HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 0 (S3
�pC)
RECEIVED
Building Permit Application OCT 04 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucia County, FL
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 f�V[ � }Ear V Y 'r3i� ��„` '�It u wi'af~ y1+>?•,i A R 2�ir`+.
a.t�.�. .fi;.��-e-..,..x.>. ���,.... A,�� .,txyy�5a�+..,5`",r.,f,.,%^'.��3.'��x?'rb�'?!:n�✓,r}���2�t.�$�t�`�iw,t+Y�'�rrr�.� -h��x�`F��F.�r�k�t>.raa;fs.:i
Address: (002- 0 Avec.
Legal Description: W6'" CA 4 LT Z,'S-G
Property Tax ID#: '3403-hoz - 03i(3• C),%z)- 3 Lot No. ZSf'D
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: p� Left Side:
��� �� ��i0 f pj(",�,.+.,Ti`'0.�'s,t y-.,_ � d ., .5.,�. !4,�2'�'t• 4 �A",i,'Y�.S'��<i "�J�yr{ic`f�y,fid'y � �'-�`��� ."q�£�" ''
a_"Z ks, Lk '� •S
...o.. s.....:-? .... .. .., q':.F.s,.: `.? ..n,._.: its ...rrs_.�:._...f..�Y Cyvav a�.,1�w";�1C�c...zs?i�".�.j'd° °.,.._-.. .ti?X�"zw�;? r, .'l�..s�..�a'`�-'.�.43E'-�x•'S?,+.�.���t_"Y�'��.�?'r^{'k'��&�:�z��*�::
itiona wor to e e Orme un ert ispermit-c ec a appy:
aHVAC �Gas Tank ❑Gas Piping _Shutters �Windows/Doors
Electric um ng Sprinklers 01 Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$_!<0'55Utilities:nSewer❑Septic Building Height:
vs=..,s:viy" ¢.igsrrtr�vr. t i c 4
�$+']�'''+; '�.�^^ X[_"` �"`.' =� w
Jr �A�� Grr� i „�: �'.�,
t. -ta., ... :._n, .>„c.,'':` �_±::k?a•o.XF` t ;3a -z• .."�:-.� ,,e _. stw...�.`.3.'? 5, -cC�i
Name_ .JCA+rCl+�E "' SIL\�c Name 'Peter`A Gafaro III°`
7.
Address: (OE�.Z Q��pi�4. [, ✓� Company: Lowes=HomelCenter's, LLC
City: i:C` ,r;” State: "P.O:,Box 78.1993
Address:
Zip'Code:_3,4tq—:6,2 Fax: City: Orlando`•f` State:FL
Phone No. 7?2, Lt(A, L4043 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: 7pG_L pE •ks (� �fgy�ea_ Dov^
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.
•�'W �1. G i 3'. �..Y's4 Y`^'YLM}¢'�+.'�ftQ� T' Y' yWy,• 61 �: '.�53.:'.�Cla' v 3"^'4�^�'Y w`MC'' wl�`✓5 ,Sans'A,t h'�i�Ei^21��Y����.:5.6�� �.(.,�{*?. l � ✓•.
DESIGNER/ENGINEER:: � _Not Applicable 4„ MORTGAGE COMPANY• _Not Applicable
Name: Name:
Address: 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 concur ncy review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and acc/ent
o uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commence ay result in your paying twice for
improvements to your roperty.A Notice of Commencement mus be rE corded a posted on the jobsite
before Teryt rt insp�� do . If you intend to obtain financing, cons t wit lender r a attorney before
commeiork dr rec rdin our Notice of Commencement.
s
V V n L11
Signature o Owner/Lessee/Cont ctor s Agent for Owner Signat r of Contractor/License er
STATEI FLORIDA STAT OF FLORIDA
COUNTY F ('f e�r'�-- COU OF ORANGE
The f going instrument was acknowledged before me The fo oing instrument was acknowledged before me
this -day of L Ir-D I' 20 Eby thi ay of c�C•Q 20 n by
PETER A CAFARO III PETER A CAFARO III
(Name of person ackno edging) (Name of person acknowledging)
�K� 2
Vgnatu—rh of Notary Public-St too Florida) (Si atur ota Pub Ic-State of lorida)
Personally Known x OR Produced Identification Personally Known x R.,%• ed Identification
Type of Identification P d r Type of Identification Produce
h
®�® Oda�put3lic
FF 981647wft
o7�t da
Commission No. FF 98164.A ' Commission No. Iaa�j�9
o �
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS