HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: MI 11 1 a . Permit Number: f D®- 0 -1114
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Building Permit Applicationn
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: To Select from dropbox, click arrow at the end of line
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PROPOSED IMPROVEMENT LOCATION:
Address: 6 J & Q N L'J
Legal Description: ?A'i^", C --o✓E S',_D
Property Tax ID#: 314 11 ' 5-0 3 r COZt.O " C3 v°- Lot No. Z
Site Plan Name: Block No. n
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK ' .°
CONSTRUCTION INFORMATION:
Additional work to be erformed under this permit–check all h apply:
HVAC Gas Tank Gas Piping _ShuttersWindows/Doors
ElElectric ❑ Plumbing Sprinklers —Generator _Roof Roof pitch
Total Sq. Ft of Construction: S. Ft. of First Floor:
Cost of Construction: $ 18410 Utilities: —Sewer Septic Building Height:
OWNER/LESSEE:. 'CONTRACTOR:_
Name -."--11(' a U.1 ElAs)"I Name: Peter Cafaro III. .. .. ' . •
Address: 63, ..au-r0Qto.V.LN Company: Lowe's Home Centers, LLC
City: F?-. P;te.c6• State:FL Address: P.O.Box 781993
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Zip Code: 31141.9a- Fax: City: OrlandoState: FL
Phone No. 112,- 3 q2 - Z402--S— Zip Code: 32878-1993 Fax:
E-Mail: Phone No.
Fill in fee simple Title Holder on next page (if different E-Mail: gthece.4 p pfac.+n,)iouiO 4• a.fi
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.
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SUPPLEMENTAL 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 inspection. If y. intend to obtain financing, consult wit. :nder or an attorney before
commencing work . record• : sur Notice of Commencement.
A. s
Signature of Own- /Lessee/Contractor as A:- for Owner Signature of VontractoF/License Holde
STATE OF FL
• ' •A STATE OF 'LORIDA
COUNTY OF COUNTY • , Orange
The fqr oing i ment was acknowledged before me The for oi: g i strument was acknowledged before me
this l ay . OG'� , 20/8 by this/74, 0ay of QC'r , 20 /e by
Peter a Cafaro IIIA. Peter A Cafaro III
(Name of person acknowledging), (Name of person acknowledging)
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A, C--e—t_ \ C..../CL/C .
Signature of otary fic-Statof Florida ) v (Si nature of otaryPu. is State df Florida )
PersonallyKdown x OR Produced Identification Personally Known X OR Produced Identification
Type of Identifica,.. • . +, Type of Identification Prod c.-. . _ _ _ _ __
•.Pvx ru Notary Public State of Florida Ja+Pc* Notary Pub�lipq State of Florida
Commission No. 4- , Kari M Rica 9@ Il Commission No. 4' : ' ' Kari y Pub aboni
My ommissiOn FF 981647 •• r' MyCommission FF 981647
+? Olt Expires Expires 05/28/2020 •
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Expires 05/28/2020
Revised 07/15/2014
REVIEWS FRONT• ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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