HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date--7441�Zlq
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1.553 Fax: (772) 462-1578
Permit Ntunber.\�d-J
ED
BY RECEIVED
)t. Lucie GowaV JUL 2 6 2019
Building Permit Applicat! Dn
ST. Lucie County, Permitting
Commercial Residential x
PERMrrTYPE:A1uminum
-P06pCiSE6 IMPROVEMENT LOCATION
214 Ramie Ln.
Property Tax ID #: 3419-510-0328-000-6 Lot No. 1
1
Site Plan Name: Clark Block No- 22
Project kame: Clark Porch
en Porch A k0l
-z7VX /-C"V
jor 6 Co M Cler
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 Constmctionaw 11:) 9 5 . a3 Sq. Ft- of First Floor.
Cost of Construction: $ 4,800-00
Utilities: —Sewer _Septic Building Height: W
OWNER/LESSEE:'
WO SSEE�
�CONTRACMR:
Name.leff Clark
Name:Stephen J Mahischnee
Address:214 Ramie Ln-
Company K & S Industries
City . Port St. Lucie State:
Zip Code: 34952 Fax:
Phone No.772-267-6969
Addrew. 1379 SW Blilmore St
City: Port St. Lucie State:FL.
Zip Code: 34983 Fax:
Phone NoT72-879-6885
E-Mail:JEFFCLARK437@_OMAIL.COM
ge (if cliflerent
Fill in fee simple Title Holder an next page
from the Owner listed "above) .
E-a -,IKANDSIND@,AOLCOM
M
State or County License CGC1 507642
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.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:FBcPlans & EnillinamrhagSenices•fr=
Name:
AddresS:6272 Aron salon or_ Una tot
Address:
City: Zephleftills State: Fl-
City:
State:
Zip:33542 Phone813-788-5314
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 -
no representation that is granting a permit will authorize the permit holder to build the subject structure
any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
It 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 1 will, in all respects, perform the work
in accordance with the approved plans, the Florida Miling Odes and St Wde 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 accessoryuses to another non-residential use
"WARNING TO OWNETr YOUR FAH ME TO RECORD A MOiiCE OF CORHIENDT7>AIHNi MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF C ININENCEMENf MUST BE RECORDED AND
POSTED ON THE JOB SHE BEFORE THE FIRST INSPECTION. ff YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR ANA*OI9Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMERV A
4* kler—�
Signature o Own r lessee/Contractor as Agent for Owner
Signature of COfitractitAicenseHolder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFst rude
COUNTY OFSt Lame
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 11 day of JWy 20 If by
this 11 day of Jul
20 l q by
Stephen J Nahlsdinee
Stephen J Mahischnee
Name of person making statement
Name of person making statement.
Personalty Known x OR Produced Identification
Personally Known x
OR Produced Identification
Type of Identification
Type of Identification
Produced
P uced
c '
(Signature of otary Public S
afore of Notary Publi
.
i� Noary Public State of Florid
Commission No. 931228 :� �:(SfiaNlelle King
931228
yr •4 notary Public State of Florida
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4 • My Commission FF 931228
mission No.
,y D4fiE0d)Kln9
• My Commission FF 931228
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