HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1. -
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / ar% 9 Permit Number:
Building Permit Appli Pation JAN 2 4 2019
Planning and Developmentservices Permitting Department
Building and Code Regulation Division
2300VirginiaAvenue, Fort Pierce FL34982 L St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 COf1 mercial - -
PERMIT TYPE:AIuminum SCANNED
PROPOSED IMPROVEMENT LOCATION: '# 1
4908 Palmetto Dr -
Property Tax ID #: 3402-606-0176-000-7
Site Plan Name:'lndian River Estates Unit 05
Project Name" Smith
DETAILED DESCRIPTION OF WORK:
Aluminum Roof Screen Porch 7- Q w 16
Lot No.21
Block No. 26
rj I SJ1.4 V C o n eRui-%rt S La
Additional work to be performed under -this permit -check all that apply:.
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers —Generator
Total Sq. Ft of Construction: 332 Sq. Ft. of First Floor: _
Cost of Construction:$6800.DD Utilities: _Sewer _Septic
Windows/Doors
Roof Pitch
Building Height: 9T
OWNER/LESSEE:
CONTRACTOR:
Naft eEugene Smith
Name:Stephen J Mahlschnee
Address:4908 Palmetto Dr.
Company:K & S Industries
City: Fort Pierce State: FL
Zip Code- 34982 Fax:
Phone No. 7(2� " 2, 2,j - $ L73
Address:1379 SW Biltmore St.
City: Port St. Lucie State: 76
Zip Code: 34983 Fax:
Phone No772-879-6885
E-Mail: 91614 6�Y *OCC,Dw
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailkandsind@aol.com
State or County License. GC1507642
If value of construction is 5Z500 or more, a RECORutu nonce or wmmencemeM rs reywrea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:. Not Applicable
Name:FBCPlms&Engineering semces,Ina
MORTGAGE -COMPANY:
Name:
Address:
_Not Applicable
_
Add ress:6272 Abbott Station Dr. Unit 10 - _— _
City: Zephyrhills State: FL-
Zip:33542 Phone8l37 -s31a
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: X Not Applicable
Name:
BONDING COMPANY:
Name:
_C Not Applicable
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 your paying twice for
im'3rovemeints 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 work or recording ou Notice o Commencement.
Signature of Ow er/ ee/ ontractor as Agent for Owner
Signature of Contrarctor/LVense 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 24 day of Jan . 20jc by
this 23 day of Jan 20_M by
Stephen J Mahlschnee
Stephen J Mahlschnee
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
az4a'-./Z
Produced
(Signature of Notary Public -State of rida)
ublic- S
(Signature of No:93�12228
931228 .� Nof�� hNc Strrte of FIOrItlard°*
Commission No. Defi1011¢ KIt1g
otary Public State of FI n
Commission No. �(: (�;,m� yl�on FF 831229
My Commission FF 931228
w a°� Expires 10/27/2019
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