HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED fin(,,
Date: S/Z 1 I (9 Permit Numbe�'IC5- V OO b3
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Building Permit Application MAY 2 4 2019
Planning and Development Services permitting 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 S(
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line W;,00 ,s
PROPOSED IMPROVEMENT LOCATION
Address: /Fe S (Alq�.
Legal Description: Pi,-trn •
Property Tax ID#: �j 11 O r 'S 3r- cx.D 5 1 ^ OQ(. -- Lot No. w
Site Plan Name: ,.tcE= Block No. 8
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
CONSTRUCTION,,INFORMATION
Additional work to be performed under this permit-check all h apply:
HVAC Gas Tank Gas Piping Shutters Windows/Doors
P g —
ElElectric _Plumbing Sprinklers _Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor: _
0
Cost of Construction: $ 3 9' 7GP Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE CONTRACTOR:
Name 30✓vcc... t Name:.Peter,ACafaro III
Address: 5660 Mesar 4(dots w°ti4 Company: Lowe's Home Centers, LLC
City: 1�
%C-i.GC i State: Address: P.O.Box 781993 .
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Zip.Code: 3498z Fax: City: Orlando State: FL
Phone No. 11 ey- 3�3-I Zc3 { c Zip Code: 32878-1993 Fax:
E-Mail: Phone No.
Fill in fee simple Title Holder, on next page(if different E-Mail:
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: ±4lot Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: of 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:Y.ur fai re to Record a Notice of Commencement may result in your paying twice for
improvements to your eroperty. A Notice of Commencement must be reco ed and posted on the jobsite
before the first se ion. If you ntend to obtain financing, consult with end r or an ey before
commencing ork ,'recording ys _r Notice of Commencement.
s
Signature of nwner/Lessee/Contractor as Ali t for Owner Signature of tractor/License Holder
STATE OF 'LORIDA STATE OF LORIDA
COUNTY • Orange COUNTY F arse
The ffprgo Iv instru ent was acknowledged before me The forgoin in trument was acknowledged before me
thisa .. of , 20 1/by thisi— ay of Milky
,20 14 by
Peter a Cafaro IIIA Peter A Cafaro III
(Name of person acknowledging) (Name of person acknowledging)
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..c". riNkl .1 1 1
(.ignature of otary PGbli�tat& o ori Irt-is ( :nature of .tary Pu. ic-State of'lorida )
Personally Kne n X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. .►�Y'w Notary Pit to of Florida Commission No. .0°w Ncgr6RRublic State of Florida
ari M Ri na�ni an M Riccaboni
y•;? F My Commission FF 981647 e ate My Commission FF 981647
�,�`gid+ Expires 05/28/2020 ?R nd Expires 05/2812020
Revised 07/15/2 14
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE .
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