HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -7( Permit Number:
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Building Permit Application JUL 9 � 7
Planning and Development Services
Building and Code Regulation Division PI=RFi+ITTif.!
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie CoUr,i:y; 11_
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 6,8(3 %-
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,g( %-Legal Description: 'TNO"' (u fe-, 1-s-N�- C.-s
Property Tax ID#: 3'jo Z- ("09 —0%.170- 00(= ' "1 Lot No. 3 2
Site Plan Name: disc- CAA%",/ Block No. lou
Project Name:
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rtiona wor to e e Orme un er t is permit-c ec a appy:
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:$ Utilities: _Sewer❑Septic Building Height:
00""
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�f�IIINER� S ya � �
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Name_ Cy-46� (tile.ChJ Name:-Peter ACafaro..11.. :...:::.. :..;.,...
Address: J,.:. sck..':31�'� company:'' Lowes"Horn&'Centeis;'LLC
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City: State: FL Address 'P:O'Box.78:1993
Zip Code: 3'�a-g2'P' Fax City-.-.Orlando.. , f' State:FL
Phon'd'N'o 'q`J`2'= ?`�j'r = ''3Cc 3 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: 7-IDG .. L/��R w�� l,/4tiwo• cov.,
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 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 TOO ER:Your 'lure to Record a Notice of Commencement result in your paying twice for
improvements t yJrcre�o�rd
ur rt .A Notice of Commencement must b eco ded and posted on the jobsite
before the firs intiyo ind to obtain financing, con ult ith le der or an attorney before
commencin ork in ur Notice of Commencement
V /In
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Signature of 0 e ,Lessee/Contractor a Ag nt for Owner Signature f Contractor/License Hold r
STATE OFF RIDA STATE FLORIDA
COUNTY O COLIN OF O-NGE
The for oin I trument was acknowled d before me The forgoing instrument was acknowledged before me
this��ay ��•� 20��by this /"ay of ��� 20 17 by
PETER A CAFARO III PETER A CAFARO III
(Name of person acknowleging) (Name of person acknowledging
0 50
igna N tary ub ic-State bf Florida) (SigViature o otary Public- tate of hoicla_r--'
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification ProoType of Identification Produced
oto>aY (i�`1gNotaryPublicStateot�rnnoa
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Commission No. FFs6lsart.? KaflCaboni �� Commission No. FF 98160YPNotaryP(t6l6d1)3teofFlorida
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