HomeMy WebLinkAboutPERMIT APPLICATION - Krupa All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
9vo LL IOM
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;IfUIPROVE(V t LOCATAV
ION _ ... ,
Address: 7409 RESERVE CREEK DR, PSL , FL 34986
Property Tax ID fi: 3322-601-0035-000-7 Lot No,
Site Plan Name : Block No.
Project Name : ELAINE & STEPHEN KRUPA
DETAILED DESCRIPTION =OF WORK -'
Replace 25 Windows & 6 Doors
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION % F
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq . Ft of Construction : Sq . Ft. of First Floor:
Cost of Construction : $ 785000 Utilities : _ Sewer _ Septic Building Height:
OW NER/Lt5SEE ,- y CONTRACTOR v
Name ELAINE & STEPHEN KRUPA Name : DAN BECKNER
Address : 7409 RESERVE CREEK DR Company: PARADISE EXTERIORS LLC
City: PSL State : FL Address: 1918 CORPORATE DR
Zip Code: 34986 Fax: City: BOYNTON BEACH SLate:FL
Phone No . 772-467-9501 Zip Code: 33426 Fax:
E-Mail: Phone No 561-732-0300
Fill in fee simple Title Holder on next page ( if different E-Mail permits.paradiseext@gmaii.com
from the Owner listed above) State or County License SCC131150472
If 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.
11
ee
SUPPLEMENTALtCINSTRUGTI0N-LIEN LAUU INFOF{MATION
Ill
DESIGNER ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name : Name :
Address: Address:
City: State: City: State :
Zip : Phone Zip : Phone:
FEE SIMPLE TITLE HOLDER : 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 dothe workand installation as indicated .
I certify that no work or ! nsta I lation has commenced prior to the issuance of a permit .
St. Lucie County makes no representation that is granting ape rmit 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.
Inconsideration 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 afull 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 lend�er—or an attorney
before commencingwork or recordin our Notice of Commencement.
Signatu foer Owner/ Lessee/Contractoras Agent for Owner
STATE OF FLO
COUNTYOF i \1 A (
Sworn to (or affirmed ) and subs ribed before me of _ Physical Presence or Online Notarization
this JZ)dayof _, 20�4by j
Nameo person making statement.
Personally Known _ OR Produced Identification
Ty of Identificati duced_ p_________
(Signature of Nota ublic- tat/�-Fxida ) '..
Lra:Oy Notary Public State of FloridaCommission No. (Seal ) Diane Gomez
aMy Commistion HH 060332
Expires 11/07/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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