HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
"`tr Ll1LLL
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: r4U9 KESEKVE GREEK DRIVE
Property Tax ID #: 3322 601 0035 000 7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALL( a ) IMPACT DOORS
New Electrical Meter Second Electrical Meter
'CONSTRUCTION INFORMATION:
PARCELS
Lot No.15
Block No.
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
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ yZ' 3 Utilities: —Sewer _ Septic Building Height:
Pond
Pitch
OWNERAESSEE:
CONTRACTOR:
Name STEPHEN J & ELAINE M KRUPA
Name: MADELYN GUZMAN
Address: 7409 RESERVE CREEK DRIVE
Company: WRIGHTS IMPACT WINDOW & DOOR LLC
City: PORT ST LUCIE FL State: _
Zip Code: 34986 Fax:
Phone No. 772 467 9501
Address:7816 S DIXIE HWY
City: WEST PALM BEACH State: FL
Zip Code: 33405 Fax:
Phone No(561) 588-7353
E-Mail: stephenjkrupa@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Permit@wrightswindow.com
State or County License CBC1262617
• -� �• ��••�•• •• •� ��..•...� m%,1c, a ncwnucu notice or Lommencemem is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
Not
City: State:
Zip: Phone
FEE SIMPLE TITLEHOLDER: _ Not Applicable
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Address:
Zip: Phone:
_Not Applicable
UWNtR/ 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: Yourfailure to Record a Notice of Commencement may result in payingtwice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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 vour Notice of Commencement.
Signature of wner/ Lessee/Contractor as Akent for Owner
STATE OF FLORIDA
COUNTYOF SJ. txL;C
Swgrn to (or affirmed) and subscribed before me of
V Physical Presence or _ Online Notarization
this � day of MF A 2020 by
Name of person making statement
Personally Known ✓ OR Produced Identification
Type of Identification
Commission No.
Commission # GG 248983
aAugust 15, 2022
TroyFinlpwm ce
W`-
Signature of Contrac r/Lice of er
STATE OF FLORID
COUNTY OF I k
Sworn (or affirmi and subscribed before me of
hysical Presence or Online Notarization
this _ day of .2020 by
W"ILk �
Name of person shaking st ment.
Personally Known OR Produced Identification
Type of Identification
of Notary Pub � FBROEUIlic - State of Florida
a..'gg Commission k Hill78854
tw,M1� My com es Jan 30, 2025
y NO. onded thrq I nal Notary Assn,
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