HomeMy WebLinkAboutUntitled All APPLICf BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ` t�
Date: Permit Number:
RECEIVED
o
Building Permit Applicati n APR 3 0 2019
Planning and Development Services
Building and Code Regulation Division ST, Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE:
PROPOSED IMPROVEMENT LOCA, ION„ £
Address: r �r
Property Tax ID#:11 2 -
t-t �6q����-OCX�-'� Lot No. 33
Site Plan Name: ubb (f -k Block No.
Project Name: AU)0tr i(—
DETAILED,DE-SCRIPTION'OF WORK
CONSTRUCTION INFORMATION:
i �rx
Additional work to be.performed under this permit—check all that apply: /Win"dows/Doors Mechanical Gas Tank • _Gas Piping Shutters
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ N50 Utilities: _Sewer _Septic Building Height:
1
01NNER%LESS EE CONTRACTOR ”
Name cP_ Ub1'0-- Name:Peter A.Cafaro III
Address: G'7 1k Company:Lowe's Home Centers
City_; Croc.��`Yi•Q cam- - State:�l. Address:PO Boz 781993` '
Zip,Code: 3 � 'oL'.' Fax: f City: Oilando State:FL
Phone No.`?"7 U ' ` Zip Code: 32878 "Fax:
E-Mail: Phone No 772-281=8912
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
eF ire.. _
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 FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROI�ENTS TO OUR PROPERTY. A NOTICE OF COMM EMENT MUST BE RECORDED AND
POSTED ON THE OB ITE B OR THE FIRST INSPECTION. IF YOU IN ND TO g67�QIN FINANCING, CONSULT
WITH YOUR LE R O AN TTOR EY BEFORE RECORDING YOU NOTI E O CO MEN EMENT:"
X V I � / V I
Signature of Owne ssee/Contractor as A nt for Owner Signature of ntractor/License Hol er
STATE OF FLOR D STATE OF ORIDA
COUNTY OF Oran a COUNTY O orange
The forgoing instr me t was cknowledged b ore me The for oin i strum nt wps acknowledged before me
this day of ri 20 l� by this da f rt 20 by
Peter A Cafaro III Peter A Cafaro III
Name of person m7ug g statement. Name of person making statement.
Personally Known X OR R ed Identificatio Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced Produced
( gna a of I r ( gnat(qgnatof No rylic-State rida)
?oar°k► Notary Public S to of Florida IcQ'�I
Commission No. Kari Riccab a) Commission No. a►�Y Notary PufiirC%aofFlorida
"a r_ c� My Commission FF 981647 j Kari M Ricc2boni
~'sur ted° Expires 05/28/2020 r. ffMy Commission FF
ur xpires 0-5/28/20 20
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETA
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
iev. 2/7/19