HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: 3.�`�� Permit Number: 1Q)01
' RECEIVED JUL 2 9 2016
Building Permit Application
Planning and Development Services
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
;aooSEo tl `pRovEMT t_ocATlolu h s i F
Address: 7404 James Road, Ft Pierce Florida
Legal Description.. Lakewood Park-Unit 1- Blk 7 Lot 12 (map 13/14N)(or 3878-2637)
Property Tax ID#: 1301-601-0111-000-3 Lot No. 12
Site Plan Name: Block No. 7
Project Name: Harrison
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK
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Replace 4 windows in three openings and 1 man door, Home has existing shutters
"ONSTRUCTION INF03RMATIpN.
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Additional work toe e orme under this permit—c ec a appy:
HVAC F]Gas Tank Gas Piping Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers 1:1 Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ f,��(� Utilities:In Sewer Septic Building Height:
OWNEt/LESSEE m f f CONTRTdCTOR
Name Diana Harrison Name: Brian D. Kruger
Address:5563 Koblegard Rd. Company: Kruger Construction Corp.
City: Ft Pierce State:Fl Address: 6695 N. US HWY 1, Unit B
Zip Code: 34951-3708 Fax: City: Vero Beach State:FI.
Phone No.772-216-0657 Zip Code: 32967 Fax: 772-569-9115
E-Mail: Phone No. 772-569-5496
Fill in fee simple Title Holder on next page(if different E-Mail: jb44hom@msn.com or krugerconstructioncorp@gmail.com
from the Owner listed above) State or County License: CBC032086
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
'SUPPLEMENTALCONST, LfN LAW INFORMATION
,. .
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
_Sign re of Owner/Les e/ gent Signature of Contract /L ense Holder
STATE OF FLORIDA STATE OF FLOR
COUNTY OF COUNTY OF
a
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of U 20 (6by this day of J) Ly 20 &by
(Name of person acknowledging) (Name of person acknowledging)
(S' re of Notary Public-State of Florida) re of Notary Public-State of Florida)
Personally Known ) OR Produced Identification Personall Kn OR Produced Identification
kation Produced Type of Identification Produced
JOHN TV HOMM
Commission No. �� YPUBLIC Commission No. JC�HNW tiOMAN
OF FLORIDA OTARY 6
NATT
ConrN1 FF066495 ;ATE OF FLORIDA
95
*Expires 10/27/2017 894
Revised 07/15/2014 Expires 1012712017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS