HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO// MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t�
Date:T��`d Permit Number: \'iboSJG- 1b
• RECEIVED
Building Permit Application MAY 2 9 2018
Planning and Development Services
Building and Code Regulation Division
ST. Lucie CountyRermitting
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: wSN��w
Address: �S� ►-�^'—���
Legal Description: WlC"a--S
Property Tax ID#:1,Z`Lob - 5o% - C��b - c�� - Lot No.
Site Plan Name: V i"i.4z A VA O-M'A10 -a Block No. �J
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work toe performed under this permit-check a appy: Vr
HVAC E] Gas Tank Gas Piping _Shutters Windows/Doors
❑Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
L
Cost of Construction: $ 9 Utilities: _Sewer 0 Septic Building Height:
OWNE,R//LESSEE: CONTRACTOR:
Name V(,1Q;WiA Oke VW,(IL0a Name: PeterACafaro III
—� T
Address: 1it31'S `��,df�.�tsT i�✓ Company: Lowe's Home Centers, LLC
n
City: State:
P, Address: P.O.Box 781993
'f'T Ci�� _
Zip Code: 'J4'1`i-7 Fax: City: Orlando State: FL
Phone No. 7l2- K(p y� (Pig 3 Zip Code: 32878-1993 Fax:
E-Mail: Phone No. '772 - LIce- 3(cR'6'
Fill in fee simple Title Holder on next page if different E-Mail: ? C-._ !-DEomr�Z yg�m•��
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: _ of Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _%4ot Applicable BONDING COMPANY: _ of 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 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 your proper . Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. you i tend to obtain financing, consult h ende attorney before
commencingwork or rec din o r Notice of Commencement.
/ V V
s
Signature of Ow r/Lessee/Contract r as A ent or Owner Signature ontractor/License Hold r
STATE OFF RDA STATE F LORIDA
COUNTY OF Orang COUNT O Orange
The for oing i stru ent was acknowledged before me The forg ing nstrument was acknowledged before me
thisZay f 20��by this ay of 2014 by
Peter a Cafaro III Peter A Cafaro III
(Name of person acknowledging) (Name of person acknowledging)
i
( ignature of Nota y ublic-Stat of Florida ) ( gnat e o otary Pu Ic-State of Florida
Personally Know x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identific
�w_ Notary Public State of Florida o.V''"<y Notary Public Steyr of Pride
Commission No. Z Kari M f��C'Ooni Commission No. + `� Riccabo ea+p
My Commission FF 981647 y _ My Commission FF 981647
?a ted" Expires 05/28/2020 Expires 05/28/2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS