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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED O
Date: �l (� � (� Permit Number: �
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division i
2300 Virginia Avenue, Fort Pierce FL 34982 1/
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential ✓�
PERMIT APPLICATION FOR:1
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Address:
Address: (D (v 4:7,,,^_
Legal Description: UJ %'W9 VW, « 1/t1t,
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Property Tax ID #: 45 11 - IRJ ( - c3o 13, O OJ Lot No.- z
Site Plan Name: q,vti�/ 1�%�"1 0✓1 CAui I Block No. _
Project Name:
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itiona wor to e e orme un ert is permit-�c ec a� appy: '
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HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric ❑Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Z Lt to Utilities: _ Sewer Septic I Building Height:
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Named"tv++rny �. n'! O.N. E/}cl
Name: Peter A•Cafaro 11.1 y. i. ,, ..,,_ ..,,..,, ,;
Addres-s-:P�: l0;%::v :�n .� ✓,..
Company: L"owes' Hoirre`Centers,::LLC; .
Address: P.0! Box 781993. <
City:;t JPS. e;: l a.�►ci� State:
.,t —
Zip Code: 3(q S' `� ' Fax:, `
City: Orlando .. FL
State:
Phone No. 772- TO ' UO /c7
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: -T-Pe, - co...,
State or County License: CGC1508417
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. j
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VEGETATION
DESIGNERANGINEER:
Not ApplicableMORTGAGE
COMPANY:
_ Not Applicable
Name:
REVIEW
Name:
REVIEW
Address:
REVIEW
Address:
City:
State:
City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ of 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 O NER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements,t our property. A Notice of Commencement must recor nd posted on the jobsite
before thg-fir t ins�ectio . I ou intend to obtain financing, cons w h I der o an attorney before
commen In work r reelordinkvour Notice of Commencement.
Signature
ntractor at Ahent for Owner
STATE OF kLORIDA STA'
COUNTY f COL
F FLORIDA
OF ORANGE
License
The forgoin nstrument was acknowledged before me The fo ing instrument was acknowledged before me
thil� da of "�,�l.i 2d'Lby this day of 'Su -1 , 20 � by
PETER A CAFARO III
(Name of person
A
Personally Known x
Type of Identificatiom�
Commission No. FF
Revised 07/15/2014
PETER A CAFARO III
(Name of person acknowledgin )
.
- St t� e—oTTTbricla�)-�-/ (Sitnature Pf Notary Public- State of Florida—)
OR Produced Identification Personally Known x OR Produced Identification
Y Type of Identification ProALLuc.
NotwPublicsteteo+clonor < 7 NotaryP��i OtFlodde
KariMRipp��ppnl Commission No. FF ss�sa7 lI���mmttee
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
F7-07-04 15:31 installed sales 0703 7726927532 »IO
. A BOUNDARY AND RECORD SURVEY FOR GEORGL• a VERA "ING '
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CERTIFIED TO:
WASHINGTON MUTUAL BANK,1ITS
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SUCCESSORS AND/OR ASSIGNS;
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G)EORGE B. HOUGH, JR.: P.A.;
ATTORNEYS' TITLE INSURANCE
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FUND, INC. and GEORGE HI ING
AND VERA HARDING
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THE WEST 36.30'
OF LOT 12 B
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ADDRESS:
66 Aqua Ra Drive
Jensen Beach, Florida
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LEGAL DESCRIPTION:
The East 38.70 feet of Lot 12, Block A. WINDMILL VILLAGE BY I
THE SEA, RM W, according to the Plat thereof, as recorded
in Plat Book 16, Page 31 of the Public Records of St. Lucie
County, Florida and more particularly described as follows:
Begin at the Southeast corner of Lot 12, Block A. WINDMILL
VILLAGE BY THE SEA, UNIT TWO, as recorded is Plat Book 16,
Page 31, Public Records of St. Lucie County, Florida; thence
run along -the South line of said Lot 12, S 89°56'22" W. 38.70
feet; thence N 00°03'38".Ws.114.00 feet to a point on the j
North line of said Lot 12; thence North 89056'22" East, 38.70
feet to the Northeast corner of said Lot 12; thence 5 00`03'
38" E. 110.00 feet along the East line of said Lot 12 to the
Point -of -Beginning.
CERTIFICATE: This is to certify that this SXETCH OF SURVEY. of the hereon WWAR=WM" AK RUMM t0 AN AIa9Mra WAME Or
se9etr.,anteRaccneeasea►A9w RA D"k.
deterlbed property. and ,unrest to the list of is knowledge and millet. ,
aoatdW7--
visiblenless shosm. and meats the ltlnimum Technical
StandG -8 F.A.C. by the Florida Board of Lend AE
SurveFlorida Statutes. REVISIONS
M��,,, NOT VAI�D UNLESS
ID 111TH AN Itit90SSED
SURVEYOR'S SEAL
Tats SURVEY prepared from
PROFESSIONAL IAND SURVEYOR legal
E lltdet�ption supplied ygRD/NG
STATE OF FLORIDA REOISTRATiON N0. 3162 y PROilECT NAME:
gDUMnD We Lli11VG]3HM SCALE FIELD /YL,HG SHEET FIELD BOOK & PAGE
Led Slrveyer. for- �..� 2O. / /53 % 8
862 N.Y. Alias Avenue. Stuart, Fla,lda 341194
DATE OF DRAWN q/p OF WORK ORDER NO.
(set) 1192-1254 / (641) 692-1257 FIELD SURVEY 98,/0224
FAX (561) ON -2110 A-120"° CHECKED
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