HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (of 1*7 Permit Number:
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Building Permit Application
Planning and Development Services JUN 2 1 20W
Building and Code Regulation Division PEMA1171,NG
2300 Virginia Avenue, Fort Pierce.FL 34982 St. Luci unty, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential 5�6
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 2.:;>002
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Address: z'o co
Legal Description: A,14v, 6og&_ m4A wqe; 1Lrfr9 ,,"o .4t1z.'o 10
Property Tax ID#: (P— 3 0/;-- c>,z co Lot No. q-tIC7
Site Plan Name: X-4 Block No.—A
Project Name:
Setbacks Front Back: Right Side: Left Side:
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_'Aaa rt1'o_'n_a''I work to be nertormed, uncler this permit—CheCK all appy:
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HVAC Cja--;Tank E]Gas Piping M';hllttprs Windows Doors
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Electric Plumbing
OSprinklers E]Generator EIRoof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ gf 009 Utilities: F—]SewerE]Septic Building Height:
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Name W—res-ht4A Name: Peter A Cafaro III
Address: Company--Lowes",Home..Centek(s-.LLC
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City: State: dQ_ Address:R
49,
City:, State:FL
Zip.,Code: Fax' :
Pho.np,.N,o., Zip Code: 32878-1993 Fax:
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E-Mail: Phone No. 407-393-9161
Fill in fee simple Title Holder on next page if different E-Mail: 7-P6-/_ P'z r-mi 1-.' 0-voptm.
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.
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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 holderto 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 5t. 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:You ailure to Record a Notice of Commennbe
may result in your paying twice for
improvements t our pr e . A Notice of Commencement mucorded and posted on the jobsite
before the first ' sectio . If yo intend to obtain financing, conlen r an attorney before
commencing w rk o r ordin our Notice of Commencement.
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Signature owi r/Lessee/ ontractor as en t for Owner ignatunp of Contractor/Li ense Ho der
STATE OF FLC I STAJro
FLORIDA
COUNTY OF ` COOF ORANGE
The f91fgoing in r men was acknowledged before me The g instrument was acknowledged before me
this &A6day of 20 7 by thisy of Jy_,E 20 by
PETER A CAFARO III PETER A CAFARO II I
(Name of person acknowl dging) (Name of person acknow dging)
1
igna re of Not ry Public-State of orida) (S nature of No ary Public-State o Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Pr dType of Identification Produced
NotaryPubllcStMeot Flonne )
Commission No. FF ssisa7,,a;� ItBrii(IBl botli Commission I FF ss�sa� Mal
MyCotnmissionFF9010147 aCStsteofFloddr, r
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Expires0512812020 { Mvcn .
t*h' a ExpIres05)28120P0
Revised 07/15/2014 f
REVIEWS FRONT ZONING ' SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS