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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO.BE ACCEPTED Date: �•�v' Permit Number Building Permit Application SEP 20 2018 Planning and Development Services _ Building and Code Regulation Division Permitting DepartmE it 23W Virginia.Avenue,Fort Pierce Ft 34981 L ie County, F Phone:(772)462-1553 Fax:(772)462-1578 Commercial ReS PERMIT APPLICATION FOR: -55-ZA `� fU 1 PROPOSED]`IMPROUEIIEN �Lb°C�ATtQI .,; , Address: �5'Z� J G-v��� - (/P/V �T , Pi✓Cf 3 9 Legal Description: 'YO✓ 0 K I�o�"�S Property.Tax ID#: Z—J d Z `��0g' ©O Lot No. 2z 7 Site Plan Name: 0&-a/ \ Block No. Project Name: !vl C)V-A//` Setbacks Front Back: Right Side: Left Side: DETAILED QE-50, T10 1 Q 110 �kh � � t �..12I5b..r—.:aLY:4e. s ;r,'{F,i�t.g, '�rx 1r-•l#...�.3 w „a ar"£ , I _ V i.hy1 c-e w Z-. Additional work o be performedunder this perm —check all ap y: OHVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors Electric 0 Plumbing Sprinklers E Generator O Roof Total Sq..Ft of Construction: S Ft.of First Floor Cost of Construction:$ ?lf/g�' 00 Utilities: Sewer 0 Septic Building Height: .- OWNERJLSEE. Name VkL I L 0 V V-q_,JA Name: Peter A Cafard III Address: S 2 aACompany: Lowes Home Centers,LLC City: State: Address: P.O Box 781993 Zip Code: �f Fax: City: Orlando State:FL Phone No. `7 2 2- 21q�-21 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: CGC150M17 If value of construction is$2500 or more,a RE ORDED Notice of Commencement is required. i�, i � rv�t3 r:r.:._ 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 nttooy work or installation has commenced prior to tti8 issuance of a permit.. holder permit fru wh,ccis inoconflicmt with any applicatle Nome OiwnertAs5g0[8onirulesaby awsZor and Covenants that maytl the tboeprohibit such structure.Please consult with your Home Owners Asoodation 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 BUllding Codes and St,Lude County Amendm The following building permit applications are exempt from undergoing a,full concurrency revs :r m additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses o ano er non-residential use WARNING TO 0 ER:Your ur to Record a Notice of Commencement m result your pa ng twice for improvements t your prop .A otice of Commencement must be rec riled a d post o the jobsite before the first sp Ion, you i end to obtain financing,consul it ender o an a me before commencl w rk o rec- din . .o Notice of Commencement. y V /___K s _Signature of nes/Lessee/Agent Signature o tractor/License Holder i STATE OF F. DA STA „ .OFF RIDA 4 COUNTY OF COUNTY OANGE The f oing i t was wledge ore rine The f oin i stru ent was cknowledg a re me this day 20' y this„ d f_ °q- 2q rb V } PETER A CAFARO NI PETER 04CAF 014 I (Na a of person ackno dging) {Name f person acknowledg ) IsIgnatuttrof otary Public-State bf Florida y { gnaW4 o. otary Pub ic-State of FI 'da Personally Known x OR Produced.ldentificatipn Person'lly Known x OR Produced Identification Type of identification Produced Type of,identification Produced Commission No. FF aeIe47 - « CommlSsion No. FF oe§W— OEM . K�II il M al :. :.:. Revi sed t77/15/2U14AAA os m REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW. R IEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS