HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/22119
Planning and Development5ervicesl'
Building and Code Regulation -Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772) 462-1578
PERMITTYPE: Aluminum
PROPOSED IMPROVEMENT LOCATION:
Permit Number.
SCANNED
BY RECENED
St. Lucie County APR 2 4 i019
Building Permit Application
Permitting Department
St. LucieCounty
Commercial Residential X
Address: 3495 Southern Pines Dr.
Property Tax ID #: 2428-702-0056-000-2 L ` Lot No.15
Site Plan Name: So,Lt CIS G /, DF'(1!� S r/-' 3 Block No. 3
Project Name: Tolson /,,,{SEnj J7r[;7t z
IDETAILED�DESCRIPTION OF WORK:
WORK:
Aluminum Roof Screen Porch f'7 ` P
Existing Concrete
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers —Generator _ Roof Pitch
Total Sq. Ft of Construction: 289
Cost of Construction: $ 5461.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:$.
OWNER/LESSEE:
CONTRACTOR:
Name Nicole Tolson
Name:StephenJMahlschnee
Address:3495 Southern Pines Dr.
Company: K & S Industries
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.618-5649
Address:1379 SW Biltmore St.
City: Port St. Lucie State: FL.
Zip Code: 34983 Fax:
Phone No772-879-6885
E-MaiI:TOLSONTIMOTHY@YAHOO.COM
Fill in fee simple Tittle Holder on next page (if different
from the Owner listed above)
E-Mail KANDSIND@J OL.COM
State or County LicenseCGC1507642
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:
uoalurvcnfclnuuvccn: _ not Applcame
MORTGAGE COMPANY: _ Not Applicable
Name: FBG Planning& Engineering Services,Inc.
Name:
Add re55:6272 Abbott Station Dr. Unit 101
Address: /
City: Zephyrhdls State: FL.
City: State:
Zip: 33542 Phone 813-7ee-5314
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 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 TOUR LENDER.OR AN ATTORNEY BERMYE RECORDING YOUR NO71[E OF fOMMENCEMfFllri_e A 11)
i
Signature of Owne / Less " ntrador as Agent for Owner
Signature of Contractor/ &nse Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St Lucie
COUNTY OFs Lucie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledge before me
this day of April 20� by
this 22 day of April 26 by
Stephen J Mahlsrhnee
Stephen J Matdsrhnee
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
(Signature of Notary P6bli
ignature of Notary Oubli t Ar1101
�,dT r Notary Public State of Floricib
Da/IhiJting
,y Notary Public State o1 Florida
Commission No. 931229
Commission No. g31228 ;Q DankKinB
CC6�"mmlddebn FF 931228
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�or1V'P Expires 10/2712019
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