HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 77
Date: • Permit Number: / y�- O 01-VI
law
Building Permit Application MAR - 8 2010
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:
Address: O (( r�L[7
Legal Description:- Z30 I "�T y 3- 0602- boo -_5gj ( 3 V
Property Tax ID#: 13 8 -7 Z4 Lot No.
Site Plan Name: T- u Block No.
Project Name: 1"1 /-cc, 6-C 61
Setbacks Front Back: Right Side: Left Side:
;DTAIIfl DE�CRIF 'IQIQRK T f
<•l.�.r tfy.,
66 6V
ONhSTR OI'ION��( F01 ` ,`T1D
3.. -:a _/YDS.... a`- li.'..t •1 .t.:.t ...Y
Additionalwork to be errormea uncier this permit-check a appy:
0HVAC Gas Tank 0Gas Piping _Shutters l/indows/Doors
11 Electric 0 Plumbing E]Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost,of Construction:$ R0,90 Utilities: Sewer Septic Building Height:
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Name a_e lfc4ge U Name: Peter A Cafaro III
Address: 0 r16 utl d 's 6y+ Company: Lowe's Home Centers,LLC
City: ple-eto State: Address: PO Box 781993
Zip Code: 33 dl 7 Fax: City: Orlando State:FL
Phone No. :2 -Y53— P-7 e 3 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
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEM I T ict7l
I � .�.:?:b. ..<:�.,:x�..'�,5�.l._� �_f�`E-',• �.: `stit-Y_��,1�.°tu-.__.5 i a_.:e
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:Rude-County Amendme s.
The following building permit applications.are exempt from undergoing a full concurre/revi :r om additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessoo er non-residential use
WARNING TOOER:Your ur to Record a Notice of Commencement t your pa ing twice for
improvements t y r prop .A otice of Commencement must be rd post o the jobsite
before the first' sp ion. f you i end to Obtain financing,consul it an a me before
commenci w rk o rec din o Notice of.Commencement.
s
_Signature of ner/Lessee/Agent ; Signature of 0 tractor/License Holder
STATE OF F IDA j STATE.OF fl 0,RIDA
COUNTY OF R GE COUNTY O MM
The fo' ing i t m t was dcnowled fore.rne The fo, oin i st ent was cknowledgrbly re me
this day f�( 2by this da f 20
PETER A CAFARO III I PETER A!CAF O 111
(Na a of person acknow dging) I (Name of person acknowledge )
LCC
(Signaturglof Potary Public-State bf.Fl_rida) I ( gnature o,Not Public-State of FI rida
Personally Known x OR Produced.Identification Personally Known x OR Produced Identification
.Type of Identification Produced Type of,Identification Produced
Commission No. Fp 9616417N ofF'Io1W� Commission No. FFA N p �g oaf FfolllH
Ktt1 M Katt M R1C�boN
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW. REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS I
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