HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:
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Building Permit Application JUL 9 .5 20,If
Planning and Development Services
Building and Code Regulation Divis'ion PEPFrITTING
Lucie
2300 Virginia Avenue, Fort Pierce'FL 34982 St. Unty, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 4-(4SA.�
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Address: 9", C;
Legal Description: jcs 3 1(4-,A L-r z 3
Property Tax ID#: (,n - 80 0 C)0- Lot No.
Site Plan Name: A -,A Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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HVAC �Gas Tank ❑Gas Piping _Shutters �Windows/Doors
e ric ❑ um ing Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of.Construction: Sq. Ft.of First Floor:
Cost of Construction:$ <9 757 a Utilities: oSew' er.E]Septic Building Height:
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31,
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Name 11"I60-j!�+ Name:r.Peter A,C,afaro,111
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Address1,11
: 0,.!!);•�:;•Jc/V:1!�*O'L."..' CdMpa'hY" LoWqs!HomeC�
eqter§ LLC
PI&,,b1ox!78.1993
City: State: F7L Address:
iz 01,
Zip Code- City.-•-o I d
State:FL
Phone No. 7 O'18 Z 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:.-_/ F�C.-LP6#. k<
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.
> yY.,h*y�r N' .SO -'row' '
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: of Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: t Applicable BONDING COMPANY: _ of 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 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:Y ur failure to Record a Notice of Commenceme y result in your paying twice for
improvements to your o erty.A Notice of Commencement must b rec rded and posted on the jobsite
before the firs ' pec on. I you intend to obtain financing, consul with I rider or attorney before
comme in or or ecordi our Notice of Commencemen .
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Signature of ner/Lessee/Contract as gent for Owner. Signatur of Contractor/License Hold r
STATE OF L RIDA STATE F FLORIDA
COUNTY F COLIN OF ORANGE
The forgoin ins rument was acknowledged before me The for Ing instrument was acknowledged before me
this day of 2011--by thisZenb day of ��. / 20I Z by
PETER A CAFARO III PETER A CAFARO III
(Name of person acknowledgin ) (Name of person acknowledge )
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( ignat a of N ary ublic-State o Florida) (Signature o otary Pubic- tate Vkbitda)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Pro-dug- Type of Identification Produ. d,
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Note, tt�'Y No1yP. ticStateofFlariee
Commission No. FF 981�� :g _ o I<ari(I IgcabOni Commission No. FF981 A Kaki Boni
Wool? MyCommlwonFF9e�ea1 i1AyCommisslonFF9o16ai
Expires 0912812020 ® Expires 05 2
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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