HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (Q• ��f • ,� Permit Number:
REqE'VED
Building Permit Application
JUN 1-2 2018
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting ®apartment
Phone: (772)462-1553 Fax: (772)462-1578 Commercial ReSibebtlale 06unty, FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT„LOCATION ,
Address: Z4
Legal Description: 4LVk-f— ?ped L,-
Property Tax ID.#: 6045-- 0631 Lot No. 13
Site Plan Name: Block No. 7 t{
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
CONSTRUCTION INFORMATION w W
�.
Additional
to wor a Derformed pe
un under this rmit—check a pp y:
HVAC Gas Tank Gas Piping Shutters E]Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:: S . Ft. of First Floor:
Cost of Construction: $ [ Q Utilities:cn Sewer Septic Building Height:
OW Nf x.R/LESSEE CONTRACTOR
h
Name' - n , Name: Peter A.Cafaro 111
Address: ±� ::,N ' `'`�' Company: Lowe's Home Centers, LLC:
Cit 61rT . � r,ci�•<�` State: L Address: P.O.Box 781993
Zip Code: r3l{o t3 Fax: City: Orlando State: FL
Phone No. 31&^ei7 C)772, Zip Code: 32878-1993 Fax:
E-Mail: Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail: � G_ L JE11M eoma• ^`
from the Owner listed above) State or County License: CGC150841
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
.SUPPLEMENTAL CONSTRUCTION LIEN"LAW INFORMATION,:'""` F
DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY: /XNot Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: t 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 prope ty. A Notice of Commencement must be r ed and posted on the jobsite
before the first inspectirordinghour
f yintend to obtain financing, consult wi len er or ttorney before
commencingwor or re Notice of Commencement.
V. /"-A V "_�
S
Signature of Ow ier/Lessee/C tractor a gent for Owner Signature o ontractor/License Holder
STATE OFF RIDA STATE F LORIDA
COUNTY OF o age COUNT 0 orange
The fprgoing i trument was acknowledged before me The forg ing instrument was acknowledged before me
this 11 ll�f`day `� �., 20 Eby this a of �� 2.0 by
Peter a Cafaro 1111 Peter A Cafaro III
(Name of person acknowledging) (Name of person acknowleda- a(
ignatu f o ry Pub ric-State of Flo?i4a) (Si nature of otary Pu 1c-State of Florida )
Personally K own x ' Personally Known x OR Produced Identification
Type of Identific ion ,rucFlorida Type of Identification
Kari M RicCaboni °.Wr' Notary Public State of Florida
Commission No. r. My Commissio1647 Commission No. Kari M Rig6 1
051281 y Commission F 981647
%0 n Expires 05/20/2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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