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
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
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Address: 0045-1 P
Legal Description:
Property Tax ID#: *3 32-) - 80.3 - OQ-(3 OOQ- Lot No. 39
Site Plan Name: 5%wL.Ik•+ Uj i 1 to S Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Additional work tobe performed uncler this permit—check all that apply:
F]HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
4]Electric 0 Plumbing El Sprinklers �Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ Zo (.0-J_.> Utilities:0 Sewer Septic Building Height:
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Name Name: P
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Addi&e'ss: Company: .qontqfs, LLC
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City: Address:'P-b..'11W 781993'.`
State: #Ci--
Zip Code: 34' gow, Fax: City: Orla6dci State:FL
Phone No. -17 3 -531 1 Z 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: T
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from the Owner listed above) State or County License: CGC1 508417
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not 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: 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 r corded a posted on the jobsite
before TeIrr
nsp(� do . If you intend to obtain financing, cons, t wit lender ra attorney before
commeI ork dr 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 FLORIDASTAT OF FLORIDA
COUNTY F
COU OF ORANGE
The forgoing instrument was acknowledged before me The fo oing instrument was acknowledged before me
this�bday of �octr 20 M this ay of �.� 20 �' by
PETER A CAFARO I II PETER A CAFARO III
(Name of person ackno edging) (Name of person acknowledging)
( ignatur of Notary Public-St to o Florida) ki
at
ota Pub Ic-State of lorida)
Personally Known x OR Produced Identification _ Personally Known x ORr•d ced Identification
Type of Identification PType of Identification Prodiace�
�i119" al�ryPabI't of
Fdarr�a
Commission NO. FF 981647 r Commission No. FF 981647
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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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