HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � � Permit Number. .
RECLAV
9t W_ OR!
Building Permit Applicatin
F JUN 122018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercials CO ty, FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENTTOCATION
Address:
Legal Description: W f(� �� ��+-t vet N �(2 q?A A- 04 ,�2 �� 5 1L >4 N�
Property Tax ID#: . y`� J 42 01::' 000 Z Lot No.
Site Plan Name: l�OtcflPr4r_C t-,�Ar-h lAIPCIA(A ✓ Block.No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION'OF.WORK
Ec:6NSTRUCTION INFORMATION
Additional work to
_ a er orme under this permitA-check a _tappy':
❑HVAC � Gas Tank []Gas Piping Shutters ❑Windows
Doors
❑Electric ❑ Plumbing []Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
`• o
Cost of Construction: $ �1�9-. ' " Utilities. _Sewer❑Septic Building Height:
j
OWNER/LESSEE . ', b' v CONTRACTOR;
Name_. .• off ♦ Name: Peter'AGafarolll
Address: (1 51 -1 0 Company: Lowe's-.Home Centers., LLC
� w�W���a .,�.
City: 1����� State:- Address:
PO.Box.:781993
Zip Code:_ 3., q -�. Fax'' City: Orlando,.,.. State: FL
Phone No. lq"5-LI 44P n1 J L( Zip Code: 32878-1993 Fax:
E-Mail: Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail: �(� LDE✓a►�+ P /A'►we• ¢-o r+•
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: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: WNot 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 AN
otice of Commencement must be recorded an ted on the jobsife
before the first in ction f yntend to obtain financing, consult w' der an a orney before
commencingwo or re rdin Notice of Commencement.
s
Signature of Ow er/L ssee/Contractor as A e t for Owner Signature of o tractor/License Ider
STATE OF FL RID STATE OF FL RIDA
COUNTY OF range COUNTY F o ange
The for�°°ing i strum nt was acknowledged before me The forgoin in ru�m-eent was acknowledged before me
this If 1% ay f 20 lL-by this (Flay c\-��t 20 �by
Peter a Cafaro I II l Peter A Cafaro III
(Name of person acknowledging) (Name of erson acknowledging)
4( iignat of No ary P c-State of Florida ) ( gnature of Votry P 'c-State f FloridaPersonally Kno n x OR Produced Identification Personally Knx OR Produced Identification
Type of Identification oeta Type of Identification Produced
oyT nay Notary Public State of Florida
Commission No. ? Kari Mc���boni Commission No. .tet"w Notary f�Q�� tate of Florida
r_ My Comissidn FF 981647 Kari M Riccb�oni
y?a� ' Expires 0512812020 y,_ � My Commission FF 981647
A ON Fxnir,-.-061281 02096128
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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