HomeMy WebLinkAboutBuilding Permit Applicaitonr ! II
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r� ca
Leo5 �L, Permit Number: I gee — l/"' o
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J L7 • RECEIVED
t -� � ,
� , MAY 09101
9
Building Permit Application
Planning and Development Services P rnitWng Department
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:
F enc:Q-
PROPOSED IMPROVEMENT LOCATION , '
Address: 2.1-1 (0 0 SvMrw2,,r 1Rb
Property Tax ID#: �k1`t-5 O-00G,y-oeo-3 Lot No. �
3II
Site Plan Name: Block No. 7?
Project Name: (ANIS) t-OU ki
DETAILED DESCRIPTION OF WORK
0s4- X 35 C4 4- G i Vin•{t Culuz- u,)141N 4wo 54 walk. Ca-
CONSTRUCTION_INFORMATION: r,'
I
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors
_Electric _Plumbing _Sprinklers —Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ att40-0 Utilities: ._Sewer _Septic Building Height:
OWNER``/,LESSEE: ," �.� iCONTRACTOR ,
Name f-1oiti CIMS Name:Peter Cafaro,IIl-
Address: , Company:Lowes Home Centers - -
02�-1.0 N�° Su Com an ' •
'
City:`-(-)(14 S= ,`(.Ljuze✓.` State:EL.. Address:PO.Box 781993 - 11
Zip Code: 3 1(('3 Fax: City: Orlando -• State:FL it
Zip 32878 • II
� _ Code: . . -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.
1
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•
,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 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 ! YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE =EF a RE THE FIRST INSPECTION. IF YOU IND OBTAIN FINANCING, CONSULT
WITH YOUR LENDE I R A ATTO•NEY BEFORE RECORDING YOUR NOT CE df!CO ENCEMENT."
All
Signature of Owne '!�'essee/Contractor as :• t for Owner Signature of I'i.ntractor/License . •:r
STATE OF FLORI I A STATE OF FLORIDA
COUNTY OF Orange , COUNTY 0.n Orange
The forgoing instru nt was acknowledged before me The forgoing .trument was acknowledged before me
this :
day of AI4 •___, 20 19 by this ) day .i Mau-7 ,20 19 by
Peter A Cafaro III Peter A Cafaro iii
Name of person mall statement. Name of person making statement.
•
Personally Known . x ORS -• ced Identification Personally Known x OR Produced Identification
Type of Identification / Type of Identification /
Produced Produced
Or
•
401° iik
' -i- ' ,
(S gnature of No .r cam' . -= v ... (Si: ature o N it y Pub c- 't- . ` •'I:.
o P('1 Notary Public State of Florida =off ... Notary Public State of Florida
: ' Kari M Rip(�er ni Kari M Riccab �1l
Commission No. a yCommisslo�nFg8fsa7 Commission No. ; „ ommission9g18a7
~''or nom Expires 05/28/2020 or i• 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