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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: L1 -7 Permit Number:
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Building Permit Application
,Planning and Development Services ,
iBuilding and Code Regulation Division. i
2300 Virginia Avenue, Fort Pierce FL 34982
(Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
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PERMIT APPLICATION FOR: To Select.from dropbox, click arrow at#the end of line
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Legal Description: �A.n��"1'l �-A+�'ES �Gri w�4 N
Property Tax ID#: l �6b- 6700 OOS I - 029"+ Lot No. 1 3
Site Plan Name: (•�or'0� i vl.c rn�iEk I ' i Block No. '40
Piroject Name: i
Setbacks Front Back: Right Side: Left Side:
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Additional work to e e Orme under-t is permit—c ec a appy: I
C�HVAC ID Gas Tank -]Gas Piping _Shutters I Windows/Doors
Electric FlPlumbing Sprinklers F"�Generator Roof. Lr� Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
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Cost of Construction:$ i� s Utilities: Sewer Septic ! Building Height:
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NameS'�n��a rl�Cnh�� 4�R Nameif I'efei t1faroIII,
Address/��� r° � E{ Company:. Lowes NameiCentq s, LLC
City: � State: f0- Address: P-04'Box 781993
Zip Cede: Fax: City: Orlando' State:FL
Q9q- '1 &7 O Zi Code: 32878-1993 Fax:
Phone No. !g '� 40 p
E-Mail: Phone No. 407-393-9161
Fill in fee simple Title Holder on next page(if different E-Mail Te co-GP4,!6 4-r �ahoo�aarh
from the Owner listed above} State or County License: C(5(51508417 -
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is regdired. ,
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DESIGNER/ENGINEER: Not Applicable N MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name: YL
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 tie f r t insp� do . If you intend to obtain financing, cons twit lendervr a attorney before
commer� i `ork:r rec rdin our Notice of Commencement.
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Signature o Owner/Lessee/Cont ctor s Agent for Owner Signat r of Contractor/License er
STATE O FLORIDA STAT OF FLORIDA
COUNTY F ('f�w��-�-- COU OF ORANGE
The fQjPoing instru t was acknowledged before me The f ing instrument was acknowledged before me
this "�r"'day of mac- 20 1z by this ay of �L 20 �� 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 otPu
a b Ic-State of lorida)
IF
Personally Known x OR Produced Identification Personally Known x GRr d a ed Identification
Type of Identification Prod&e
Type of Identification P d' ' � _ �_ YP
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Commission No. FF ss�sd� N
fill Commission No. FF 981647 6�ar��pu I�rl6����r��
6 �OF�BB1�57 - YC loaFF98964
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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