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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' ra.a 1 Q.o Permit Number:
—
Building Permit ApplicatLonPlanning and Deve/opment5ervices 2 0 9020
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 unty, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Building (Accessory Structure)
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PROPOSED IMPROVEMENT LOCATION:
Address: I IUZ ttrOOKune Ave I-t Pierce FL 34951
Property Tax ID#i: 1301-611-0153-000-0
Site Plan Name: Krieger Carport
Project Name: Kreiger Carport
DETAILED DESCRIPTION OF WORK:
18'x21' metal accessory structure (carport) anchored to ground w/mobile home anchors
Lot No.5,6
Block No. 107-A
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: 378 Sq. Ft. of First Floor: 378
Cost of Construction: $ 2205.00 Utilities: _Sewer _Septic Building Height: 11.5
OWNERAESSEE:
CONTRACTOR:
Name Edward and Linda Krieger
Name: Michael Johnson
Address:7102 Brookline Ave
Company: Carolina Carports
City: Ft Pierce FL State: _
Zip Code:34951 Fax:
Phone No.772-538-3845
Address:187 Cardinal Ridge TO
City. Dobson State: NC
Zip Code: 27017 Fax:
Phone No229-400-2034
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailmike.m@carolinacarports.com
State or County License CBC1 254822
.....,�.�...��� 1b ;1c5uu Ur more, a nCwnutu wouce oT Lommencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ of Applicable
Name: Bechtol Engineering Name:
Address: sos w Ney York Ave Address:
City: Deland State: FL City: State:
Zip:38444 Phoneaae-7eaaaaa Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Add
Zip
Phone
Applicable I BONDING COMPANY: _Z�otApplicable
Address:
City:
Zip: Phone:
U1NNtK/ LCINTKALTUR 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."
ignature o ner Lessee/Cofactor as Agentfd'rOwner I Signature of C ractor/License Holder
STATE OF F-GTO k G AZI..
COUNTY OF Lee
STATE OF FEGRH)A Gwry¢-
COUNTY OF Lee
The forgoing instrument was acknowledged before me The for Ding instrument was acknowledged before me
this day of 20_ by this day of l-e�, 20 20 by
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Name of person making statemLifit. ,,,,,,,,, Name of person making statement.
Personally Known OR ProdLtt`, �iqR, Personally Known a OR Produced IgeN ` i� t "••.
Type of Identification o Cl` ; ji Type of Identification �� �5 -
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mmission No."'fbP, , ,V```�commission No. �$`a• 8LI C `,� „ �ryUNT�
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