HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONw
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: SCANNED Permit Number:
BY
+� St. Lucie County
RECEIVED
Building Permit Applicat on MAY 0 2 2019
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMITTYPE: Aluminum Insulated roof / Screen rooms
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Address: 3212 South Lakeview Drive, Bldg 10, 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: $ 59901.00 Utilities: -Sewer Septic Building Height:
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Name
Name: Brian Kruger
Address:
Company: Kruger Construction Corp.
City: State: _
Address:6695 N. US Hwy 1, unit B
City: Vero Beach State: FI_
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@gmail.com
State or County LicenseCBC032086
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
17
SUP,P MEt�FTAL COyNSTRUCTION LIEN: LAW INFORMATIQNaY,
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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."
'46
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Signature of Owner/ Less tractor as Agent for Owner
Signature of Contract Ucense Holder'
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF �/C
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of J$g^ 20L by
this_,7o day of_6a,. . / 20Z5 by
Name of person making statem t.
statement.
ersonally Known OR Produced Identification
=efonmaking
ow OR Produced Identification
i ication
ication
Produced
Produced
(Si of Notary Public- State of Florida)
(Signs Notary Public- S e of Florida )
Jl7 OM.AlNem
y John W. Homan
Commission NOTARY'I .I%(Seal)
Commission No. NOTARYPUE(Beal)
STATE OF FLQRI@h
=STATE OF FLORIDA
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SUPERVISOR
PLANS
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COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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