HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Fn {n
Date: CaI � / / Permit Number: "'�
i Building Permit Application JUN
Planning and Development Services PERrAl"iTING
Building and Code Regulation Division S1. Lucie County, 1=L
2300 Virginia Avenue,Fort Pierce'FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED.IN PRQVEMENT,LOCATION s4..
Address: 302- 3
Legal Description: �i✓E� A JC (ilei�"" 2- /31 _M
Property Tax ID#: V 3H1 3 )1 _00C)- Lf Lot No. I Z
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Site Plan Name: 6t'J CRSS Block No. ZI
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK
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CONSTRUCTION INFORM°ATION
Additionalwork to be nertormea under this permit—c ec appy:
HVAC Gas Tank 17171 Gas Piping Shutters Windows/Doors
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❑Electric ❑Plumbing Sprinklers 1:1Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$12 (O/ Utilities: _Sewer Septic Building Height:
OWNER/LESSEE CONl"RACTOR r ''
Name.. .. ✓.�c�l..,;, Wr Name;. Peter A Cafaro III .
Address:" 3i� Company: Lowes,Home=Centers;.._LLC
City:' rI?ra �f L �..�. r� State: Address P O.' fox 7.81993
Zip C,ode:,. 3Kg ..f Fax city;,Orlando~ t State:FL
Phone No. ''/2- Z3 2: 2z Zip Code: 32878-1993 Fax:
E-Mail: Phone No. 407-393-9161
Fill in fee simple Title Holder on next page if different E-Mail: �y.L s/anav- corrl
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.
to 3®5-
SUPPLEMENTAL-CONSTRUCTIQN LIEN LAW INFORMATION; .
DESIGNER/ENGINEER:ry 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 Commenceme m y result in your paying twice for
improvements to your property. A Notice of Commencement must reco ded and posted on the jobsite
before the first i ection. you intend to obtain financing, consul with le der a attorney before
commencin w rk rec d our Notice of Commencement.
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Signature of 0 er/Lessee/Con racto as Ag nt for Owner Signatu f Contractor/License olde
STATE OF FL RIDA STATE FLORIDA
COUNTY OF COUNT OF ORANGE
The f rgoing ins ment was acknowledged before me The forg 'n instrument was acknowledged before me
this L ay of a s,.n. 20 /lby this y of �E ,20 /7 by
PETER A CAFARO III PETER A CAFARO III
(Name of person acknowledging (N me of person acknowled "ng)
5f�r
( ignatNotary Pu lic-State o Florida) (Signature of Votary Public-State of rida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF 9816J r�r SweotFforid� � Commission No. FF9siP,.4�o1� NOMTYPUp� of a'
. Kari nt Kad M RW,1l
MyComm ►FF98164� MyComirtissionFF981&bi
Revised 07/15/2014
REVIEWS FRONT ZONING . SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS