HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
/PsDate: Permit Number: I q0Z
gemensir Ri:CEntE0
t Ir -' MAY
__ FR �Y, :' 14 2010
Building Permit Applicationperi,,et;n
Planning and Development Services Sk Luce courtyent
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:.`` - 'r
Address: e Z 5 N‘^rIt S T3 Iu"
Legal Description: Nl=r'r-L= \a.••+.? A c.,.,Do S c c. I I "'Pa w-ce 82...5".
Property Tax ID#: LtS0250 I - It II - coo- Lot No.
Site Plan Name: VIA-IkX1E >/a_ Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION.OF WORK ;'
x�A I ( we 7�t.
CONSTRUCTION INFORMATION
Additional work to be performed under this permit—check allhit apply:
ElHVAC _Gas Tank Gas Piping _Shutters Windows/Doors
ElElectric _Plumbing Sprinklers _Generator _Roof Roof pitch
i
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ < t 2-7 v Utilities: I _Sewer _Septic Building Height:
OWNER/LESSEE: ' CONTRACTOR:
Name VW.N.ki:E... YJuw. Name: Peter A Cafaro III -
Address: Ca2....sNErnE. +31✓0 . Company:
Lowe's Home Centers, LLC
City: ` Sse.,s' 3io,«... State: Fe-- Address: P.O.Box 781993
Zip.Code:3yt4S77 Fax: ' City: Orlando State:FL 1
Phone No. 17 2- --floc, - 3 392. Zip Code: 32878-1993 Fax:
E-Mail: Phone No. 772- ' t8-3409.
Fill in fee simple Title Holder on next page(if different E-Mail: i &_ Lpe.Ml/. e)4 4.4..
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW.INFORMATION:'.
DESIGNER/ENGINEER: _ , . Not Applicable MORTGAGE COMPANY: "`Riot Applicable
Name: Name:
Address: Address:
City: State: City: . State:
Zip: . Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: cg-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 forany 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 failure to Record a Notice of Commencement may result in your paying twice for
improvements to ye r propert i Notice of Commencement must be re orded and sosted on the jobsite
before the first in:p&tion. If ou i end to obtain financing, consult w. le der .r an attorney before
commencing wo k or ecor:ing you Notice of Commencement.
A, , s
Signature of Ow er Lessee/Contractor as Ag: for Owner Signature of r .ntractor/License older '. ,
STATE OF FL@ RI a STATE OF L a RIDA
COUNTY OF•rage COUNTY 0 F orange
The forgoing in• ent was acknowledged before me The forgoing in.trument-was acknowledged before me
this i it-day of Mb, 201 _by this/t qday . P-'/ 20 (g by
Peter a Cafaro HI l Peter A Cafaro III
(Name of person acknowledging) (Name of person acknowledging) /
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..1 ‘ / fy(A
. & (...L.L„ illk 1AL-...g -.AL
Signature of N9tary Public-State of Florida) ( ignature of N.tary Public-State of Florida )
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Pre n _ ... ,_,_ _ _
°or►W Nota Puhrlic State of Florida :0 7�hyfi NotaryPublic tate of Florida
Commission No. Kari li caboni Commission No. Kari M oni
'r_' My Commission FF 981647 v4 e. new MYEx90 missi05/282020 981647
1? ,r, ' Expires 05/28/2020
Revised 07/15/2014
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