HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INfO MUST BE C MPLETED FOR APPLICATION TO BE ACCEPTED
Date:'1 Permit Number. - a
FRE
Building Permit ApplicatioJULPlanning and DevelopmentServices rmitting
Building and Code Regulation Divisio
2300 Virginia.Avenue,Fort Pierce FL 4982
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 IMPFtO�U MENET;F k� °'
5.
Address: 5$s(p U e4- Ci {.
Legal Description: o O 1 V1
Property Tax ID#: 3 Z -J 6 1--0(IV Z Lot No. `AP
Site,Pian Name: d,t)VES Block No.
Project Name: iv L'/y
Setbacks Front Bach: Right Side: Left Side:
OF-i I
DETAILED �tl'P I Ap � x �} Y
Caco�-o3r�>� 1W/V IMP
CONSTRU °: a h. Yfi F '
,tion wbr o e Qrme: under is permit;-c ec. a. ap,y:.
HVAC Gas Tank ❑Gas Piping Shutters indows/Doors
CElectric Plumbing 05prinklers -,1Generator Roof
Total Sq.Ft of Construction: S Ft.of First Floor.
Cost.of Construction:$ g ZO 0 Lltilities::'o SewerEl Septic Building Height:
I
,OWNER/C t SE
Name Q I U 4 e-- II Name: Peter A Cafaro III
Address: �S S 6 elw 4_41R Company: Lowes Home Centers, LLC
City:: L f State: Address: P.O Box,781993
Zip Code: Fax: City. Orlando State:FL
Phone No. 17-7 Z,r 3 3 b Zip Code: 32878-1993 Fax:
E-Mail: Phone No. 3 2-1 2 3
Fill in fee simple Title Holdfr on n page(if different. E-Mail: rt U S 1hcLin d AlEpt I(cJ i D toi a i G
frgm the Owner listed above) State or County License: CGC1508417
if value of:construction is$25bo ormote,aRECORDED Notice of Commencement is required.
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ftb'aan $'til
DgSIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City State:
Zip: Phone: Zip: Phone:
FEE,SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name:' ( Name:
.Address: Address:
City: City.
Zip: Phone: Zip: Phone:
I certify that no work or installation ha commenced prior to the issuance of a permit.
St.;Lucie Counri makes no representati.96 that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable HomeOwners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your HoMI a Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this;equested permit,I do hereby agree that I will,in all resPects,perform the work
in accordance with theapproved plans,the Florida Building Codes and St.Lucie County Amendme
The following,building permit appiicatl ns.are exempt from undergoing a full concurrency revi :r om additions,
accessory structures,swimming pools, nces,walls,signs,screen rooms and accessory uses o ano er non•residentiai use
WARNING 1`O O ER:Your u to Record a Notice of Commencement ma result your pa Ing twice for
irriprovements t y r prop .P otice of_ rnmencement must be rec rded a d post o the jobsite
before the firsts'"sp ion. f you t end to obtain financing,consul ith ender o an a me before
commefici 'w rk o re din Notice of Commencement.
y V S
_Signature of nerj Lessee/Agent Signature of C tractor/License H der
STATE OF F IDA STATE OFF ORiDA
COUNTY OF GE COUNTY Oo-NGE _
The f oing i t men was knowle ge ore me The forgoin i stru t was acknowledg ore me
this day 0 by this__ oda f 20 by
PETER A CAFARO III PETER A CAF O III
(Na a of person acknow dging) (Name of person acknowledge. )
AVY . �Kcf Al
( 'gnat of.p6iany Public-State bfTf irida) ( gnature o, otary Public-State of Fl nda
Personally Known x OR Produce ..Identification Personally Known x OR Produced Identification -
Type:of identification Produced Type ofidentification.Produced
Commission No. FF 901647 Commission No. FF 98 7
. f Starr of Flatde � ,.. tez8ta e w Fkxtde
i M Rlcloib of Kett M Rimbon!
era ExPin+sOfu l 020"
Revised 07/15/2014
o
REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEA TURTLE MANGROVE
COUNTERREVIEAi. REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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