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 ST. 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
PROPOSED IMPROVEMENT LOCATION:
Address: 3216 South Lakeview Drive, Bldg 5, unit 105 & 205
Property Tax ID #: 1425-605-0000-000/0
Site Plan Name:
Project Name: The Sands
RDESCRIPTION OF WORK: .
Insulated roof/ screen rooms removed by others.
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 5990.00 Utilities: —Sewer —Septic
Lot No.
Block No. _
Windows/Doors
Roof Pitch
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: FI.
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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DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _
Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
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 wner/ L ee/Contractor as Agent for Owner
Signature of Contract ense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF := -Ole
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this - day of eZ2, 1 .20, j by
this Yd , day of Z4,2 . , 1. 2015 by
Br i k�.., 0 zeny S Cir'
J- i �4.. k r vJ -e>
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
on
Pro uce
Produced
(Si re of Notary Public-StaSohrf%pog6kja�y
(Sign of Notary Public -State of Florida
NOTARY PUBLIC
John W. Homan
Commission No.
ATE.OF(S&�RIDA
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Commission No. of NOTMeal1PBLIC
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Coma# GG137186
cQ _STATE OF FLORIDA
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