HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �5 Permit Number:
_. IR�CEIVED
I
Building Permit ApplicatiLn 1 5 20;9
Planning and Development Services utity, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION
Address: PkicYC35t_- Ti 4
Property Tax ID#: �-( c2r-Pa(�-(�('�e�ifi—(�('ir�1-L-( Lot No.
Site Plan Name: Block No.
Project Name:
[DET'AILEDDES'CRIPT'IONIO'F, 'WORK:
+
CONSTRUCTION.INFORMATION:
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Ywindows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ q'D,Can. e.� Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:` CO NTRACTOR:
Name -/� Name:Peter Cafaro III
Address.�"a2(p•1.,-_} 00r• f���c2L/�D Company:Lowe's Home Centers
City:`�� A te" C :StateAddress.PO`Biix 781993
Zip Code: (�(c( Q. Fax: City: Orlando State:FL
Phone No: 5C�(.-. (meg—a .�j - Zip Code: 32878 Fax:.. . .
E-Mail: Phone No 772-281=8912 "'r''"
Fill in fee simple Title Holder on next page(if different E-Mail rebecca@permitgroupfl.com
from the Owner listed above) State or County License CGC 1508417
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 thepermit 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 FAIME TO RECORD A NOTICE OF COMMENCE NT MAY RESULT IN YOUR PAYING
TWICE FOR IMPRO MENTS O OUR PROPERTY. A NOTICE OF COMIp N MENT MUST BE RECORDED AND
POSTED ON THE JO SITE EFOR THE FIRST INSPECTION. IF YOU 1 END O OB FINANCING, CONSULT
WITH YOUR LENDER R A ATTOR EY BEFORE RECORDING YOUR NO ICE OF OM ENC MENT."
V V
Signature of Own /Lessee/Contractor as ent for Owner Signature o ontractor/License Holde
STATE OF FL O I A STATE O FLORIDA
COUNTY OF o ng COUNTY F Orange
The forgoing ins ru ent was acknowledged before me The forgoi g instrument was acknowledged before me
this 1Ldayof r 20a by this�7� a of M ,.r� 20 by
Peter A Cafaro III Peter A Cafar III
Name of person making statement. Name of pe on making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(S' nature of No r I' - i �v (S gnat of N tory ic- Flaler di p.!a '�i� lic State of Floridar-V Out Notary Public State of Florida j : ccabooJ LCommission a° '. Kari M RicciSeal) Commission o. -i` Qssion IF �3 1[47
� My Commission FF 981647 , •'? j a� 28/2020
�� Expires 05/28/2020
.,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19