HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application OCT 0.4 2017
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential �[
PERMIT APPLICATION FOR: To Select.from dropbox, click arrow at the end of line -Dom
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Legal Description: 5` ��1`� c� �`•-� ���(
Property Tax ID#: 22t fir- 3 3 Z� OOU - nOc7- I
Lot No.
Site Plan Name: —(-'ftf_A A Si ew e 2 Block No.
Project Name:
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Additional work toe e orme under this permit-c ec a appy:
HVAC Ei Gas Tank ❑Gas PipingShutters Windows/Doors
Electric 1:1 _Plumbing 05prinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
2
Cost of Construction:$ (�Sr Utilities: Sewer❑Septic Building Height:
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Name_ThQ.A Si iEuv:4:Q.Z Name.`-Pei6r Cafaro III
Address: Zl'S:C7 . •� nE�� 2.o Company: Lowes'HomeiCente�'s, LLC
Address: P.OBox7$.1.993'= _ State:_
Zip"Code: ..3? LQi C Fax: City:Orlando,.. State:FL
Phone No. -7 ZCJ 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: E yAh .coon%
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: _ of Applicable MORTGAGE COMPANY: LXAlot Applicable
Name: , Name:
Address:- Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITL'E'HOLDER: of Applicable BONDING COMPANY: 6�CIVot 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 concurpricy 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 I nay result in your paying twice for
improvements to your roperty. A Notice of Commencement mus be r corded a posted on the jobsite
before TeArt insp do . If you intend to obtain financing, cons twit lender ra attorneybefore
commeiork Or rec rcli-ng your Notice of Commencement.
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Signatureo Owner/Lessee/Cont ctor s Agent for Owner Signat r of Contractor/License er
STATE O FLORIDA STAT OF FLORIDA
COUNTY F �'1r iU COU OF ORANGE
The forgoing lnstrumept was acknowledged before me The fo oing instrument was acknowledged before me
thisZk&day of � �- 20 I?by this ay of c ee-J" 20 /'1 by
PETER A CAFARO III PETER A CAFARO III
(Name of person ackno edging) (Name of person acknowledging)
( 11 /7 '1—7 V--� t I ( I I M 4 k
( ignatur of Notary Public-St to o Florida) (Si atur rotaPub Ic-State of lorida)
Personally Known X OR Produced Identification Personally Known Xy r ed Identification
Type of Identification Prodcic
Type of Identification P Cf _ YP e� � �►YPubfrc
aE �l FF 981647 a �arl� °�f�PE20f�f87YY�
Commission No. FFss1s4�W . li�FF9�81W Commission No.
`r F E !f@g®Eff (120D381647
ry r
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS