HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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
PERMIT APPLICATION FOR: To Select,from dropbox, click arrow at the end of line
Mmm fgjtp
Address: Q04 Z CA'Y
Legal Description:
Property Tax ID �Ja Lot No. :5
Site Plan Name: Block No.
:Project Name:
'Setbacks Front Back: Right Side: Left Side:
r.—
-
ON
heck a I I ttiat apply:
PipingCIHVAC Gas Tank Gas
FIShuttt-r-- w indows/Doors
EZ
i Electric Plumbing Sprinklers Generator F Roof Roof pitch
Total Sq. Ft of Construction: S Ft of First Floor:,
Cl. - -1
Cost of Construction:$ Utilities: Sewer F—Septic Building Height:
1Name Name. ' r-KCafaro111:
L
C s,'LLC
Address: Company:- H�
State: 95L- Address:'P.O o'Box*493!
City:�Oriand6 State:FL
Zip Code:,,.-.. -41SLO' Fax':
Phone No.
-71 2
-1-1 t5_1 80Zip Code: 32878-1993 Fax:
1
I E-Mail: Phone No, 407-393-9161
Fill in fee simple Title Holder on next page(if different E-Mail: -1-0 69'-L-P#6f 01-13 Q- c,"I
from the Owner listed above) State or County License: CbC1508417
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
a'�1fi_�ec.. �i_ e �•'Y v? n _.
NM����
DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY: _ of Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: �/Not Applicable BONDING COMPANY: QX 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 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 recorded a posted on the jobsite
before t e ft insp�� do . If you intend to obtain financing, cons twit lender r a attorney before
comme i ork.,r rec rdin our Notice of Commencement.
V V V�l V s
Signature o Owner/Lessee/Cont ctor s Agent for Owner Signat r of Contractor/License er l
STATE O FLORIDA' ,,��/ STAT OF FLORIDA !I
COUNTY F L9'h 4 !fy COU OF ORANGE
The forgoing instrument was acknowledged before me The fo oing instrument was acknowledged before me
this ay of C� _'T 20 I'I by this ay of Ocam 20 1-7 by
PETER A CAFARO III PETER A CAFARO III
(Name of person ackno edging) (Name of person acknowledging)
yn (
( ignatui of Notary Public-St to o Florida) (Si atur ota Pub lIc-State of lorida)
Personally Known x OR Produced Identification Personally Known x OR,RAduced Identification
Type of Identification Produce +
Type of Identification P►�i_ta'-e �' yP MblvarryPalrl S
' qI9 Kari �� 0-f-
I.
<Ftanda
Commission No. FF say A Commission No. FF 981647 -' s +�� OOi
d� y { �o9FF981647
jiOs0Df2lIf2020ON
A
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS