HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 124 I"( ( 16 Permit Number:I 1.40.—03 RS
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will-zegrawarima—iimplow Building Permit Application Rec.,.
Planning and Development Services. cifreo
Building and Code Regulation Division Dee 7
2300 Virginia Avenue, Fort Pierce FL 34982 '°errh1 9?NNg
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residentga t;"9pe,,a,,t,
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PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 64...44s
PROPOSED-IMPROVEMENT LOCATION _ , ,'
Address: to 'Z (t:w 1) ✓ I.
Legal Description: Cb a� 4-A-V 4-412" L..,,rz ?e' e*Ct -(- v o-c- 3
Property Tax ID#: _Lt/��O''i QX)I- e'- '4)(:), - d00- 3' Lot No.
Site Plan Name: ea 3,5 `�ji,eob se•.1 Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK I, 'Y. '
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6P OPS 1 5
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CONSTRUCTION INFORMATION 1
Additional work to be erformed under this permit-check all
apply:
EIHVAC I1 Gas Tank Gas Piping _Shutters Q Windows/Doors
I IElectric _Plumbing Sprinklers —Generator _Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 46,11" ti Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE. 'CONTRACTOR:
Name I� i s wc.asa+ Name: Peter A Cafaro Ill
Address: lo Z .(Lue•cJit--, Oe Company: Lowe's Home.Centers, LLC _
P.O.Box 781993
City: ��A��K c:6%.#.- --. Stated Address: '. !!
Zip Code: .3M `CST Fax: City: Orlando' State: FL
Phone No. 1/Z' 19 -725 Zip Code: 32878-1993 Fax:
.
E-Mail: I 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.
1 :
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: ot Applicable BONDING COMPANY: Iot 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 pro pe y. A Notice of Commencement must be r- : ded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult wi• le der . . . attorney before
commencing ,+•rk or -cordin;; your Notice of Commencement.
5
Signature of owner/Lessee/Contractor•gent for Owner Signature of ntractor/License Hold2r-
STATE O I ORIDA STATE O F ORIDA
COUN I Orange COUNTY O Orange
The f930 : instrument was acknowledgedbefore me The forgoirg i strument was acknowledged before me
this 1of �'-G , 20 / by this da f D4-c-- , 20 I) by
Peter a Cafaro IIIA Peter A Cafaro III
(Name of person acknowledfing) (Name of person acknowledging)
f
(....)AilG ! Q k• I / .A_.4 __2 , 1
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sign. e of No ary Public-S ate of Florida ) '(Signature o Notary Pic-State of Florida ) .
Personally Kno n X OR Produced Identification Personally Known. x OR Produced Identification
Type of Identificatio• ` 3‘'..._;• Type of Identification P + , •d_ _ _ :
Ooev"to Notary Public State of Florida r ` -
Commission No. _ (: Kari M Ric 8� Commission No. r Nata P lc��teofFlorida
Commisdlon 981647 Kari M Boni
—0 r. 'My Commission FF 981647
9jFos Expires 05/28/2020 '?a,,O Expires 05/28/2020
Revised 07/15/2014 . _ .
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
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INITIALS