HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED .
Date: LA (Pt 1 et Permit Number: t ott-e5(24. Y
COUNTY
Building Permit Application 4p,p 44144, a
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Planning and Development ServicesePOwle, '*8
St./47,q 0
Building and Code Regulation Division 'I've °Pepe
2300 Virginia Avenue, Fort Pierce FL 34982 k4,04,1776.,71,
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line -51/14.441.3
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Address: EN (L.z„, Vdet..-6.E. lojAi
Legal Description: 3T- Luc E- Gpo,Dehet S ..
Property Tax ID#: ..bilL(4)- 50 41- (2.5-Z• - CI c'a - 0E3 Lot No. a
Site Plan Name: -.SChNe4 01fIr4'&0'3 Block No. /4"Z
Project Name:
Setbacks Front Back: Right Side: Left Side:
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."..,•,:-.;,':,-;I. INFORMATION'•..fi., ,
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Additional work to bep_rormed under this permit-check all- apply:
EIHVAC [iiiGas Tank FIGas Piping )(-- Shutters El,Windows/Doors
_
El Electric El Plumbing OSprinklers Ell Generator ri Roof Roof pitch
_ _
Total Sq. Ft of Construction: S91ti of First Floor:
Cost of Construction:$ 42-65 " . Utilities:I Sewer 0 Septic Building-Height:
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OWNER/LESSEE: .
Name -.7.11..Ar). '.-Z'o. .61-4, ' Narn :-PeterA-Cafaro III:
Address:,-5-:,(4.:4:. :.:$4.6:74-.*...Joi,i Company: LO.,16..a kjq'tT*1:Qntqi*,'1.1..c
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co: ?..,4-4--,7. k.•..1-,,e-. e,t---- . . State: 4- Address:'P.0::i3OX 709931'. '',.,.. -•
Zip'9de:73....fq.„-9.J45-, Z-:'.'' '' -F-X: City: Orlando '''" • State:FL
Phone No. 7'7.1- 3'01- 3 15 a 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: 176- ifer'iru*s e.Y441)-'- 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: ot Applicable MORTGAGE COMPANY: DV-Not
Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: DZ.N 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 -ncy review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and acceso , 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 t e f r t insp. do . If you intend to obtain financing, cons-It wit lender r a attorney before
comme i g ork dr rec•rding your Notice of Commencement.
S
Signature o Owner/Lessee/Cont actor :s Agent for Owner Signat r• of Contractor/License Ter `
STATE OF FLORIDA STAT OF FLORIDA
COUNTYF vi- COU OF ORANGE
The ff orgoing instrument was acknowledged before me The f oing instrument was acknowledged before me
this(P4% day of e+ '. , 201._by this ay of r: l. ,20 by
PETER A CAFARO III _ PETER A CAFARO III ..
(Name of person acknov�(edging) (� (Name of person acknowledging) (ir
G, (Signatur- of Notary Public-St.te o Florida) (j (Si: atur 'iota Pub is-State of lorida)
Personally Known X O R Produced Identification - Personally Known X1' 'rod ,ed Identification
Type of Identification ProdGce raxc+�
IliK L AA._ ,
. _. flow&s . . kA Tilli
Type of Identification PFr�(f r''� YP �- .� - rYPabf�� .-.,
MtA3tic �a�o iaa ®� itioq
FF 987647 .� "`tl t�l '6y FF 981647
FSari Of�lcrid.a
Commission No. �� a ��yFIegB1647 Commission No. �*C M; kt am 47
F 9i2��!$f2f�IOZO xA1reQ0512812020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS