HomeMy WebLinkAboutBuilding Permit Applicaiton ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application. JUN 11.2019
Planning and Development Services permitting Department
Building and Code Regulation Division St, Lude county
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
: PROPOSED IMI?.ROVEMENT;eLOCATION
Address: c10 s-
Dv-
Legal Description: '�flt a ti 4Lv-C-e
Property Tax ID#: 3�loZ , �? - d� SOV ' 3 Lot No. 4Z 'If 3
Site Plan Name: : � wo1� Block No._lam
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED.DESCRIPTION OF WORK
CONSTRUCTION'INFORMATION '''
Additionalworkto a er orme under this permit-check a appy:
❑HVAC Gas Tank Gas Piping Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 4C) l(.Oly Zo Utilities: —Sewer Septic Building Height:
OWNER/LESSEE.:.
CONTRACTOR
Name Name: Peter A Cafaro III
Address(t 0 i���.�.�-�C�� i�� Company: Lowe's:Home Centers, LLC
City: L' pt�e .�.. State: Address: P.O.Box 781-993
Zip Code: '3LIR_-N2 Fax: City: Orlando State:FL
Phone No. QI$-L/. L4 ZD( e 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: 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:
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 ma result in your paying twice for
improvements to your proper .. A Notice of Commencement must be r or ed and posted on the jobsite
before the first.inspection. yo intend to obtain financing, consult w' len er ora t rney before
commencingw re rdin ur Notice of Commencement.
\_/ //�� - V V I
s
Signature of[FR
Lessee/Contractor as g nt for Owner Signature o .Contractor/License Hold
STATE OFDA STATE OFLORIDA
COUNTY COUNT 'OFOran9e
The forgoinment was acknowledged.before me The forgo nginstrum nt was acknowledged before me
this�dat lY�:l 20by this a of �t/yt�.- 20 by
Peter a Cafaro I I 1 Peter A Cafaro III
(Name of person acknowledging) (Name of person acknowledging)
P-C
ignature ofotary Public-State of Florida ( gnature of tary Pub Ic-State of lorida
Y )
Personal) Kn2wn x Personally Known x
Type of Identification rol ac Nota Public State of Florida Type of Identification Prod cy=(� _State of FloridaKari M Ricca on1 onlCommission No. MyCom{{ppssipp,nFF 9816a7 Commission No. n FF 98�sa7Expires�9 z�YQ020 20
Of F
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE. MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS