HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I el (3 Permit Number: I - nu�
Ji AI
RECEIVED
Building Permit Application JAN o 8 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
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 e,�s
PROPOSED IMPROVEMENT LOCATION:
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Address: A•n+AN Lyt3
Legal Description: O_S6.4-UE. � -�. {7 � =4 LoT 3 9
Property Tax ID#: :337-1 - 603 Ocn, - Oc-3o- 3 Lot No. 39
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Df, LED DESCRIPTION OF WORK:
AC_C_
LNSTRUCTION INFORMATION:
Additionalworkto e e orme under this permit-c ec a pp y:
HVAC E]Gas Tank Gas Piping Shutters Windows Doors
o a
11Electric ❑ Plumbing Sprinklers M Generator Roof Roof pitch
Total Sq. Ft of Construction:: S . Ft. of First Floor:
Cost of Construction: $ / �q CO !! Utilities:cnSewer I Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name GV 1 'Pt'Tr Name: Peter A Cafaro III
Address: fib-5-k "s by Company: Lowes Home Centers, LLC
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City: --S+. State: Address: P-0-,Box 781993
Zip Code: 3KQ8 to Fax: City: Orlando
State:FL
Phone No. L(qij 237 ' If g 3 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: C—L 4r„„'/X(R
from the Owner listed above) State or County License: CGC1 08417
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGI NEER: ot Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: KNot 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 Count 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 r corded a posted on the jobsite
before Te f r t insp o . If you intend to obtain financing, cons t wit lender r a attorney before
commei ork r recd0ing your Notice of Commencement.
V V V�l
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Signature o Owner/Lessee/Cont ctor s Agent for Owner Signat r of Contractor/License er
STATE O FLORID" ,�A" ��� STAT OF FLORIDA
COUNTY F J*4 1:: COU OF ORANGE
The forgoing instrument was acknowledged before me The f oing instrument was acknowledged before me
this v�`^`day of �..� 20 i'.�by this day of20 1!? by
PETER A CAFARO III PETER A CAFARO Ill
(Name of person ackno edging) (Name of person acknowledging)
$ignat-'-1,of Notary Public-St to o Florida) (Si atur ota Pub Ic-State of lorida)
Personally Known x OR Produced Identification Personally Known x it ed Identification
�Y�N'WY Type of Identification Produce
Type of Identification P YP
Of Ra*
Commission No. FF 981647 MSW REV,961647 Commission No. FF 981647 A16 ti
.• Eft�Bl0020 E�11bt0 »89647 ,�
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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