HomeMy WebLinkAboutBuilding Permit ApplicationPlanning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
ALL APPLICABLE INF�-O� MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i `i I Permit Number:
Building Permit Application
JUL 13 `017
PEPPAI
S cie county , FL
Residenti al.
PERMIT APPLICATION FOR:
Aluminum with concrete
PROPC5E[ IIUiPiOVEMENT
LOCATION,
Address: 8002 PENSACOLA RD
Legal Description: LAKEWOOD PARK -UNIT 6-BLOCK 65-LOT3
Property Tax ID #: 1301-606-0147-000-9
Site Plan Name:
Project Name: SLYE
Setbacks Front35' Back: 45' Right Side: 10 Left Side: 10
Lot No.3
Block No.
INSULATED PANEL ROOF WITH SCREEN WALLS ON EXISTING CONCRETE SLAB
u
FHVAC LJ Gas Tank
11 Electric 1:1 Plumbing
Total Sq. Ft of Construction: 214S.F.
Cost of Construction: $ $6780.00
r tnls permit — cnecK all mat apply:
Gas Piping Shutters a Windows/Doors
OSprinklers 1:1 Generator 1:1 Roof Roof pitch
S Ft. of First Floor: _
utilities:ESewer 11 Septic
Building Height:
C}WN�I/LESSEE N tt
1r,11���Rk�artiy"
�n sy N k a
NameTHOMAS SLYE
Name: BRIAN D KRUGER
Address:8002 PENSACOLA RD
Company: KRUGER CONSTRUCTION
City: FT. PIERCE State: FL.
Zip Code: 34951 Fax:
Phone No.772-929-2811
Address: 6695 N. US#1
City: VERO BEACH State: FL.
Zip Code: 32967 Fax: 772-569-9115
Phone No. 772-569-5496
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: krugerconstructioncorp@gmail.com
State or County License: CBC032086
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name: FARLEY ENGINEERING
Address: 8800 N. US#1
CItV: SEBASTIAN
Zip: 32958 Phone: 772-589.6229
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
State: FL.
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 recordine vour Notice of Commencement.
4 _�_4r s
Signature ZRIDA
essee/Contractor as Agent for Owner Signature of Contract /License Holder
STATE OF FL STATE OF FLO IDA
COUNTY OF INDIAN RNER COUNTY OFINDIAN RIVER
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this /Z day of � 20_ 1) by this YL, day o 20 _ by
BRIAN D KRUG 1 BRIAN D KRUGER
7(Na of person cknowledging) (Name of p n acknowledging )
Ignature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
epCp;."•��:8�% RISTOPHERTHOMAS
Commission No. FF006767 (* � Commission No. FF006767 o�.%yP&,, (S@1 iSTOPHERTHOMAS
COMMISSION # FF 006767
EXPIRES: July 26, 2017 * * MY COMMISSION # FF 006767
J9tFOF FL�Q��e Revised 07/15/2014 Bonded ThN Budget Notary Services
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