HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
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ALL APPLICABLE INFO MUST BE C(
Date:
FOR APPLICATION TO BE ACCEPTED _
Permit Number: 1105 - 0
SCANNED
BY
St Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-
RECETVFD
MAY R t� itit�
Permitting Oes�artment
St. Lucie County
Commercial Residential x
PERMIT APPLICATION FOR: To Select
from dropbox, click arrow at the end of line
PROPOSED GMPROVEMENT LOCATE
N : ;
Address:
Legal Description:
MONTE CARLO COUNTRY CLUB -UNIT ONE -
Property Tax ID #: 1327-801-0054-000-9
Site Plan Name:
Project Name:
Setbacks Front Back:_
165 (OR 3991-678)
Right Side:
Side:
Lot No.165
Block No.
DETAILED DESCRIPTION 6PWORK
Removal of existing pool enciclo � re a ` install new 1 a C�-c��,.
Rof P-1, - 4
CONSTRUCTION INFORMATION
ACIClitional work to De nerformed under thisthisl
1IHVAC Gas Tank
permit —check all
Gas Piping
apply:
_ Shutters ❑ Windows/Doors
Electric ❑ Plumbing ❑
Sprinklers
ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: 810S.F
S .
Ft. of First Floor:
Cost of Construction: $ $7770.00
Utilities:
Sewer 0 Septic Building Height: 11'
OWNER/L`ESSEE.,
1
Name KAR` LEITHER
Address:9400 PINEBARK CT
City: FT. PIERCE I State:FL
Zip Code: 34951 Fax:
Phone No.916-420-2423
E-Mail: karaleither@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: BRIAN D KRUGER
Company: KRUGER CONSTRUCTION CORP
Address: 6695 N. US #1
City: VERO BEACH State: FL
Zip Code: 32967 Fax: 772-569-9115
Phone No. 772-569-5496
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.
f
SUPPLEMENTAL CONSTRUCTION LIEN
LAW INFORMATION:
DESIGN ER/ENGIN DER: _ Not A
Name:
Address: Nn 'Z
City: - i St
Zip: Phone ..
plicable
tZ. I��'—
MORTGAGE COMPANY: _ Not Applicable
Name:ePAu&w4"m
Address:
City: State:
Zip: Phone:
&L u �`
te:
D
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress: 6695 N. US #1
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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.
Inconsideration of the granting of this requested ermit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Floridt Building Codes and St. Lucie County Amendments.
The following building permit applications are exe pt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, wa Is, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Rec rd 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 tQ obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
ignature of dwner/ ssee/Contractor as Agent
for Owner
Signat a of Contractor/Lice a Holder
STATE OF FLORIDA
STATE OF FLORID
COUNTY OF (/k�
COUNTY OF�
_—��`7`l�.�
The for instru t Wacknowledgedb9fore
this day of 20J by
me
The forgo' nstru nawas knowledged b ore me
this day of 20 by
J
Name of perso making statement
Name of perso aking statement
Person nown OR Produced Identification
Personally rn OR Produced Identification
Ty of Identificat on
Type of ntification
roduced
Pro ced
t re of Notary Public- State o rida )CHRISTOPHERTHOMA
(Signatur Notary Public- State of Florida )
Commission No' -I *(4ea
14
scion N GG 11704
Expires Juy 26, 2021
'4S!Zkt, CHRISTOPHERTHOMAS
Commission No.*(S"*nliGG117047
Wres July 26, 2021
4F Etio� d�d
Thru Budget rotary
VO' 4 6W4adThu Budget " SE
(SUPERVISOR
fl
REVIEWS
FRONT
ZONING
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
r2�i(
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
W-21