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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED aa J Date: Permit Number: J' ©33 Building Permit Application PEAR 0 2017 Planning and Development Services PERM17flNG Building and Code Regulation Division St. L ci Coun , FL 2300 Virginia Avenue,Fort Pierce FL 34982 ty, Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: Aluminum without concrete PROPOSED IMPROVEMENT LOCATION,: Address: 5615 PLACE LAKE DR, FT.PIERCE FL.34951 Legal Description: LOT 270 PORTOFINO SHORES-PHASE THREE(PB 43-40) Property Tax ID#: 1312-503-0066-00D5 Lot No.270 Site Plan Name: PORTOFINO SHORES-PHASE THREE Block No. Project Name: CHARLET Setbacks Front25.3 Back: 10.4 Right Side: 5.1 Left Side: 5.5 DETAILED DESCRIPTION-OF WORK A.� t INSTALLING A POOL ENCLOSURE ON EXISTING POOL DECK i i 'CONSTRUCTION:INFORMATIO;N. -. Additional work to e e orme under t ispermit—checka apply: E1HVAC Ei Gas Tank Gas Piping _ Doors P g Shutters QWindows/ 11 Electric 0 Plumbing Sprinklers O Generator Roof Roof pitch Total Sq. Ft of Construction: 999 SY S Ft.of First Floor: $7160.00 14' Cost of Construction:$ Utilities: Sewer Septic Building Height: I OWNER/LESSEE:,. . Name BANK OF AMERICA NA(TR)(CONTACT MICHELE M.CHARLET) Name: BRAIN D.KRUGER Address:5615 PLACE LAKE DR Company: KRUGER CONSTRUCTION City: FORT PIERCE State:F� Address: 6695 N.US#1 Zip Code: 34951 Fax City: VERO BEACH, State:FL 423-991-5939 32967 772-569-9115 Phone No. Zip Code: Fax: E-Mail:michele.m.chariet@ustrust.com Phone No. 772-569-5496 Fill in fee simple Title Holder on next page(if different E-Mail: krugerconstructioncorp@gmail.com from the Owner listed above) State or County License: CBC032086 If value of construction is$2500 or more,a RECORDED Notice of commencement is required. I e � SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: FRANK FARLEY Name: Address:Boon uS Hw-1 #2 Address: City: SEBAS11AN State: FL City: State: Zip: 32958 Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. �-� " 1 S . Signature of Owner/Les a/Contractor as Agent for Owner Signature oKRIDA ense Holder STATE OF FL IDA STATE OFCOUNTY OF- COUNTY The for ing instrum t w cknowledged�fore me The for ing instr ent w s acknowledged_before me this 7day of 20 by this day( -A 20 by` BRIAN D KRUGER'- BRIAN D KRUGER (Name of per knowledging) (Name of pers nowledging) [Slgna ure o o a -Pu I - ic- a Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced ;a••°e�% CHRISTOPHERTHOMAS WIAyP Commission No. FF 006767 S��ly COMMISSION II FF 00676 Commission No. FF 006767 •' ••, o (§��f(�TOPHER TIIOMAS EXPIt�S:Jul262017 * * CO�t;-.1i6SION#FF006767 y Fkr'11RES:July 26,'2017 N�9TF o�\Or Banded Thru 2;,,.p!nlota Service '"� OF FL i5fJ uoge Notary services Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS