HomeMy WebLinkAboutBUILDING PERMT APPLICATION�I
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date' 8/21/2018 i SCANNED Permit Number:
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BuildingPermit A licat
pp on AUG 2 4 2018
Plann ng and Development Services
Buildi'igand Code Regulation Division Permitting Department
2300 firginia Avenue, Fort Pierce FL 34982
Phone is (772) 462-1553 Fax: (772) 462-1578 Commercial - I I 12.OU�tiy,L
PERM(�f-rr-
IT APPLICATION FOR: Aluminum without concrete LS Y POOL 154CLtszim
PROPOSED
IMPROVEMENT LOCATION:
Addre4: 1801 HAZELWOOD DR. FORT PIERCE, FL. 34982
Legal Dlescription: ESTATES OF LONGWOOD LOT 24 (0.084AC)(OR 1971-965)
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Properl Tax ID #: 2433-502-0024-000-1
Site Plan Name:
Project Name:
Setbac s Front Back: . Right Side: Left Side: 0 J /
DETA LED DESCRIPTION OF WORK:
SCREEq,POOL ENCLOSURE 3 0 ° (9 " ;k
Lot No.24
Block No.
CONSTRUCTION INFORMATION:
Additic hal work to e performed under this permit —check a apply:
0 VAC 11 Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
E I ectric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total S Ft of Construction: 1,240 SQ FT S . Ft. of First Floor:
Cost of, onstruction: $ 9,350.00 Utilities, Sewer D Septic Building Height: 9'8"
OWNER/LESSEE:
CONTRACTOR:
Name_
Addres!
City:
Zip Code:
Phone
E-Mail:
Fill in fit
from the
11 ^0VI A 4 1 f rF4,4 y RVb 6,210,)
Name: STEPEN J MAHLSCHNEE
% $ o i'bg -
Company: K & S INDUSTRIES
�ftip Zr, State: FL.
a � Fax:
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No. 77 � ^ 2,E'f "' /(� ��
Address: 1379 SW BILTMORE ST.
City: PORT ST. LUCIE State: FL.
p 34
Zip Code: 983 Fax:
Phone No. 772-879-6885
simple Title Holder on next page ( if different
Owner listed above)
11,
E-Mail: KANDSIND@AOL.COM
State or County License: FLORIDA
a vawe oT construction is >csuu or more, a KtcuKutu Notice of commencement is required.
SUP,
LEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESI13NER/ENGINEER:
Nam',
Add r
City:'
Zip:
_Not Applicable
: FBC PLANS & ENGINEERING SERVICES, INC.
MORTGAGE COMPANY: _ Not Applicable
Name:
SS:6272 ABBOTT STATION DR. UNIT 101
Address:
ZEPHYRHILLS State: FL
b542 Phone813-788-5314
11
City: State:
Zip: Phone:
FEE !
Nam
Addr
city:,
Zip:
MPLE TITLE HOLDER: _ Not Applicable
:
BONDING COMPANY: Not Applicable
Name:
a ss:
Address:
I
City:
Phone:
Zip: Phone:
OWNS / 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. Luci' 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 foil wing building permit applications are exempt from undergoing a full concurrency review: room additions,
access o I structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAR ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improl ements to your property. A Notice of Commencement must be recorded and posted on the jobsite
beforE Ithe first inspection. If you intend to obtain financing, consult with lender or an attorney before
comm, ncinl? work or recordine vout)Notize of Commencement. A /J
Signat� rureof&Pbwner/3k
STA1j� OF FLORIDA
COUNTY OFST. LUCIE
as Agent for Owner Signafure of Cgfltractoplicense Holder
STATE OF FLORIDA
COUNTY OFST. LUCIE
The fo'rgoing instrument was acknowledged before me
this K day of AUG , 20_ by
STEP ENJMAHLSCHNEE
Name of person making statement
Perso' ally Known X OR Produced Identification
Type q; Identification
Signa ure of Notary Public- ete�lErFlGxltl
�,r •o Notary lic State of Florida
om ssion No. 931228 ;� pq#le King
iuty Commission-FF 931228
?�+�o Expires 10/2712019
REVI WS FRONT ZONING SUPERVIS
COUNTER REVIEW REVI
RECEIVED I
DATE
COM ILETED
Rev. 8/Z/17
The forgoing instrument was acknowledged before me
this 21 day of AUG , 20_ by
STEPHEN J MAHLSCHNEE
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
of Notary Public- State of Florida
1 No. 931228 vfT,4 N R,yblic State of Florida
D� H@/King
My Commission FF 931228
Hof n° Expires 10/27/2019
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