HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: Permit Number: �� l
j '__.
_ .._._..._ RECEIVED
Building Permit Application
Planning and Development Services FEB. 0 6 2016
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce;FL 34982 St. Lucig County
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select.from dropbox,click arrow at the end of line
�{ .�/� .r 'TRe 1'� N'X�t" .a•.w *y.P z'�-✓'� .�� r. > � �.a,z.....
Address: 92-% 7— 5 ✓A- CI,-
Legal
;✓Legal Description: L,AJAc b f� t� G 11, ✓ �A g E
Property Tax ID#: '3"a3 J! $v — b 2 Lot No. -73
Site Plan Name: C%A•LP E '6L'bA4:ZS Block No. J)
Project Name:
Setbacks Front Back: Right Side: Left Side:
#�' k .b� €CSCR TfIQI��QFt�VC3ftK
�.a.�.:.,"�' � l ��'x's I�.���J« fi .y,��i��r3 •-�.x�,�y'Wy wb`�'�'�'� '���i.� Y �� �Ch����,�).�.,_ �. y,� `° >�r.�:
(�-�-s'�-11 1� 8...�-Y��-w�>,,�.>..+s •r i S I�a:w� G��.s moor
'�..O.�...
vf
'r
Additional work toe e orme under this permit—check a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric ❑Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 2 3, ZI L ` Utilities:�Sewer Septic Building Height:
�'.1F X-•.�7� -��� .,,�\C�i ,rR eK'�y i:'� iy 7. d '4�.-, < �,„,ceS-ry!s 3..y r.. - .Tr...x�' S..I�'i y� '°W. i.?.e i z �* � ; Y- s.r.;-t
Name e tA,,,,6 -'E'4-OA' Name: Peter A Cafaro III
7.
Add"ress:
9Z. r 2_ sjl�ar.1 .'Lk P C Company: Lowes=Norrie,Centers, LLC
City: o�_k _5k L; a it. State: Address: P.O.:B:ox 7$1993:
Zip Code: ::3atR`�t�' Fax: City: Orlando - State:FL
PhoneNo. Z '!n,37- X1 3?_(o 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: TSG_L �+c+r►��s Q yr>,.,,,,. C"
from the Owner listed above) State or County License: CGC1508417
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
_gg m''}^.^"
vk Y �r i',�:^c :d.;.,rc �:�.v�?� .%�i.,$�•_ :Lt ':i"�u<:��.:+.,a ,.,r'.:. .s+ tlr. �, ,�yY'�'r3,c:. �;i.,r ,.�.,,.-:: �,z'^
,.. .-- . ...,.....,,:<.,___. :... .max. . _- _ _.... ...... .. �... ,..
DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY: _Not Applicable
� Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: bLNot 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 thepermit 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 I nay result in your paying twice for
improvements to your roperty. A Notice of Commencement mus be recorded a posted on the jobsite
before Tert r t inspedo . If you intend to obtain financing, cons , t wit lender r a attorney before
commeiork dr rec rcling your Notice of Commencement.
S
Signature o Owner/Lessee/Cont ctor s Agent for Owner Signat r of Contractor/License er
STATE O FLORIDA" ,� STAT OF FLORIDA
COUNTY F (�1r w�d-�- COU OF ORANGE
The forgoing instrument was acknowledged before me The fo oing instrument was acknowledged before me
this6;' day of f a 20«9 by this day of ��g 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 rotaPub Ic-State of lorida)
Personally Known x OR Produced Identification _ Personally Known xQin r d a,ed Identification
Type of Identification P tfu _ Type of Identification Prod�u`cei
FF 981647 KairyryP�a�tx OfFlogda
Commission No. FFsa1s4T at Commission No. • � ,
Ifs"a 61YFF9B1647 td�FF99i�37
CYC
F f; i ; 6512020 4 �►Ptreao�1�91 nF
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS 1 11