HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: Y oz—rL2 .
Building Permit Application MAR o 9 2018
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 Selectfrom dropbox, click arrow at the end of line
Address: ci- -(4A
Legal Description: c- LNA
Property Tax ID#: '3410- 5&7 - 0 17 3 0 4 0'_1 Lot No.
Site Plan Name: b CAAA1,17A,,ic3 Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Additional work to be nerrormed under this permit-check all that apply:
F]HVAC Gas Tank RGas Piping F]Shutters Windows/Doors
0 Electric 0 Plumbing ElSprinklers F]Generator Roof Roof pitch
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: OJ Utilities: Sewer E]Septic Building Height:
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Zip-Code: .... Fax:
Phone No. 73L-) - 3C-01 Zip Code: 32878-1993 Fax:
E-Mail: Phone No. 407-393-9161
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Fill in fee simple Title Holder on next page if different E-Mail: J_?41M 47
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.
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DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY: _ of Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: of 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 in 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 recorded a posted on the jobsite
before V4,(r tinsp���io . If you intend to obtain financing, cons It wit lender r a attorney before
commeork dr rec rdin our Notice of Commencement.
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Signature o Owner/Lessee/Cont ctor s Agent for OwnerV V V�-] — Signat r of Contractor/License er
STATE O I FLORIDA STAT OF FLORIDA
COUNTY F ('f Ute►' - COU OF ORANGE
The forgoing instrument was acknowledged before me The fo oing instrument was acknowledged before me
this day of O AAv— 20 �y this ay of �`— 20 1 by
PETER A CAFARO III PETER A CAFARO III
(Name of person ackno edging) (Name of person acknowledging)
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( ignaturl of Notary Public-St too Florida) (Si atur ota Pub Ic-State of lorida)
Personally Known x OR Produced Identification _ Personally Known x AM,Wd ,ed Identification
Type of Identification P dl Type of identification Prodcice w o
ai'1�Pv4l�� ��Fla�rYd
Commission NO. FF 981647 a .� �I Commission No. FF 981647 t
Nly FFg99647 nny' llOni
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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
INITIALS