HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t�
Date: 1T 1 ��_ Permit Number: Viol— d-1!j j
• RECE1%-'70 SEP 2 7 2011
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR To Select,from dropbox, click arrow at the end of line
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Address: 1 �..a
Property Tax ID#: Lot No. 17
Site Plan Name:" CecC he,,,,a�, S Block No. 1
Project Name:
Setbacks Front Back: Right Side: Left Side:
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iw. .,a,+ ',ec a appy:
❑HVAC Gas Tank Gas Pi in _Shutters
— ❑ p I; EfWmdows/Doors
❑Electric ❑Plumbing ❑Sprinklers ❑Generator ❑Roof Roof pitch
Total Sq. Ft of Construction: " S Ft.of First Floor:
Cost of Construction:$ f1 (�'f U Utilities:CL) ❑Septic Building Height:
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Name:Pei A CafaM III
Company; Lowes Hi
9)p' 1p6nte"s,`LLC
Address. p O 'Box 78.1993
Zip Code: I "Afq"d5� Z Fax: City: Orlando` " State:FL
Phone No.�77 L - 3'6- - Iq 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:
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: jK 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 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 ncy review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and acces o uses to an
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 recorded a posted on the jobsite
before t e f r t insp do . If you intend to obtain financing, cons t wit lender r a attorney before
comme i ork 7 r rec rcling your Notice of Commencement.
S
Signature o Owner/Lessee/Cont ctor s Agent for Owner Signat r of Contractor/License er
STATE O FLORIDA STAT OF FLORIDA
COUNTY F (�1rU� COU OF ORANGE
The f rgoing instrume t was acknowledged before me The fo oing instrument was acknowledged before me
this day of 20 /Zby this ay of20 /7 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 p. r`•d ed Identification
T e of Identification Produce
Type of Identification P► �" YP ` oFart�,Pui�,4c �
Commission No. FF98164r war,061647 Commission No. FF 981647affl6 e �Y Dpi
Rey E IFr3g�9fi 1 8�0 E ir�0813�; -981&7
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
COMPLETE
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