HomeMy WebLinkAboutBuilding Permit Applicationr \
J
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 'T 1117,1 Permit Number: a N o r O C a 1
g40 [Luc RECEfVED
� °`T °JUL 01 2011
p` ' Building Permit Application
Planning and Development Services St, p®"nitti g ntlr
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: GUest House
PROPOSED IMPROVEMENT LOCATION:
Address: 10900 Heil Road Fort Pierce, FI 34945
Property Tax ID #. 2321-501-0021-000-3
Site Plan Name:
Project Name: Krueger guest house
DETAILED DESCRIPTION OF WORK:
2 bedroom 2 bath guest house
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
X Mechanical _ Gas Tank —Gas Piping _ Shutters
�C Electric X Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 1230 Sq. Ft. of First Floor:
Cost of Construction: $ 153,660 Utilities: _ Sewer x Septic
Lot No. 1
Block No.
Windows/Doors _ Pond
X Roof Pitch
Building Height:
'OWNER/LESSEE:
CONTRACTOR:
NameZachary and Jessica Krueger
Name:James Trefelner
Address:10900 Heil Rd
Company:Trefelner Construction inc
City: Fort Pierce State: _
Address:1760 Copenhaver Road
Zip Code: 34945 Fax:
City: Fort Pierce State: Fl
Phone No.772-418-7241
Zip Code: 34945 Fax:
E-Mail: kristinekrueger@att.net
Phone N0772-201-9833
E-Ma iltrefelnerconstruction@yahoo.com
Fill in fee simple Title Holder on next page ( if different
State or County License28600
from the Owner listed above)
It value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION 11 EN LAW INFORMATION,:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: Raul R Valella
Name:
Address: 1380SE Naranja Ave
Address:
City: PSL State: FL
City: State:
Zi p: 34983 Phone772-871-2457
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 paying twice 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 artattorney before commencing work or recording your Notice of CoMmencement.
I
/1;.
—
.
SignaVe of Ow Lessee/Contractor as Agent for Owner
Signat f of Confraefoo'r/License Holder
STATE OF FLORIDA s� wC '
COUNTYOF %4C)
STATE CIFFLORIDA si
COUNTY OF
Syvorn to (or affirmed) and subscribed before me of
PhKsical Presence or Online Notarizatioq
this 120 day of Jq vm 2,G� by 7,01-1
Sworn to (or affirmed) and subscribed before me of
Ph sical Presence or Online Notarization
this ay of _IUM 2626 by UZI
Name of person making statement.
Name of person making statement.
Personally Known ✓ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Ak 0 1 k it
(Signature of Notary Public- St
AMDABEHMAGGART
Commission No. Q-11ZARipission # HN 008693
Expires June 1 .2024.
Blended 11bru Troy Fain INUMAN 8N
I ture of Notary Public
.......... AMANDA BETH MAGGART
sion No. Com is Conilo"PHR008693
QW70119 Explies June 10, 2024
Banded Thru Day Fein Insurance 600-985-709
REVIEWS
FRONT ZONING
COUNTER, REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
lev.