HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��UJ' Permit Number:
J.
:RECEIVEDBuilding Permit Application 19 2018Planning and Development ServicesBuilding and Code Regulation Division ST. Luounty, Permitting
1300 Virginia Avenue, Fort Pierce FL 34981 �/
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 D nog_
PROPOSED IMPROVEMENT LOCATION:
Address: `7%4 L",t( s PL_
Legal Description: ��✓c,�t L SA A--r -t,& 4s"-416-
Property Tax ID#: 3 3 ZZ- 'So I - OV I S- O -
Lot No.
Site Plan Name: IQ.bru� �.,.�-}�"J Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
�ETAILED DESCRIPTION Of 1NORK:
CONSTRUCTION INFORMATION:
Add
itiona workto e e orme un er t is permit-c ec a appy:
HVAC Gas Tank Gas Piping 1:1Shutters gWindows/Doors
11 Electric Plumbing Sprinklers Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 5Z.C4 t (2Utilities:Cn Sewer 0 Septic Building Height:
WKERILESSEE CONTRACTOR:
NameName: Peter A Cafaro III
Address: _7g2_4 LA,-_:4ds ?L Company: Lowes Home,Centers, LLC
City: �of Sit- l...rc:t State: Address: P.O.,Box 781993
Zip Code: . 349 5 to Fax: City: Orlando State:FL
Phone No. 011 2 - 44&&4- 573 ac3 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: :17?&_L pewo,;f1
from the Owner listed above) State or County License: CGC1568417
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicdble 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 cy 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 osted on the jobsite
before toe f r t insp do . If you intend to obtain financing, cons t wit lende r a attorney before
comme i ork ,"r recording our Notice of Commencement.
V V V�_I L/ —
S
Signature o Owner/Lessee/Cont ctor s Agent for Owner SignatL r of Contractor/License ba Ter
STATE O FLORIDA STAT OF FLORIDA I
COUNTY F COU OF ORANGE
The f 99�rgoing instrument was acknowledged before me The f oing instrument was acknowledged before me
this!lDday of 0~1 20 IS by this ay of °''^ 20 by
PETER A CAFARO III PETER A CAFARO III
(Name of person ackno edging) (Name of person acknowledging)
$ignaturl of Notary Public-St to o Florida) (SiIinatur ota Pub Ic State of lorida)
Personally Known x OR Produced Identificati n Personally Known x ed Identification
Type of Identification P � � Type of Identification Prodgce
Commission No. FF 98164?: ' OM547 # Commission No. FF 981647 � Merry
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Fit�Net011�IP102o Exphb ,FSIM7
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS