HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �' ��• 19 Permit Number: 1901- 0
21(06
RECEIVED
-Building Permit Applicat on
AUG 13 2019
Planning and Development Services Sf. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE: ,l
PRO,POSED''IMPRQVEMENTLOCATION ,'
Address:
Property Tax ID#: SAQcf— "700—0-00-7 —000—Y Lot No. —7
Site Plan Name: Block No.
Project Name:
DET,4ILED DESCRIPTION°OF WORK
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b'NsTRUCTION
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CONSTRUCTION INFORMATION
Additional work to be performed under this permit-check all that a7S',h.utters
_Mechanical _Gas Tank —Gas Piping _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ R'�`7 Utilities: —Sewer _Septic Building Height:
OWNER%LESSEE ;CONTRACTOR
01
Name , /Y1 ri )RArs Name:Peter Cafar'o III.
Address: 62.(n� •-GtLN nl^-..'CD.. Company.:19wes,Horne Centers
City: {I L ` ' " ;State: Address:PO Box,78.199 , . ,
Zip ;KLf9.3-7 y:^Orlando ; .,.. , .',, ,+ FL
Zi Code: Fax`. Cit State:
Phone Nor ti 3287,8
�: Zip Code: 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.
SUPPLEM,ENTAL;CONSTRUC ION LIEN LAW INFORMATION
� «
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: t 2 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 F LURE TO RECORD A NOTICE OF COMMENCET MAY ESULT IN YOUR PAYING
TWICE FOR IMPROVEME S YOUR PROPERTY. A NOTICE OF COMM C MEN M ST BE RECORDED AND
POSTED ON THE JOB SAE BE ORE THE FIRST INSPECTION. IF YOU IN ND D&Alk FINANCING, CONSULT
WITH YOUR ER O ANA RNEY BEFORE RECORDING YOUR NOTI E OF NC MENT."
V rh y /I
Signature of 0 er/Lessee Contractor s A ent for Owner Signature of C t actor License Hold r
STATE OF LO IDA STATE OF FO IDA
COUNTY O Oran a COUNTY O Oran e
The forgoing instr merit was acknowledged before me The forgoing instr me was acknowledged before me
this�da of 20� by this�day of // 20a by
Peter A Cafaro III Peter A Cafaro III
Name of pers n m king 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
`7 Ju ,_JZ
t /" " Xl �
ignature o Notary ( gnature o7al - t I a
> a°r�4rNotary Public State of Florida otary Public State of loddaCommission N ? _ : Kari M Ricaa t ari M Riccabont
commis�tb 981647 Commissionfissionor�oExpires 0512812020 xpires 05128/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19