HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
ALL APPLICABLE INFO MUST BECOMPLETEDFOR APPLICATION TO BE ACCEPTED (xy 2
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Date: 19 • 1 —1 Permit Number:
SCANNED
xf�r BY
St. Lucie County RECEIVED
am Building Permit. Application AUG 0 7 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 Residential X
PERMIT APPLICATION FOR: Window/door
€ ROPOSEDIM?,ROUC
MEN TLOC�3uia`
Addres
egal Description: Hibiscus -by -the -Sea Condominium Bldg. 1 Unit 301 (or 3901-2451)
.4876 Al ,4 r ff Uy%, f 3 o 1
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Property Tax ID 4: I H_� 26 00'I I - wd- 3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: _ Right Side: Left Side:
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ETAILED1t7E CRIPT1ON OFkWOV r �
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Replace windows with impact. orz-J--LvftS
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OSTRUCTIO%i(NFO1M�Q,, r F r €t c� r :w,
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diona wor tolie ertorme un ert ispermit—c ec a appy.
11HVAC� Gas Tank ❑Gas Piping _Shutters Z Windows/Doors
Electric OPlumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construc 9 Sq. Ft. of First Floor:
Cost of Constructi : $ 5,340 _ utilities:Sewer Septic Building Height:
CCtNC-RACTOR�..,_v;`
.r.,.,
Name rT l;r�IT_'M P S
Name: Ronald Kromhout
Addresss,:�3870 N. Highway A1A Unit 301
Company: Ronald Kromhout General Contractor, Inc.
City: a f-.nG� State: FL
Address:
City. Vero Beach State. FL
Zip Code: 34949 Fax: N/A
Phone No. 860-309-7927
Zip Code: 32168 Fax: 772-217-2694
E-Mail: jacker0754@charter.net
Phone No. 772-473-4597
Fill in fee simple Title Holder on next page ( if different
E-Ariail: kromhoutron@gmail.com
State or County License: CGC 023856
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN CA1iV
INFORMATION
DESIGNER/ENGINEER: //��� Not Applicable
Name:_ rn�/1 P-OS V_
MORTGAGE COMPANY:
Name: Ronald Kromhoul ,
_ Not plicable
Address:+ssssr ct.
Address: 3370N.Hi9hwayAIAM1301
City: �U 19 P State: FL
Zip: 32967 Phone o72>202-8008
City: VenuBeach
Zip: Phone:
State: F
FEE SIMPLE TITLE HOLDER: of Applicable
Name:
BONDING COMPA
Name:
Not Applicable
Address:
Address:
City:
City:
Zip: hone:
Zip: Phone:
OWNER/ CONTRACT OR AFFIDVIT: Application is hereby made to obiain 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 thework
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, swimmin.- 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.
erw�`
I At5`.eQ
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA 1
STATE OF FLORIDA
COUNTY iJ� *�a-� I e E�_
COUNTY OF-m r —
The f Ar oing instrurient was acknowledged before me
day AF
The for oing instrimentwas acknowledged before me
this day ApC[fi j 20 by
this of _ Z01�j by
of .
James Acker
Ronald Kromhout
Name of person making statement
Name of person making statement
Personally Knovrn OR Produced Identification X
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Proldduced odverUmnse
Produced
(Signature of Notary Public- State of Florida;):
I (Slgna nre of Notary Public- State of Florida )
Commission No. FF976986 ('etyrtr' CHERIt_(kaRUMH`No.
FF976986 (Seal)
MY COMMISSION
N FF976986
-''?;y. • •`- EXPIRES
April 05. 2020
mn
a Semce.ean
REVIEWS FRONT
ZONING
SUPERVISOR
PLANS VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
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COMPLETED 1
_ J
Rev. 8/2/17