HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:4/10/2019 Permit Number. / gQAI�07
Planning and Development Services
_Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
SCANNED
BY RECEIVED
St. Lucie County
AP
Building Permit Applicati9pAPR 17 1019 �9 De
mont
St. Lucie county
PERMITTYPE:Aluminum
PROPOSED IMPROVEMENT LOCATION:
Address: 9020 Carlton Rd.
Property Tax ID #• 3234-231-0003-000-9
Site Plan Name:
Project Name: Musser
DETAILED DESCRIPTION OF WORK:
Commercial Residential x
Aluminum screen porch and concrete slab with 8" x B" footer
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Lot No.
Black No.
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing —Sprinklers , —Generator _ Roof Pitch
Total Sq. Ft of Construction: 204
Cost of Construction: $ 5,200.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height: 8�9"
OWNER/LESSEE:
CONTRACTOR:
Name Connie Musser
Name: Stephen J Mahlschnee
Address:9020 Carlton Rd,
Company:K & S Industries
City: Port St. Lucie State: PL-
Zip Code: 34987 Fax:
Phone No'765A91-7229
Address:1379 SW Biltmore St.
City: Port St. Lucie State: FL
Zip Code: 34983 Fax:
Phone N0772-879-6885
E-Mail:cmusser@purdue.edu
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 CGC1507642
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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: FBC Plans & Engineering Services, Inc
MORTGAGE COMPANY:
Name:
Not Applicable
Address:6272 Abbott Station Dr. Unit 101
Address:
City: Zephyrhfts State: FL
Zip:33542 PhonesI 78&6314
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: `. 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 IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOM LENDER OR AN ATMRNEY BEFORE RECORDING YOUR INOTICE OF COMMENCV4M."/1
4R
Signature 4f Ow / Lessee'Contractor as Agent for Owner
Signature of 0 n r/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFst Lucie
COUNTY OFSL Lie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 10 day of April 20_( by
this 10 day of April 20A by
Stephen J Mahischnee
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
Produced
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Signature of Notary Pu lic-State
Signature of Notary Pub c-
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Commission No. 9312.28 _•� •; C(iti887]' King
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Kev. 211119