HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: PI& �% Permit Number:
•
Building Permit Appliction NOV 19 2019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 St,, 4Uie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Re
PERMIT TYPE: Residential - Windows
PROPOSED-IMPROVEMENT 1OCATION
Address: 5800 Deer Run Dr. Fort Pierce, FL 34951
Property Tax I D#: 1313-502-0125-000-7 Lot No.548
Site Plan Name: Block No.
Project Name:
DETAILED DESfCRIPT,ION OF WORK Y
Replace existing.0 windows with impact. S E)Gam- &IL,�i S
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: 3,322 Sq. Ft.of First Floor:
Cost of Construction:$ 8,080 Utilities: —Sewer —Septic Building Height:
0, NE CONTRACTORWV
Name Trew,Philip Name:Ronald Kromhout
Address:5800 Deer Run Dr. Company:Ronald Kromhout General Contractor, Inc.
City: Fort Pierce State:_ Address:4500 5th Place SW
Zip Code: 34951 Fax: City: Vero Beach State:FL
Phone No.772-971-9950 Zip Code: 32968 Fax:
E-Mail: Phone No 772-473-4597
Fill in fee simple Title Holder on next page(if different E-Mail kromhoutron@gmail.com
from the Owner listed above) State or County License CGCO23856
if value of construction is$2500 or more,a RECORDED Notice of Commencement is HERIE L. BRUAINT
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is requir ® :�o MY COMM1ES10N#FF976986
?aEXPIREs April 05.2020
OM 398-0153 FWidallotaiySenue
II 11
SUPL C
PLEMENTAONSTRUCTION UEN`LAW INFORMATION
N
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone 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.
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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDAI STATE OF FLORIDA
COUNTY OF i COUNTY OF Florida
The f rg ing instru e t as acknowledged efore me The forgoing instrument was acknowledged befor
this day of - 20�by this 14th day of November 20_ by .
������ / ✓e RonaldKromhout •••�"
Name of person making statement. Name of person making statement. T XJ-0cim-mc)
:9.'X
Personally Known OR Produced Identification Personally Known X OR Produced Identific ofgType of ficatipn < Type of Identification Producedr It C�/f�� Produced/.( Y
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Commission No ;k" RIE LiSNUMIT Commission No. FF976986 (Seal)
:d•
COMMISSION k FF976986
REVIEWS 410 '' F e_.° VISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED -
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