HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
St. Lucie County RECEIVED
Building Permit Application MAY 0 2 2019
Planning and Development Services STF. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMITTYPE: Aluminum Insulated roof Screen rooms
FRDPC E 0-1-1. M �okg V t Mi ENT -t , ,A " - I
Address: 3209 South Lakeview Drive, Bldg 8, unit 102 & 202
Property Tax ID #: 1425-605-0000-000/0 Lot No.
Site Plan Name: Block No.
Project Name: The Sands
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Replacing Insulated roof/ screen rooms removed by others.
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Additional work to be performed under this permit —check all that apply:
—Mechanical _Gas Tank Gas Piping _Shutters Windows/Doors
— Electric — Plumbing Sprinklers — Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5990.00 Utilities: —Sewer _Septic Building Height:
CONTRAt R:
Name
Name: Brian Kruger
Address:
Company:Kruger Construction Corp.
City: State:
Address: 6695 N. US Hwy 1, unit B
City: Vero Beach State. A
Zip Code: Fax:
Phone No.
Zip Code: 32967 Fax: 772-569-9115
E-Mail:
Phone N0772-569-5496
Fill in fee simple Title Holder on next page if different
E-Mail krugerconstructioncorp@gmaii.com
State or County License CBC032086
from the Owner listed above)
If value of construction is $250D or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION:
�-
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ ssee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF 'Z /1
The forgoing instrument was acknowledged before me
The forgoing instrum nt was acknowledged before me
this dayof �r,"j 204I' by
this�dayof miv J 20L� by
an r,"c_ Cyr,.:y
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Name of erson making statement.
Na f person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Ide ' ' tion
a of Identi ion
Pro uced
Pro uce
(Sig ur of Notary Public- Stata(f "da4ti
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(Si g�� y f Notary Public- State of Florida
NOTARY PUBLIC
Commission No. TATE O(3EbgRIDA
C/ ° J n W Home n
Commission No. tp v PUBLIC
Commit GG137195
N�gpI�Y
Q 'a STATE OF FLORIDA
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DATE
RECEIVED
DATE
COMPLETED
Rev. 211119