HomeMy WebLinkAboutBuilding Permit Application j ] 4
ALL APPLICAB INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / 0
Date: a' /9 Permit NumbE r: IF, ff 7
.4 Y' 0
W—R! MAR 8 2019
Building Permit Application Permitting Department
and Development Services
Building and Code Regulation Division St. Lucie County, FL
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
PROPOSED IMPROVEMENT'LOCATION
Address: �q ot, Ca-ml rig
t Legal Description: SA u, gu, (, Nlj } o'- �Ll� f, t✓'/
i � orr .
�r US#1 lis sh6virl in of 2`s"--rAo ICA Ili 6A, (' M,AQ Ay-I
Property Tax ID#: 'rSW'_)6-50p-02SD- oe*=9 Lot No.
Site Plan Name: Block No.
l
Project.Name: 1 Ko.&V,�.5 -9kqJ51Ci
Setbacks Front Back:
Right Side: Left Side:
.DETAILED DESCRI"PTION'`O'F WORK
' L �i.��'A-�� p �t.G LOru1C�✓l 541 . .
CONSTRUCTION, INFORMA.
JON-
Additionalwork to be nertormed un er t is permit-check a app y:
Q `
HVAC Gas Tank g Gas Piping —Shutter Windows Doors
PQ Windows/
Doors
QPlumbing Sprinklers ElGenerator Q Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ �,�� Utilities: Sewer 0Septic Building Height:
OWNER/LESS,EE: `CONTRACTOR:
_ . :..
.,. ..
Name` I �� �S Name:" PeterA Cafaro,lll
Address: 'HCl �. 1/�O Company:
Lowe's.Home.Centers, LLC
City 0( 5 ��Y„',• State:�(� Address: P.O.Box 78T993`
Zip Code`:�j�{q .� ,'Fax:'.... b,,"Orlando
City: State:FL
Phone No. Zip Code: 32878-1993 Fax:
E-Mail: Phone No.
i
Fill in fee simple Title Holder on next page(if different E-Mail: r� nrn�ro raCL_ cpm
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.
L �
SUPPLEMENTAL'CONSTRUCTION LIEN LAIN 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:Yo failure to Record a Notice of Commencement may result in your paying twice for
improvements to your p pe . A Notice of Commencement must be recorded and posted on the jobsite
before the first inspec 'on. If y& intend to obtain financing, consult wi lend n attorney before
commencing or r ecordin our Notice of Commencement.
y ZA
s
Signature of w er/Lessee/Contractor a gent for Owner Signature o ontractor/License Hold r
STATE OF LO IDA STATE 0 F ORIDA
COUNTY F or ge COUNTY F Orange
The forgoin inst ume=was@edged before me The forgoin in trument was acknowledged before me
this C, da of 20 aby this_(�_day of Ma, U" 20 by
Peter a Cafaro III 1 Peter A Cafaro III
(Name of person acknowledging) (Name of person acknowledging)
n 4
2—LA
C��
'(Signa reof tary Pu Ic-State o Florida ) (Si nature of No ry Pub Ic-State of lorida )
Personally Kn n x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification P d Type of Identification Produ
Y r Notary Public State of Florida =°v➢"'wig Notary Public State of Florida
Commission No. :° Kari Mt pboni Commission No. K 'gTyccaboni
My Commission FF 981647 ,per My omrtiission FF 981647
iia" Expires 05/28/2020 �a�tF Expires 05/28/2020
00
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS