HomeMy WebLinkAboutBuilding Permit Applicaiton r �
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -a)r-{ Permit Number: n5-377
I�V ' �
'RECEIVED
Building Permit Application tsiv 2 2019
Planning and Development Services peparunent
Building and Code Regulation Division St Luce County
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION
Address: F65" 36 C...0
Property Tax ID#: 3 (I � - 55) ` OC)5-K- Cro0Lot No. 7
Site Plan Name: Block No. 6 a
Project Name: C,I(L4..ltdi tu-
DETAILED DESCRIPTION OF WORK
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CONSTRUCTIONINFORMATION:
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:$ 2( ' Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE ;CONTRACTOR
Name I71.Q'tg$ {Jh(1.LAI Name:Peter A`Cafaro III
Address: (o,� CE3or 'r Company:Lowe's Home Centers
City:`? r S> , Lut 'r2 " = • ; State:F1 Address:PO Etox.781993
Zip Code: `� �3 , Fax City: Orlando ;State:FL
Phone No. (31-7-yqq~3)2-I 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 CONSTR'UCTION'LI*EN: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 COMMENCEME T MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMME CC MENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INT ND 0 0 Al FINANCING, CONSULT
WITH YOUR LENDE' i '.AN A r O' .EY BEFORE RECORDING YOUR NOTI OF CO ENCS ENT."
1 Ilk
Signature of Owner/ see/Contractor as Ag_ t for Owner Signature of Con r: for/License Holder 4
STATE OF FLORI u • STATE OF FL f►RI'A
COUNTY OF orange COUNTY OF.rang:
ti
The forgoing instru - as acknowledged before me The forgoing i rstru ent was acknowledged before me
this 1-1 day of IA -,,.A 20 Ft by this h day f 20(9 by
Peter A Cafaro III III Peter A Cafaro III
Name of person maki ‘g s atement. Name of person making statement.
Personally Known X OR Pr..uced Identification Personally Known x OR Produ ' 'cation
Type of Identification Type of Identification
OP
Produced Produced
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I!A14 I A A__) 1 �OF__/��_ �� i
nature of N,.�";T�r,11<!170;;:.- •:.:M N` •I nature of N,tar Pu -'ate of ." �W
d . _11%,
g g Y
OW AVS Notary Public State of Florida
Commission No a ; Kari M Riccab4Beal) Commission N..-. 4zV4. Notary Public State(caf�a&)da
, c` My Commission FF 981647 Kari M Riccaboni
?o��o Expires 05/2812020 ? A� My Commission FF 981647
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REVIEWS FRONT ZONING SUPERVISOR PLANS VE A le I `';. ' ` .' = '• ROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE '
COMPLETED
Rev. 2/7/19