HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED. FOR APPLICATION TO BE ACCEPTED_. �.
Date: 4/13/2021 '' Permit Number Z I V '
0
'p- -:,. r ° -:: • = Building�Permit Application RECEIVED :
Planning and Development Services AP 21 2011
Building and Code Regulation Division Commercial ResidentialRx
2300 Virginia Avenue, Fort Pierce FL 34982 ' -Pormitt ng Department _
- - St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: ,pool..enclos_ure addition ... ;
PROPOSED IMPROVEMENT LOCATION:
Address: 768.6 WexFord.. Way. .
Property Tax ID #: 3321-801-0016-000-9.- Lot No.
16
Site Plan Name: Reserve Plantation Block No.` Phase-1
Project Name: McCurdy
DETAILED DESCRIPTION OF WORK:
Extension to 000l 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 _ Windows/Doors _ Pond
Electric" _Plumbing _Sprinklers _Generator-- - Roof Pitch -
Total Sq. Ft of Construction: 272 Sq. Ft. of First -Floor:
Cost of Construction: $ 4500.00 -Utilities: _ Sewer _ Septic Building Height: 8'8 , .-
OWNER/LESSEE:
CONTRACTOR:
NameJoanne McCurdy:..
-'Naiiie:'Stephen-J•Mahischnee•' �. ..
yAddress:7686,Wexford Way,
Company:K„,&'S Industneg=: t
City:)P. go St' Lucie 0 State: _
Address:"4 79 SVII .Briltmore
Zip Code 34986: `' ,Fax
"City Port'St'LuCie" State.• FL.
Phone No:
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
from the Owner listed above)
State or County License CGC1507642
If value of construction is 25W 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. Not Applicable
Name: Florida Engineering LLC
_
Name:
Address:4181 TamiamiTred
Address:
City: Port Charlotte State: FL
City: State:
Zip:33952 Phonec941>391-5980
Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable
BONDING COMPANY: _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 prohlbit.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 attorne befo a commencingwork or recordin our Notice of Commencement.
Signature cd Ow r/ Lessee Contractor as'Agent for Owner Signature of Co actor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st Lude COUNTY OFst Lude
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 April . 2020 by this t3 day of Apt . 2020 by
Stephen J Mahlsohnee Stephen J Mahlsohnee
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
Typ f Identification
P odu ed
Pr duc d
. —02—
gna ure o Notary Publii
aZ
(ignature of Notary Public -
No ublid State of Florida
4WA
Commission No. GG929935
Da sell King
wMaSOR ission GG 920935
Commission No. �
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ba(1 181 Ing
or M1 Expires 10/27/2023
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;; r My Commission GG 920935
Vj'.d� 'Expires 10127/2023
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