HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:t � Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300!Virginia Avenue,Fort Pierce FL 34982 p
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential i
PERMIT APPLICATION FOR: p
To Select from dro box, click arrow at the end of line
PROPOSE(1IMP R0,1/E(�'� iU ,
Address: 21 D 9 V I v rS5C4
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Legal Description: 4—Oyc elW dC fX d�l/;( t T t( I C7/11 L d cam/
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Property Tax ID#: C) (o )J– Q7j�J 0& "" Lot No. 2
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Site Plan Name: � '� Block No.l
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED„ ESI i�,T(� ti
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CONSTRU
.dAdditional work oe orme ' under perm✓! —s e , a_ ap : 4
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric F-1 Plumbing ❑Sprinklers Generator Q Roof
Total Sq.Ft of,Construction:
ISQ.Ft.of First Floor:
Cost of Construction:$ T � "t r Utilities:. Sewer Septic Building Height:
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OINNERJLSSEir' r :g ' o
Name Sevv + Name: Peter,ACafarolll j
Address: 1 l e1 No 4 o SS t � Company: Lowes Home Centers,LLC
City: {� �Q_ State: Address: p.0 Box 781993
c� C Oriando
Zip Code: V J _ Fax: City: State:FL
Phone No. -7 (-� Zip Code: 32878-1993 Fax:
E-Mail: Phone No.
Fill In fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: CGC1508417
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i
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SUPPLfME1VT, L
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: I
Zip: Phone: Zip: Phone:
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I certify that no work or installation has commenced prior to thie 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 Amendme s.
The following building permit applications are:exempt from undergoing a full concurrency revi. :r m additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses o ano er non-residential use
WARNING TO O. ER:Your ur to Record a Notice of.Commencement ma result your pa in g twice for
improvements t .yJ1,
prop .A otice of Commencement must.be rec rded a d postothe jobsite
before the first' stion. f you i end to obtain financing,consul it ender o an a me before
commenci W rk ec din , o Notice of Commencement.
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_Signature of ner/Lessee/Agent I/
Signature of tractor/License Holder
STATE OF F IDA STATE OFF RIDA
COUNTY OF R cE COUNTY O N
The f ing i nt:wa�stn(wledgepfore me The fo in i �stru ent vtia acknowledg fore me
this day. 20 L1by this d ✓ 201-/—by
PETER A CAFARO 111 PETER A CAF 01111
(Na a of person ackno _ dging) (Name of person acknowledge. }
( gnat of otary Public-Stete f Fl ride•) ( gnature o, otary Public-State of FI ride
Personally Known x OR Produced..ldentification Personally-Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF 981647 1l�F101fd� Commission No. FF 98 7
Y rumc. Kl11 M. Rixabonl %!C a raFF 981647ft
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW. REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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