HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE IN O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
P
Building Permit Application
Planning and Development Services �'''•3 �j, �o
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION',
Address: 02N7 w nso_ik 'S+
PropertyTaxlD#: 'ZgI7-5?0—QQ67,-onr_-,-4 Lot No.
Site Plan Name: Block No.
Project Name: 7oyQnj2gr�
DETAILED DESCRIPTION
�IOF WORK -
CONSTRUCTION'INFORMATION:
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: $ �J,�o(�t'� Utilities: _Sewer _Septic Building Height:
6WN' ER/LESSEE :` CONTRACTOR:
Namey-d—'I o }lyAcrrl r LL N a m e:.Peter A Cafaro I I I
Address:.2=1A--71 I) too�►Y1S[�n� Company:Lowe's-Home Centers.-
State:
enters:State: Address:PO Box 781993
Zip Code::.S99 .. Fax: City: Orlando State:FL
Phone No. *7 oyz° '�tZip Code: 32878 •F ax:.
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.
i
SUPPLEMENTAL LAW INF
SU ORMATION':
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 COMMENCE MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTSnEFORE
R PROPERTY. A NOTICE OF COM NCE ENT BE RECORDED AND
POSTED ON THE J SITE HE FIRSTINSPECTION. IF YOU 1N END T OB AIN INANCING, CONSULT
WITH YOUR LEND R A AY BEFORE RECORDING YOUR NO kE OF C MENCE NT."
-�/ V -\� - V ___4
Signature of Owner Lessee/Contractor as Ag t for Owner Signature of ontractor/License Holder
STATE OF FLOR D STATE OF F ORIDA
COUNTYOForane COUNTY Orange
The forgoing instr m n w s acknowledged before me The forgoi g i stru e t was acknowledged before me
this X day of 2011 by this ay of V 2011 by
Peter A Cafaro III Peter A Cafa II
Name of person m ki g statement. Name of p son making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Iden ' ' tion
Type of Identification Type of Identification
Produced Produced
c n
Xd C_ t�,L_ b
(Si nature o otar i - t t I rl (Si natur o ary Publi. - f II
o-Oy PVI Notary Public State of Florida
? Karl M Ric�3bgqgql c`P"�,w Nota Pu I'c State of Florida
Commission No. yCommi =981647 Commission No. r
cl Kari��l�aboni
~'f of n Expires 05/28/2020 p r_ Q My Commission FF 981647
110, oo-� Expires 05/28/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19