HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
- Date: to 'll'J^ 1() Permit Number: SI 0-0).3(1
yl.� ���ij Ql yw[� RECEIVED
FC`-Vii 11 "..ate-,-3''...
COUNTOCT 10,2018
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Building Permit Application Permitting Pepartment
St, Lucie County
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: i 6 I s, tfcc, x,
PROPOSED IMPROUEM NT LO ATIOPI r
Address: 21 /0 ki, d(e I
Legal Description: / —3 C — D 4/ 2?Y 1)1
Property Tax ID#: 2 41 ci S cik- 0 0 62-0 10 ~ Lot No.
Site Plan Name: 4) RV I C Block No.
Project Name: * 1 S
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIO[' OF;WORK ` ° f
CONSTRUC ION It ORM K�� Ont j ' _
Additional work to be ertormed under this permit—check all apply: '
HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors LJ
Electric El Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ l n q CO? 4 ( Utilities: Sewer ElSeptic Building Height:
OWNER/LESS , ... .. n�. 5 iif�J m,i. . .. . _e
ii I J Peter A Cafaro III r
Name 'L yl ��� � � Name:
Address: 7i_q r 0 rook C' !/..d Company: Lowe's Home Centers,LLC
r� Kt"--
City: l� ( eit/C,e State: PO Box 781993
ty /! Address:
Zip Code: 3q9 I' Fax: City: Orlando State:FL
Phone No. 7(o - (7 :7095 ( Zip Code: 32878 Fax:
E-Mail: Phone No. 407-832-8085
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.
1
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.
II 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 AmencIm-. s.
The following building permit applications are exempt from undergoing a full concurrency revi :r om additions,
accessory structures,swimming pools,fences,walls;signs,screen rooms and accessory uses o ano er non-residential use
WARNING TO O. , ER:Your - ur. to Record a Notice of Commencement ma result your pa ing.twice for
improvements t. y• r prop- .A otice of Commencement must be rec,rded a d post- : o the jobsite
before the first sp z ion. you i end to obtain financing,consul, it ender o an a• •rneti before
commenci w•rk o rec. din&yo Notice of Commencement.
s;
Signature off ner/Lessee/Agent Signature of i tractor/License H der
STATE:OF F e 'IDA STATE OF F/m.RIDA
COUNTY OF e- . t COUNTY O'ORANGE
The to sing i m t knowledge ore me The fo oin_- .strumen�t was acknowledg ore me
this day , 20 I by this da 'f 0 ac i ,20/ y
t
PETER A CAFARO III j PETER A CAF•'0111 I
ir
(Na e of person acknow •dging) I (Name of person acknowledgi : )
au_ I _ AL��`/ �e ) AAS
( gnat of otary Public-State ,f'.FI.ride) "I"7 ' ('gnature o. otary Public;State of Fl.ride
Personally Known X OR Produced.Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification ProdLiced
Commission No. FF981647 fr;-.I rj- ate, : Commission No. FF9 :7 V.-jif Notivi- `. d
N. iR�w Florida
Kid M Rbdsb ni 9etesT a KM M Wpabanl
0 Expires051,. 2�T0 d� Ili comm44,2F 0111047i
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER . REVIEW. REVIEW REVIEW REVIEW • REVIEW REVIEW ;
DATE
COMPLETE
INITIALS