HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Numb
r" ECONIVEM
Building Permit Application MAY 01 2018
Planning and Development Services g
Permlttln Department
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 1 St. Lucierni inty, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 1k,e0_
PROPOSED'IMP,ROVEMENTLOCATION .:
Address: to Z8 r n E �r.u� L_a
Legal Description: ?' A.(,t. ,
Property Tax ID#: Z32- �30l -b000- OC)c7 �� Lot No. G
Site Plan Name: Awq ('1r�qm 5 Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF.WORK
rG
CONSTRUCTION INFORMATION
Additional work toa performed under this permit-check a appy:
HVAC E] Gas Tank ❑Gas Piping _Shutters windows/Doors
❑Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ ( � q1 3 Utilities:nSewer Septic Building Height:
OWNER/LESSEE _ `CONTRACTOR:
Name Nynq Ann^s 0/k+i0.Av#4y.J%/ Name: Peter A Cafaro III
Lowe's Home-Centers, LLCAddress: i,_-,(,0 -z_,9 �ivy ��1-a Company:
City: J;j- ?;6W& State:�-- Address: P.O.Box 781993
Zip Code: 3H g*� Fax: ... City: Orlando State: FL
Phone No. ZD 2--3(yO - Zfn( Zip Code: 32878-1993 Fax:
E-Mail: Phone No. 7IL- JI/8_369 'S'
Fill in fee simple Title Holder on next page(if different E-Mail: L�JErw1l4-s (P 1AhZ0 car-
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:_
DESIGNER/ENGINEER:. Not Applicable MORTGAGE COMPANY:
Vot Applicable
Name:- Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEESIMPLE 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 thepermit 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 concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your ure to Record a Notice of Commencement may result in your paying twice for
improvements to our pro erty. A Notice of Commencement must be r corded and posted on the jobsite
before the first i s ctio . If you intend to obtain financing, consult I ender or attorney before
commencingw rk o re ordin ur Notice of Commencement.
s
Signature of 0 ner/Lessee/Contractor as Agen for Owner Signature f Contractor/License Hold r
STATE OF L RIDA STATE FLORIDA
COUNTY F range COON Y F Orange
The forgoin i strument was acknowledg cjbefore me The for of g instrument was acknowledged before me
this Z'( f 20 ., by thi y of AoVA 2019 by
Peter a Cafaro III l Peter A Cafaro III
(Name of person acknowledging) (Nam of erson acknowledging)
ignature of otary Public-State f Flo 'da ) (S' nature of otary Public-State of Florida )
Personally own x OR Produced Identific do Personally nown x OR Produced Identification
Type of Identific i n o Type of Identification Produced
ary u is ,
Kari M Riccabo ni v"Y o� Nota Pu
Commission No. ommissio €eS111647 Commission No o ry blicStat �8b ida
'�a� Expires 0512812020 an Riccabonl
-_ Q My Commission FF 981647
Expires nr'/5081909n
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS