HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 17 Permit Number: mq ('�
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Building Permit Application JUL ? ,9 GCgf'
Planning and Development Services
Building and Code Regulation Division
St. Lucia 'Lln b,;, :=L
2300 Virginia Avenue, Fort Pierce FL 34982
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: 3 t� I '�j 0 n it f'k PL_Ac
Legal Description: �97 3 3 p•r ►tet f'C�SE�w(e (� -SE V��'1('S�•,,: 1 �� 79
Property Tax ID#: 31 3 r So m Uc) 9 co - O oy - Lot No. -7 q
Site Plan Name: ��t,�'� ��Av1 S Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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rtiona wor._to e- e orme under this permit-c ec a apply:
HVAC Ei Gas Tank ❑Gas Piping OGenerator
uatters Windows/Doors
Electric ❑Plumbing OSprinklers F]Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ Utilities: Sewer F Septic Building Height:.
Name �s i� Pete�Ya'Cafaroall
h�.•;;5�- Name:
` �e , R Lowes Horne Centers;'LLC
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Address `�Ld I3 F OKE P #71�c•� Company I ,a
City,:�or, _S�' " '`a,.E L' State:l� Address P O;`Box7$•199
Zip Code 3 `8'� Fax: City: Orlando'ti,` - °+ a=.z ti- State:FL
Phone No.CP 7.0 3 :5 O I t 1 1 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-P6'. L CV �/akaa • eu n-�
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.
DESIGNER/ENGINEER: _-4,40t Applicable MORTGAGE COMPANY: _ of Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE.HOLDER: _ of 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 concur cY review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and acces o uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commence ent ay result in your paying twice for
improvements to your roperty. A Notice of Commencement mus be r corded a posted on the jobsite
before Terf r t insp do . If you intend to obtain financing, cons twit lender r a attorney before
commeiork ,r rec rcli_ng your Notice of Commencement.
V V V� —
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Signature o Owner/Lessee/Cont ctor s Agent for Owner Signat r of Contractor/License er
STATE O FLORID'A', STAT OF FLORIDA
COUNTY F ('f w��"X�— COU OF ORANGE
The forgoing instrume t was acknowledged before me The fo oing instrument was acknowledged before me
this �Fiay of wl�� 20t7—by this y of �a-1 20 �� by
PETER A CAFARO III PETER A CAFARO III
(Name of person ackno edging) .(Name of person acknowledging)
( ignatur of Notary Public-St too Florida) (Si atur ota Pub ic-State of lorida)
Personally Known x OR Produced Identification _ Personally Known x Q� r ed Identification
Type of Identification P I& " Type of Identification Prodl�Ce
0i a° 0 ryPublic5'!$teof
Commission No. FF 981 a OOFFaA1847 Commission No. FF sa�sa� � NKjya m 011i FIG»d8
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS