HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLIICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i� � `- 2,4 X Permit Number:
I
• RECEIVED
� � Building Permit Application NOV 0 2 2018
Planning and Development Services
Building and Code Regulation Division si, I.ucle County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (i 72) 462-1553 Fax: (772) 462-1578 Commercial Residential Yes
PERMIT APPLICATION FOR: Renovation
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PROPOSED:,LMPRO.VEMENT,, I.00ATLON
,, ,. ...
Address: 2,801 N. Highway A1A Unit B Fort Pierce, Florida 34949
Legal Descll iption: Coral Cove Beach -Section One - BLK 7 N 16.66 FT of S 71.78 FT of Lot 3 and E 10 FT of VAC Alley Adj
on W (Apt 2801-B) (or 3903-2413)
Property Tax ID #: 1425-701-0167-150-4 SCANNED Lot No. 3
Site Plan Name: Qf I Block No. 7
W ..u, J.y
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTI0Nw0F WORK;
Repair upstairs east exterior wall and beam on 2nd floor.
Demo existing and install (2) impact rated windows.
New stucco and priming. �QS .5,. a Q5 i7AV �w0,1 l�
INFORMATION: 1,,.COLNST,R'Q.CTlON,.. ,
Additional iwor to be orme un er this permit — checK alt
apply:
-HVAC LI Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers 1:1 Generator E] Roof Roof pitch
Total Sq. Ftlof Construction: S Ft. of First Floor: 668
Cost of Construction: $ 9,850.00 Utilities:cn Sewer 0 Septic Building Height:
I
"O,WN'ER%L'"
ESSEE: ;` '.
CONTRACTOR:' .;
NameTrejo,IJorge
Name: Ronald Kromhout
Address: 2801 N. Highway A1A Unit B
Company: Ronald Kromhout General Contractor, Inc.
Address: 4500 5th Place SW
City: Ft. Pierce State: FL
Zip Code: 34949 Fax:
City: Vero Beach State: FL
Phone No. 305-972-8151
Zip Code: 32968 Fax: 772-217-2694
E-Mail: wine' celr@gmail.com
Fill in fee simple Title Holder on next page ( if different
Phone No. 772-473-4597
E-Mail: kromhoutron@gmail.com
from the Owner listed above)
State or County License: CGC 023856
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CON
UCTIONyLIEN3LAW INFORMATION r
,:
DESIGNER/ENGINE
_ Not Applicable
MORTGAGE COMPAN _
Not Applicable
Name: Trejo, Jorge
Name: Ronald Kromhout
Address: 28.01 N. ighway A1A Unit B
Address: 2801 N. way A1A Unit B
City: Ft. Pierce
State:
City: Vero Bea
State:
Zip: Phone
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name: I
Name:
Address: 4500 5th Place sw
Address:
City:
City:
Zip: Phone:
I
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify thIt 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 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 recording your Notice of Commencement.
A
Signa re r Owner/ Lessee/Co tract(tas Agent for Owner
Signature of Contractor/License Ho der
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STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF saint Lucie
COUNTY OF saint Lucie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 30th day of October , 20_ by
this 30th day of October , 20_ by
I
Jorge Trejo I
Ronald Kromhout
Name of person making statement
Name of person making statement
Personally, Known OR Produced Identification Yes
Personally Known Yes OR Produced Identification
Type of Identification
Type of Identification
Produced briver License
Produced
j.0/1
(Signature of Notary Public- State of Florida) 4 '
sij LeftMbTaryPublic- State of Florida)
�MY COMMISSION
# FF976986
;��c
.-
Commission No. FF976986 (Seal) ,�Ot1gE
iLit p*liggl FFs 986 (Seal)
(40T) 398-0153
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tev. 8/2/171