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HomeMy WebLinkAboutBuilding Permit Application i ALL APPLICABLE INFO MUST BE COMPLETED FOR-APPLICATION TO BE ACCEPTED n- �aa Date: Permit Number: 1 1 0/(W 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 PERMIT APPLICATION FOR: To Select from dropbox, click arrow at-the end of line PROPOSED,IMPROV �IIIENTLOti' Tl_, .: Address: 32Z ( kin ( J Legal Description: n U u d 0 C , 1-4,F 3's Property Tax ID#: 13 Z-? 61 --Oo 3 -7 "' ?QL - Ll _ Lot No. 3 3 Site Plan Name: 6_10 1� Block No. Project Name• C�I�tJC-A) Setbacks Front Back: Right Side: Left Side: I DETAILEDDESOI L_Pt & M GJ'T S ) Q L— Pini, Y .,_ . d i/ .Try.. i- �, w="^` �t�°.�,r" N ,�tq/��,�'• Yra.`,,"_ - y CONSTRU, OI�I Inl _ 5 r � �� x Y; HVAC Gas Tank ©Gas Piping _Shutters L&Wclows/Doors I . I Electric Plumbing Sprinklers Q:Gene:rator Roof Total Sq.Ft of.Construction:, Sq.Ft.of First Floor: Cost of Constrtution:$ 3(o Wtilities: Sewer OSeptic Building Height: i . OWNERVLSSE �P,a9xt .,p„ ..-txsF..mat E °fes Name / i. Name• Peter!A Cafaro,111 Address: _Z Y U`� Company: Lowes Home Centers, LLC ' City: `�Q j P/✓C State: Address: P.0 Box 781993 Zip Code:3 0K Fax: City: Orlando State:FL Phone No. 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$2500 or more,a RECORDED Notice of Commencemegt is required. I , I I SI1� UPPffI�TLCOw � �.K.. DESIGNER/ENGINEER: ^Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: �^ FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY. _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St.Lucie County makes no representation that is granting a permit will authorize the per I it holderto build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or;and covenants tat may restrict or prohibit such structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of.the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work in accordance with the approved plans,the Florida Building Codes and St.Lucie County Arnendme The following building permit applications are.exempt from undergoing a full concurrency revi :r om additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses o ano er non-residential use WARNING TO O. ER:Your ur to Record a Notice of Commencement m I result youripa Ing twice for improvements t y r prop .A otice of Commencement must be rec rded a d post o the jobsite before the first.' sp (on. . you i end to obtain financing,consul it ender o an a me before commenciif w rk o 'rec din o Notice of Commencement. Y V Vi s Signature okner/ essee/Agent Signature cJ.. ctor/License H der STATE OF F STATE ODA COUNTY OCOUNTY The 11dagy int:was cknowledgedore me The Torg imnent was cknowledg d fore methis /�/ 20 y this dQJ IU 20 by I L4 PETER A CAFARo III PETER A CAF . (Na a of person ackno dging) (Name of person acknow ledgiju ) i (SIgnatWof otary Public-$tate f FI rida) ( gnature o. otary Public-State of FI rida i Personally Known x OR Produced.Identification Personally Known x' OR Produced Identification Type of Identification Produced Type of Identification Produced i Commission No. KfalMStm ofFkxWa Commission No. FF 98 7 FF 981847 aFalia. a. 010"060.,Me.' Ei4ltres o61pp�p Revised 07/i5/20i4 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE . MANGROV. COUNTER REVIEW. REVIEW REVIEW- REVIEW REVIEW REVIEW DATE COMPLETE r INITIALS I I I . I i i I i i