HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential JC
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line e-"cE
PROPOSED IMPROVEMENT LOCATION:
Address: sZ 1 % `�F io�pt D
Legal Description: (ZJEJL. (Csk'dkt,s u--+S
Property Tax ID#: 3 i{� Z- , ((00 �t - 00 2 (o ' C7c�� Lot No. 3 3
Site Plan Name: I� rOot L4. Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
�}s 5TH�( S T,,u; �t.wt•.i 1 �.�L+ F.�y..c� -v�5-`4 qfE..
CONSTRUCTION INFORMATION:
Additional work toleperformedunder this permit-check a appy:
11HVAC L J Gas Tank ❑Gas Piping In Shutters a Windows/Doors
❑Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 3 E1 'f �` Utilities:cnSewer E]Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name 'r C-t Name: Peter Cafaro III
Address: I 1 `iAq.,ap 4 _17) I Company: Lowe's Home Centers, LLC
�- State: Address:
P.O.Box 781993
City: t�'T t7.t►ce-e �-1-
Zip Code: �3K96'Z Fax: City: Orlando State: FL
Phone No. -17 Z-3y " 15'u 7 -5- Zip Code: 32878-1993 Fax:
E-Mail: Phone No. ,2"
1((1`1-3109
Fill in fee simple Title Holder on next page ( if different E-Mail: T��� -�Gr,,�„' dao. cz&%
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: ICNot Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: O�Not 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 failure to Record a Notice of Commencement may result in your paying twice for
improvements to your prop A Notice of Commencement must be r rded and posted on the jobsite
before the first inspectio f you ntend to obtain financing, consult wi le der or an attorney before
commencingwor re rdin r Notice of Commencement.
s
Signature of O ne Lessee/Contractor as e t for Owner Signature of o tractor/License Holde
I
STATE OFF ORI A STATE OFIFL RIDA
COUNTY O Orang COUNTY OF or nge
The forgoing instr ment was acknowledged before me The forgoi g inst ument was acknowledged before me
thisZ�a of 20 IS by this ZS��'�Q y of Uw� , 20 18 by
Peter a Cafaro III Peter A Cafaro III
(Name of person acknowledging) (Name of person acknowledging)
ignature of Nota y Public-State of Florida ) (S' nature ofI
tary Public-State of Florida )
Personally Know x OR Produced Identification Personally Knn x OR Produced Identification
Type of Identification Pr Type of Identification Produ e
r Notary Public state of Fion a
% aboni o�► ► Notary pp bli tate of Florida
Commission No. 49 Kari iit gg}yy. Commission No. `� Kari Notary
My Commis5�on FF 981647 ,
y" ' Expires oWS12020 y My Commission FF 981647
of 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