HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLI i LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: It 1 Permit Number: o
i RECEIVED
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Building Permit Application JAM 31 2017
Planning d d Development Services
Building a` Code Regulation Division
2300 Virg?is Avenue,Fort Pierce FL 34982
Phone: (7( 2)462-1553 Fax: (772)462-1578 Commercial Residential
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PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: i -:S,50 W o o ce-&s+ -t,
Legal Desc i ption: '(Diir P---q tt tsar tii Li-, C�i + 9
Property Tai ID#: Z303- 50 - C7Z)21 - 00<-) - Z. Lot No. 8't"4
Site Plan Nalme: CaD.vJ Block No.
Project Na e:
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Setbacks Front Back: Right Side: Left Side:
L x .
1-7
A
dditional or to e e orme un er this permit_check a appy:
:Gas Tank Gas Piping Shutters IFA Windows/Doors
Elect 1c MPltimbing Sprinklers Generator Roof
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Total Sq. Ft;A Construction: S . Ft.of First Floor:
Cost of Con ruction:$ a �3 q l _ Utilities:�Sewerf-I Septic Building Height:
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Name Name: PeterA Cafaro III
Address:.•.I�aS�-•.t+Jcoocit s 1. .�Y Company: Lowe's Home Centers, LLC
.,� �- P.O. Box 781993
City: f I I' ��4 State: Address:
Zip Code: Ir'«K- Fax: '`+ City: Oriadno State:FL
Phone No.iZ X579' -')s:{0 3 Zip Code: 32878-1993 Fax:
E-Mail: Phone No. '772 --q/6-3loi t9
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FII in fee sjmple Title Holder on next page(if different E-Mail: I
from the Owner listed above) State or County License: CGC1508417
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If value of co struction is$2500 or more,a RECORDED Notice of Commencement is required.
f SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: . .
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
I City: State: I City: State:
Zip: Phone: j Zip: Phone:
FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
f 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 thepermit 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 propert . A Notice of Commencement must be recorded and posted on the jobsite
before the first inspec ' yo intend to obtain financing, consult with lender or orney before
commencing,wor r recordi Notice of Commencement.
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Signature of / ent/Les a Signature o Contra r/ nse Hol
STATE OF FLORI STATE OF FLORI A
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COUNTY( Seo COUNTY OF SLC
The foreoing instrumpt was gcknowled ed before me i The fnrsoing instrunIgnt was acknowledge ore me
thisZay of At�l 20y thisday of `�p,� 2oy
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iPeter Cafaro III Peter Cafaro III
(Name of po acknm ging) I (Name of person ac _gfn
s
(Signature of Notary Public-State of Florida) (Signature of IYotary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
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"'' ( I`thCH BOCOOK �T i"'
Commission No. Se Commission No. BOCOOK
Notary Public•Sfalc of Florida Notary Public -Slate of Florida
I _ CntntrL_Expice�-A4a+7-?B1 •'' , wc�Tqg �
•' Commission k EE 176869
a". ;rforr��A CommIss-On ti EE 176869
Revised 0//1_5/_)0 "R„,1•'` Bondea Tnrouon N;honal Notary Assn, "'"'�� Bonded Through A�tonal Notary Assn.
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