HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: °i ( 9 ( t 2 Permit Number: I -- 0 cr
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COUNTY FL IL _..... ,, eo.
Building Permit Application ��'* ,�®
Planning and Development Services - 4
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Selectfrom dropbox, click arrow at the end of line w,"oo,,,g
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Address: 342,7 co alEn,tAs,c1 L,-.
Legal Description: r.btf lqv-.v. E54ak'
Property Tax ID#: Z30Z -bol - o� - c»3 - Z
p y 3 � Lot No. 3 l
Site Plan Name: itavNn rE li A C N A-; r Block No.
Project Name:
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Additional work to be ertormed under this permit—check all- apply:
IlIHVAC 1'Gas Tank []Gas Piping Shutters J Windows/Doors
ElElectric O Plumbing 0Sprinklers El Generator El Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ t 3‘9 33 ." Utilities: Sewer❑Septic Building Height:
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Name `nor( CK
p..ty Name:-Peter A Cafaro Ill , /
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Address:' S4071`' o,'•,-(','.t.�...,,i
us . k. L.3' Company: Lowes Hor eiCenters, LLC
City: Fr pi Cavtk.'; ': ;.', >`' State: f• Address: P.O.;Box 781993:
Zip"Code: ::3 -'11•. . Fax: City: Orlandd ' State:FL
Phone No. Ill• 51 9 - ZI 5-2. 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: 1-47C.,Le 6r"isq-s ay4 kea• 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.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: . Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: ol-,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 -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 ay result in your paying twice for
improvements to your •.roperty.A Notice of Commencement mus be r:corded a = posted on the jobsite
before t, e f`r t insp . do 1. If you intend to obtain financing, cons t wit lenders r a attorney before
comme irfg ork dr recording your Notice of Commencement.
s
Signature o Owner/Lessee/Cont actor :s Agent for Owner Signat r of Contractor/License ^ .er
STATE O'.FLORIDA STAT:'OF FLORIDA
COUNTY'^'F CV(WI— COU OF ORANGE
The fo :oinginstrument was acknowledged before me
The forgoing instru ent was acknowledged before me g
this(o %S.day of `�Yri . , 20 Iby this ,' day of k
r• ,20 (4.5. by
PETER A CAFARO III PETER A CAFARO III a
(Name of person acknovl('(edging) (Name of person acknowledging) Mir0
1 at ,
1. 41A:,_ , . _.' , K-Asea&I . AI AdiAlli
C, (.ignaturt of Notary Public-St•te o Florida) �/ (Si: atur-R' ote Pub is-State of lorida)
Personally Known X OR Produced Id_entificatipn _ % Personally Known X .�R_tr,d ed Identification
Type of Identification P if b'-' - ' ' C Type of Identification ProdGce g ' ' ' '-'-
polatvwti - NolaryPe�blic• -
FF 981647',r.' ;1°1'1 ® fig
Commission No. os' 001419184 Commission No. FEs61sa�d.
;Lir@ , f�Pr�98t647
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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