HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1117/18 Permit Number:yi 1�3 da l
SCANNED
EBY
;iL. �;;`��'� �L9cVe®Q�6 RECEIVED
` I Building Permit Application
Planning and Development Services JAN 16 2018
Building and Code Regulation Division ST. Lucie County, PormItting
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Aluminum without concrete �` A ll, Co
PROPOSED IMPROVEMENT LOCATION:
Address: 1830 Well Rd. Fort Pierce, FI.34945
Legal Description: Parkway Grove Estates - unit 1 - BLK 4 LOT 1
Property Tax ID #. 2313-701-0007-000-8 j
Site Plan Name:
Project Name:
Setbacks Front i' Back:
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Aluminum Roof Patio Cover r to 044
C_oW&
CONSTRUCTION INFORMATION:
Lot No. If
Block No. If
,..............HVAC ....... �„
[
.... ..GasTank ...... .........
_
,.. Nam.....,. ....,.........
❑ ![]Gas
Gas Piping _
rr.r.
Shutters
Q Windows/Doors
Electric
Plumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction: 330 S . Ft. of First Floor:
Cost of Construction: $ 5,000.00 Utilities:USewer 0Septic Building Height:
Roof pitch
OWNER/LESSEE:
CONTRACTOR:
Name Luis O Gallegoes
Address:1830 Well Rd.
Name: Stephen Mahlschnee
Company: K & S Industries
City: Fort Pierce State:FL
Zip Code: 34945 Fax:
Phone No. 772, - ?% 16 - f Q :3
E-Mail:_-4
Address: 1379 SW Biltmore St.
City: Port St. Lucie State: FL
Zip Code: 34983 Fax: 772-879-6910
Phone No. 772-879-6885
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: KANDSIND@AOL.COM
State or County License: CGC/So7144
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
-Name: FD 6 PLA-AS i F_'1( (Arr1V146 .99041c.r s
_
Name:
Address: is L yz A13P, , 1 s"rAT/ON PA
Address:
City: 'f, p-p I Y ii'N ILL 3, F L• State: r C•
City: State:
Zip: ZZ `fh Phone i
i
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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
is in Home Owners Association bylaws
which conflict with any applicable rules, 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing k or recording o r Notice of Commencement.
/two
Signature of O ner/ ssee/Contractor as Agent for Owner
Signature of C ntra r/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF st Lucie
COUNTY OFst. Lucie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 17 day of Jan , 20_ by
this 17 day of Jan 20_ by
Stephen J Mahischnee
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
Pro c d
19, - //Z
I ��/
.Z
(Signature of Notary Public- State of Florid
(Signature of Notary Public- State of Florida
Commission No. 931228 N% Nifae0pblic State of Florida
Danielle King
ommission No. 931228 jiOW)Public State of Florida
le
My Commisslon FF 931228
VFIZ
anie King
y, 19 My Commission FF 931228
Expires 10127/2019
OF Expires 10/27/2019
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DATE
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DATE
COMPLETED
Rev. 8/2/17