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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services MAR - 2018 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: IQPO$EDSIMI��OUEi�/fENT tCATIQf B� Address: Legal Description: J30 I — (0c) 7 C) b p J ©UD —1( Property Tax ID#: Lot No. Site Plan Name: �� Block No. Project Name: L6uT Setbacks Front Back: Right Side: Left Side: DETg1�Ef}QIxSCRIPT�QN'�frY��ORK. T 3�k, {� �' .--, «-. .z.. ., ,.� _ ,..amu: ..: .::- r.... :• ..2< ,.._ .,=�. _..._._ ., :_:`__> ..,_ ., .�:' - - ..... .. Additional work to be nerto,med under this permit—check all tnat apply: HVAC Gas Tank ❑Gas Piping _ butters Q Windows/Doors Electric 0 Plumbing Sprinklers q Generator a Roof I i Total Sq. Ft of Construction: S Ft.of First Floor: i I Cost of Construction:$ - Utilities: Sewer Septic Building Height: i fJWNE SES-L� T Name yck`1 iL Name: Peter A Cafaro III Address: f2 6� 0,0 u Company: Lowe's Home Centers,LLC City: t� 1 - 1\2�1/C e— State: Address: PO Box 781993 Zip Code: 3 q s nFax: Z City: Orlando State:FL Phone No. 77�,- -15� O J Zip Code: 32878 Fax: E-Mail: Phone No. 407-832-8085 Fill in fee simple Title Holder on next page(if different E-Mail: from the Owner listed above) State or County License: CGC1508417 j If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. I I I :SUPPLEMENTAL °" :� .,?_ 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: I 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.Lude CountA s. The following building permit applications are exempt from undergoing a full concurreom additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessoer non-residential use WARNING TOO ER:Your ur 'to.Recort�a Notice of Commencement your pa ing'twice for improvements t y r prop .A o#ice ofj Commencement must be rd post o. the jobsite beforethefirst' sp ion. you i end to obtain financing,consul itan a me before commenci w rk o rec din o Notice lof Commencement. y V s _Signature of net/Lessee/Agent Signature of C tractor/License Holder STATE OF,F .: IDA j STATE.OF F _.RIDA COUNTY OF R cE I COUNTY O Nm /0--K The f oin i t nt was cknowled a efore me The f rgoin i st n nt was cknowledgeld fore me this. day 20 by this d f 26 by i PETER A CAFARO III PETER A'CAF O 111 (Narqe of person ackno dging) (Name of person acknowledge ," (SIgnatararof otary Public-State. `f Fl,rida) I ( gnature o,Notary Public-State of FI rids Personally Known x OR Produced.ldentification Personally Known x OR Produced Identification Type of Identification Produced Type ofi Identification Produced Commission No. FF 881647N Commission No. FF I8 7 {fig of Fiorldt K11d M M Iftmbonl 081647, . p` �s ..�:.:. era E>mires Q6►2NZo2o Revised 07/15/2014 i . i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW. RPVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS