HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: 5 �� Permit Number: 1�aA- 63,
® RECEIVED
Building Permit Application AUG 15 20
Planning and Development Services 18
Building and Code Regulation Division 'ST. Lucie Cgunty, Permittin
2300 Virginia Avenue, Fort Pierce FL 34982 - - _.. 9
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 IMPROVEME'NT,LOCATION:
Address: '3yto kazeurzo r
Legal Description:
Property Tax ID#: ¢¢Zud1 ' �y OU 5'2 - aoy�3 Lot No. Z3
Site Plan Name: «eA_ Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCMPTIOkOF WORK
�ll�•3O..�Jg yu'Y1�W
CONSTRUCTION-,INFORMATION'
Additional work to be nertormed under this permit-7�E ec a apply:
HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ "l 1 Utilities: Sewer Septic Building Height:
OWNER/LESSEE!f� -CONTRACTOR:
Name`" '+C�"' VA:;�l�c� Name: PeterA-Cafarolll
Address: 3�to.,.'bsEesaeo 17� Company: L6we's Home Centers, LLC
City:; T Q ��al� State: . Address: P.O.Box,781993,
Zip Code: 3K'4 x'17 Fax:= City:Orlando,;:=: : State: FL
Phone No. -112- Zip Code: 32878-1993 Fax:'
E-Mail: Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail:
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.
SU'PPLEMENTAL,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: 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 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 property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspecti ou intend to obtain financing, consult wi I nder a attorney before
commencin w r r r corcli!:N your Notice of Commencement.
s
Signature of 0 n r/Lessee/Contractor s gent for Owner Signature of ontractor/License Hold r
STATE OF LOR DA STATE O LORIDA
COUNTY F Oran = COUNTY O Orange
The forgoin instr ment was acknowledged before me The forgoi g nstrum nt was acknowledged before me
this(�da of 20(U thiW ay of 20 by
Peter a Cafaro III1 Peter A Cafaro III
n(Namerson acknowledgi ) (Name of person acknowledging)
�2
f N tary P ic-Stat o orida (Si nature otary Publl -State of Florida )
Personally Kn wn x OR Produced Identification Personally nown x OR Produced Identification
Type of Identification Produce Type of Identification Pro u e
9 '
vrY►cta Notary Public state of FloridaY►u, Notary Public state of Florida
Commission No. ° '� Kari M(ft0boni Commission No. Kari M R00
;,_ My Commission FF 981647 ;�, 8` My commission,FF 981647
h Expires 05/2812020 +,ka ted+ Expires 05/2812020
4
Revised 07/15/2014
REVIEWS FRONT ZONING- SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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INITIALS