HomeMy WebLinkAboutBuilding Permit Application ALL.APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I?I3.'0143
Date: I t 1301 t e Permit Number: tE111401‘13
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RECEIVED
lRiW � DEC ® 6 2018
Building Permit Application
Planning and Development Services Permitting Department
Building and Code Regulation Division St, Iruele Count,'
2300 Virginia Avenue, Fort Pierce FL 34982 �f
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential �/l
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 1 66Q
PROPOSED IMPROVEMENTTLOCATION' :�
n Ib y.Address: � 4 B 10....;o vv,"2
Legal Description: Ie-1 VES-"4 (A,. g I Ea 40.7- 1
Property Tax ID#: 3419 - 511-- Ov q 7 - 000 - Z Lot No._ —r
Site Plan Name: Q:. 61..00,0 ie-4.7 ec Block No. Z3
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION.OF WORK: - .,
5 1--041.1 t sE-...ipo.....I-• .Ns+.
CONSTRUCTION INFORMATION '
Additional work to be performed under this permit-check all h apply:
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_HVAC _Gas Tank 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: $ (P ( Utilities: I _Sewer _Septic Building Height:
OWNER/LESSEE:. CONTRACTOR: - ; ,
Name (Z CG1ne,,,..e 1 EA._ Name: PeterA•Cafaro Ill
Address:n 14 6 (2-to w..,�• 2. Cornpany: Lowe's:Home Centers, LLC
City: `v cek'' 14-• 1—a--'0-;'e State: rL Address: P.O.Box 781993 -,
Zip Code: 14 4 S'2 Fax:. . City: Orlando" ' ' w ' State: FL
Phone No. 12 Z - L9,'-/sao Zip Code: 32878-1993 Fax:
E-Mail: Phone No. 't? 2 • Z`B ' - 89 t Z
Fill in fee simple Title Holder on next page(if different E-Mail: Ytlaece.A 6 0t+..(/1+f.....9(1. ee r.,
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.
SUPPLEMENTAL CONSTRUCTION LIEN•LAW INFORMATION
•
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:. lot Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: (-llNot 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 prop- A Notice of Commencement must be orded and posted on the jobsite
before the first ins:actio . If you intend to obtain financing, consult ender or = - .ttorney before
commencing wo or e .rding your Notice of Commencement.
S
Signature of 0 7 er/Lessee/Contractor a• A: nt for Owner Signature . Contractor/License Ha der
STATE OF FL RIDA STATE 'F FLORIDA
COUNTY OF I.nge COUN 0 F Orange
The f,,QQrgQ��ing in rument as acknowledged before me The fo goin: instrument was acknowledged before me
this� 'tlay o , 20(f3_by this ' 3:y of 1QtAi , 20 la by
Peter a Cafaro III-- Peter A Cafaro III
(Name of person acknowledging) (Name of person acknowledging)
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abi
(.ignatu .tart'Public-State of Florida ) "1".°— (S nature Notary Public-State of ori a)
Personally Kno n X OR Produced Identification Personally Known x OR Produced Identification
Type of Identi icatio ' Type of Identification Produced
Notary Public State of Florida •
Commission No. ?° Kari M Ri c bgni Commission No. .rnY'w Notary Public St� Fyorida
•y Commi F 981647 an M RICCabdrn��
-c� Expires 0512812020 - ' 1 My Commission EF 981647
r�o Expires 05/28/2020
as
Revised 07/15/2014
REVIEWS FRONT ZONING •SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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