HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED \
Date: Permit Number: 1�y��63%a
RECEIVED
Building Permit Application AUG 15 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
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
PROP.OSED/I'MPROVEMENT LOCATION
Address: `ij c7 ( �yE� t�r� ✓ / ' _
Legal Description: ajbiAy Litz& �3 ►.�ri.S U^+� S IV-26 37In IS
Property Tax ID#: 3kty Z " (on in- C)k Q Z 0 "S� Lot No. 51*- 8
Site Plan Name: AgocW%_ 6ntCC-A Block No. Z�
Project Name:
Setbacks Front Back: Right Side: Left.Side:
as,
DETAILED DESCRIPTION OF WORK x . ,
Ct
C0'N ' JNFORMATION
Additionalwork toe er orme under this permit-check a appy.
HVAC E] Gas Tank E]Gas Piping Shutters Windows/Doors
❑Electric ❑ Plumbing E]Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction: $ 13134(.0-7 Utilities:Sewer Septic Building Height:
Q1NN_ER/LESSEE: ,e CONTRACTOR:
Name, "ri 4e+-JCE01. Name: Peter.A.Cafaro III
Address: 1{`30)1::..5 f4�r� •bL47✓ ". Company: Lowe's.Home Centers,_LLC,,--
City: }. c' Q0'&LCe: State:l:L Address:
P:O:Box.781,993, "
Zip Code: City:-Orlando.,,. State: FL
Phone No. (;1..j 1'I Zip Code: 32878-1993 Fax:
E-Mail: Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail: Ems Q.VA,fi,x)•co✓-
from the Owner listed above) State or County License: CGC 508417
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL'CONSTRUCTION LIE''N LAW INFORMATION:
DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: t Applicable BONDING COMPANY: t Applicable
Name: Or� 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 pro r A Notice of Commencement must be recorded an ted on the jobsite
before the first inspectio . If yo%vur
ntend to obtain financing, consult with I e an at orney before
commencingwor o re ordin Notice of Commencement.
s
Signature of OQruME
see/Contractor as ge t for Owner Signature of Co actor/License Holder
STATE OF FL STATE OF FL IDA
COUNTY OF COUNTY OF ra ge
The fp oing int was acknowledged before me The forgoing in t u ent was acknowledged before me
this�day 20 �by this day of 120 _60—by
Peter a Cafaro III l Peter A Cafaro III
(Name of erson acknowledging) (Name of erson acknowledging)
(sign atAof No ary Public-State ' n
of Florida) (Sature of of ryPublic- tate of FI I
rsonally
PeKn n x OR Produced Identification Personally Kn x OR Produced Identification
Type of Identification Produced Type of Identification Pr d
Y teary li State of Florida �w rcy Notary Public State of Florida
Commission No. '+� ��boni Commission No. r° `� Kari M Ric�Sbmi�
r Kati My Commission F 981,647
i My Commission FF 98/847 Expires 05/2812020
a` s 0512812020 OF p
oaf
Revised 07/15/201
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