HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4 SCANNED Permit Number:
BY
St. Lucie Countv RECEIVED
Building Permit Applicatio MAY 0 2 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMITTYPE: Aluminum Insulated roof / Screen rooms
PROPOSED'INIPROVEMENT LOCATION:
�, ,•„ :• °
Address: 3215 South Lakeview Drive, Bldg 12, unit 105 & 205
Property Tax ID #: 1425-605-0000-000/0
Site Plan Name:
Project Name: The Sands
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK;-':'
Insulated roof/ screen rooms removed by others.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 5990.00
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: _
CONTRACTOR: , ..
Name
Name:Brian Kruger
Address:
Company: Kruger Construction Corp.
City: State: _
Zip Code: Fax:
Phone No.
Address:6695 N. US Hwy 1, unit B
City: Vero Beach State. A.
Zip Code: 32967 Fax: 772-569-9115
Phone N0772-569-5496
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 LicenseCBC032086
If value of construction is $2500 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.
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SUPPLEMENTAL CONSTRUCTION- 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 a Contractor as Agent for Owner
Signature of Contract tense Holder
STATE OF FLORIDA
COUNTY OF ��
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 3_kday of �r. q 20-0by
this,?.s of /`fn�. 1 .20_Zlby
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Name of person making statemeYrt.
Name of person making statemen .
Perso nown OR Produced Identification
ersonally Known OR Produced Identification
-Type oi on
Type on
Produced
Produced
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(Signat Notary Public -State of Florida )
(Sig t mVaflotif�Plorida )
John W. Homan
PUBLIC
Commission No. ARY POW9
&.NOTARY
CommissioATE OF FLORIDJSeal)
FAM_STATE OFpFLLORIDA
mm# GG137195
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