HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:10/2;(2019 SCANNED Permit Number:
BY
}' J" z " " St. Lucie County RECEIVED
- Building Permit Applic tiorf CT 2 2 2019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMITTYPE:Aluminum
PROPOSED IMPROVEMENT LOCATION:
Address: 4807 Palmetto Dr.
Property Tax ID #: 3402-606-0003-000-4 Lot No.27
'Site Plan Name: Indian River Estates Block No. 3
Project Name: Kelly
L DETAILED DESCRIPTION OF WORK:
Insulated aluminum roof patio cover
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: 312
Cost of Construction: $ 6,339.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:9-4"
OWNER/LESSEE:
CONTRACTOR:
NameDuane Kelly
Name: Stephen J Mahlschnee
Address:4807 Palmetto Dr.
Company: K 8, S Industries
City: Fort Pierce State: _
Zip Code: 34983 Fax:
Phone No. 77Z - 7,6 i - f- i 6
Address:1379 SW Biltmore St.
City: Port St. Lucie State: FL
Zip Code: 34983 Fax:
Phone No772-879-6885
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-MaiIKANDSIND AOL.COM
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: FBC Plans & Engineering Services, Inc.
MORTGAGE COMPANY:
Name:
_ Not Applicable
Ad d ress: 6272 Abbott station Dr. Unit 101
Address:
City: Zephyrhills State: FL
Zip: 33542 Phone 813-788-5314
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_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
WIIK TUUK LLNI&H UK AN
Signature of Owner/Skssee(Contractor as Agent for Owner
Signature of ConttFaeor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSt Lucie
COUNTY OFst. Lucie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 21 day of Oct , 20_ by
this 21 day of Oct , 20_ 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
Produced
)e �1brlbuc slats or Floriae
(Ignature of NoT931228A�
(Signature of NotaryPublic-State Florida)
Commission No. 931228 10, T", Nolgpt,PFi1Dr� 9��O}Fbri�
n
DanleBe King
Commission No.
Da ie e
:92 • My Cmmission FF 931228
�20
019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
���!C1
l-IT14lq