HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: l
RECEIVED.
JUL 3 0 2019
Building Permit Application Permuting lDepartn>ent
Planning and Development Services St.Luca County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE: e�
PROPOSED IMPROVEMENT LOCATION. - m
Address: `7()` Al'11 z �
Property Tax ID#: �����—�:�J�— �d�u�-0�=( Lot No.
Site Plan Name: Block No.
Project Name: S+a. loleko-c-°
DETAILED DESCRIPTION OF`VVORK.
a 1 se v0wu_��
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Zwindows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: co Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: •.CONTRACTOR,, '
Name t Name:Peter Cafaro III
Address: 0Ay-,, ,' Company:Lowe's Home._Cente'rs
City: 2rC.� State: L� Address:P. Box 781993'
Zip Code: Fax:. City: Orlando
State:FL
Phone No. . x'-393— 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 CONSTRUCT ON 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 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: YOURFAI E TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS O OUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE EFOR THE FIRST INSPECTION. IF YOU IN D TO THIN FINANCING, CONSULT
WITH YOUR LE OR ATTOR EY BEFORE RECORDING YOUR T E F MM CEMENT:'
y V V
Signature of Own Lessee/Contractor as A ent r Owner Signature of Co tractor/Lic rise er
STATE OF FLO I A STATE OF F RIDA
COUNTY OF or nge COUNTY OF o-ge
The forgoing inst u ent was acknowleged before me The forgoing i s rum nt as acknowledged before me
this day of 210A$ by this day f 20jj by
Peter A Cafaro III Peter A Cafaro III
Name of person ma ng statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
ig a I - t to o, lord (Sig ature o x,40; i i
v o Notary Public to 13 orida
i w Kari M RICCabI)ni j '�s4 Notary Public State oorid
Commission N.e.• mmission F�!9@9P Commission N_d � Kari M Riccaboni ea�
+ Expires 0512812020 > a+ My Commission FF 947
Of�oF Expires 05128!2020
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19