HomeMy WebLinkAboutBuilding Permit Applicaiton ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: t:) .-1,q—til Permit Number: l j
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Resimanuansmmustzwasev Building Permit Application� Permittine
Banning and Development Services
uilding and Code Regulation Division St.Lucie Cou ty�nt
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: (05 5 LA 5 d/lk S .D v
Legal Description: �jCF}C .CV.4-y 0,6190/ '6Ec I
Property Tax ID#: 44") *445c.' 0VS'S- ooc.P-- Co Lot No. Z-7
Site Plan Name: 46V;' (.) Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK . A
CONSTRUCTION_INFORMATIO N � � '
Additional work to be performed under this permit—check alltpA apply:
HVAC Gas Tank Gas Piping Shutters Z Windows/Doors 1
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❑Electric ❑ Plumbing Sprinklers _Generator _Roof Roof pitch
Total Sq. Ft of Construction: _ S . Ft.of First Floor:
Cost of Construction:$ 131 41 Z ;1=6' Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: , ,. , ,. CONTRACTOR: ; " ., -
Name - .v; a -C24 b edttki Name: Peter ACafaro"Ill
Address: & 5 S 5 CDL h3 D✓ Company: Lowe's,Home Centers, LLC.
City: --.. Ji'c•1-s5�"' ISefse3—.. State: - Address: P.O'.Box 781993
Zip Code: 514451 .. .I Fax: . City: Orlando. . State: FL
Phone No. CO 3 1 — 3B. 'q S91 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: CGC1508417
1 '
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: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: of 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 represu
sentation that is granting a permit will authorize the permit holder to build thesubject 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.- ty. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspectio'. If y•u intend to obtain financing, consu w•h lend- o an attorney before
commencing w. or r:cordin: your Notice of Commencement.
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Signature of #i ner/Lessee/Con racto as gent for Owner Signat a of Contractor/License H.Ide
STATE OF Ls RIDA STAT OF FLORIDA
COUNTY F o-ase COU TY OF Orange
The fo�r ofg ins,rum�nt was acknowledged before me The f r oing instrument was acknowledged before me
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this/74.d
y of YGb , 20 j by this .5 shay of ,20 i by
Peter a Cafaro III Peter A Cafaro III
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(Name .f person acknowledging) (Name of person acknowledging)
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.ignature of�otary Public-State of Florida ) (Si:nature o Notary Public-State o orida )
.._Personally Ka'own x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Pt._. c-d_ , . _ _ _,_y, Type of Identification Produced
eY''ry Notary Public State of Florida Y�cti Nota P pte of Florida
Commission No. _ Kari AQS�iBl�aboni Commission No. Zo. `F ry �Il
vim, `' < My Commission FF 981647 Kari M E iccaboni
14 pw Expires 05/28/2020 rti 4 My Commission FF 981647,
or ti ?or re
Expires OS/281?0?0
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS