HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED .
Date: 14('11 t 4 ` Permit Number: I TD(--)\-DD 1 (0
misimmimrwimmillirt
COUNTY
RECEIVED
Inimil , Building Permit Application
Planning and Development Services APR 0 9 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 PermIttInVepartment
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential st Lu5w‘County
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT
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Address: 90. - Sc_ GAs?Ari t(A ,Avt
Legal Description: g.....t, ,... (Rirtd.. Lk".iic 9
Property Tax ID#: -** 1-‘,I cio- 6-5 0 . 6089 - oco, c.D Lot No.
Site Plan Name: ---*Sohr4 --kcik‘ Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
•.:DETAILED
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Additional work to bigArtormed under this permit-check all-Lai apply:
FIFIVAC L__I Gas Tank Gas Piping j.Shutters 1)1 Windows/Doors
EllElectric El Plumbing El Sprinklers [iGenerator 1.1 Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 114( 4 qz. -!-Y---" Utilities: Sewer E.Septic Building Height:
•;CANNERItirStWVeeitt - t7. S.4n0A0W
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Name "--"Jo iNva -?icio t't .,,, Name. Peter-A Cafaro III - •-•
Address: 40'5. 'S'iLC-P.:Se;=.•:rikkA itv 4Lai; i:1' C t - LLC
City:
en ers,
Company: es :pr
City:*Pawl- 64r .L.:4:;,, 61-.:' ' .,:`. _ State: P- Address: P•0: 136x 78199
Zip Code: ..34,4 e 3 ' -Fax: City: State:FL
Phone No. -ii'L-Z.L"C- 5...)-f4-CK- Zip Code: 328781993 Fax:
E-Mail: Phone No. 407-393-9161
Fill in fee simple Title Holder on next page(if different E-Mail: ""7--P(....... i-f "4-...
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: or Not Applicable MORTGAGE COMPANY: o4ot Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone: ``//
FEE SIMPLE TITLE HOLDER: 04iot Applicable BONDING COMPANY: 1 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 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 te f/r t inspeio 1. If you intend to obtain financing, cons. t wit lender r a attorney before
comme irllg 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 I FLORIDA STAT OF FLORIDA
COUNTY F VP UafVf- COU OF ORANGE
n • The fo ;oing instrument was acknowledged before me
The/orgoing instrume t was acknowledged before me
thi 1'.day of f l , 20 «'by this day of �f:( ,20 I by
PETER A CAFARO III � PETER A CAFARO III _
a
(Name of person ackno4edging)` jr (Name of person acknowledging)
1
�t�llAIC— �'- —-`
�
C, (5ignatur� of Notary Public-St.te o Florida) �/ (Si: atur Iota Pub ic-State of lorida)
Personally Known x O RProduced Identification _ _ Personally Known x .4. r•d ed Identification
Type of Identification Produce
Type of Identification P�gCF T YP h 4��
��„ GI146m..,'l� li tearrFEnsi .$ K2�tyyPabsic
b+'tl!Iii ' FF 981647 9fFlonti
Commission No. FF 98164.E J ,� FF989647 Commission No. r Ini�� �,,a ,,�` ��f'F908647 �
E.2�li.04,0312020 "� P1►es 0 20
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS