HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� 3J l 1 �► Permit Number:I J� '
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Building Permit Application DEC 0 5 2011
Planning and Development Services
Building and Code Regulation Division PEWAITTE IG
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential J,[`
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line T.)—oG
PROPOSED IMPROVEMENT LOCATION:
Address: 13 31 � t,%,J hMp I+t.- dL.a
Legal Description: AArbouw IL+Ogt -ptc.T 13 30
Property Tax ID#: 4q 2l0 - 3% ts - oco;1 - o W-- O Lot No.
Site Plan Name: VV.w I Po s4c:wE Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
�s�p.\t �QfL ��+�ac�r �OJR NJ ��'iN S•ZC.
GQN.5TRUC7ION INFORMATION:
Add itiona I wor k to (e De orme un er t is permit–c ec a appy:
HVAC LJ Gas Tank E]Gas PipingShutters Windows/Doors
[]Electric 1:1 _Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $
Utilities: USewer Septic Building Height:
OWNER/LESSEE:
...CONTRACTOR:
Name V*rJ Name: PeterA Cafaro III
Address: Company: Lowes Home Centers, LLC
City: At es4-4 State: PL Address: P.O.,Box 781993
Zip Code: .'34 TI 0 Fax: City: Orlando State:FL
Phone No. -112- 878- qp►tS 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: �,- lot Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _piLNot Applicable BONDING COMPANY: XNot 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 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 osted on the jobsite
before Te f r t insp do . If you intend to obtain financing, cons twit lender r a attorney before
commei ork r rec rdin our Notice of Commencement.
V '_" V'l L/
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Signature o Owner/Lessee/Cont ctor s Agent for Owner Signat r of Contractor/License er
STATE O FLORIDA' r� STAT OF FLORIDA
COUNTY F ( w�-r- COU OF ORANGE
r
The forgoing instrument was acknowledged before me The fo oing instrument was acknowledged before me
this 3cAday of Nod 20 2by this day of NW 20 j7 by
PETER A CAFARO III PETER A CAFARO III
(Name of person ackno edging) (Name of person acknowledging)
$ignat—url of Notary Public-St too Florida) (Si atur ota Pub Ic-State of lorida)
Personally Known x OR Produced Identificati n Personally Known x r ed Identification
��" � Type of Identification Prod`ucecj,
Type of Identification P� 1 �� YP '�" GfBry
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Commission No. FF saisaT � Commission No. FF 981647 ' � a
p SoiC��981647 K
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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
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