 I day of 'DEL . 2020 by
this I I day of DEC- , 2020 by
Stephen J Mahlschnee
Stephen J Mahlschnee
Name of person making statement.
Name of person making statement.
Personally Known _I OR Produced Identification
Personally Known X OR Produced Identification
Type of I ntification
Type of a tification
Produc
Produ d
L
r
_
S' a ure of Nota P lic-
• ,
;�gtir,..y,i BERTYA. KING
nature of Notary Pu lic- a
�Y. ,,, BERTYA. KING
,,-
Commission No. q
.�; ( GOM ISSION ii GG 090
Co
mission No.
•R�'
=`� �IY COMMISSION # GG 0
al
.. (Wa ES: May 4, 2021
.,,
�A to l PIRES: May 4,202
%:Fo o.• 9ondod Thru Note Public Unde
Notary
rs
�;;� o$c'
,o Bonded Thru Notary Publi Unde
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 5/b/Lu