HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �'J.`\�1\`� Permit Number:
:- - — - Building Permit ApplicatioA, DEC 1 8 119
Planning and Development Services
Building and Code Regulation Division _ ST. Lucie County, pefmiHin
2300 Virginia Avenue, Fort Pierce FL 34982 g
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential YES
PERMITTYPE:POOL ENCLOSURE
PROPOSED IMPROVEMENT LOCATION:
Address: 5775 JOHNSTON RD, FT. PIERCE, FL. 34951
Property Tax ID #: 1309-144-0001-000-1
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK: "
POOL ENCLOSURE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 1"0 S.F. Sq. Ft. of First Floor: _
Cost of Construction: $ $11,255.00 Utilities: —Sewer _Septic
Lot No.
Block No.
_ Windows/Doors
Roof Pitch
Building Height: 12,9"
OWNER/LESSEE:
CONTRACTOR: ,
Name BRIAN FOWLER
Name:BRIAN D KRUGER
Address: 5775 JOHNSTON RD
Company: KRUGER CONSTRUCTION CORP
City: FT. PIERCE State: _
Zip Code: 34951 Fax:
Phone No. 772-777-9611
Address:6695 N. US#1
City: VERO BEACH State: FL
Zip Code: 32967 Fax: 772-569-9115
Phone N0772-569-5496
E-Mail: brianfowlerl00@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail krugerconstructioncorp@gmail.com
State or County LicenseCBC032086
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.
;SUPPLEMEN'TALCONSTRUCTION
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LIEN:LAW IN
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RMA FOTION
ON -.
DESIGNER/ENGINEER: _
N am e: FLORIDA ENGINEERING LLC
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Add reSS: 4151 TAMIAMI TRAIL UNIT 101
Address:
City: PORT CHARLOTTE
Zip: 33952 Phone941-391-5980
State: FL,
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Co ntr r/License Holder
Signature of Owner/ Lessee/ ntractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF '.9r/ Qt✓�/L
STATE OF FLORIDA
COUNTY OF Ze<
The forg Ing instrument was acknowledged before me
this day 20/� by
The fo��rPP,,oing instru,mQ1en�t was acknowledged before me
this zEday i_)O 20f by
of
of
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Name of person making statement.
Name of person making statement.
Personally Known -_�CR Produced Identification
Personally Known _�—OR Produced Identification
Type of Identification
Type of Identification
Produced YP CHRISTOPHER THOMA
>ta w Commission # GG!11704
Produced
I-,, CHRISTOPHPP Tbgpus
m>'{7\oe Expires July
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26, 2021
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(Signature of Notary Public- State of Florida )
(Signature of Notary Public- State o}orida'T��"Mssf.{+oagsenl�4
Commission No. /..G 1))042 (Seal)
Commission No. GCr(170y7 (Seal)
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