HomeMy WebLinkAboutBuilding Permit Application All APPLICA E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' 1' Permit Number: S qO
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Building Permit'Applicafe'to49
Planning and Development Services <40j�'co �nee'
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X j
PERMITTYPE:
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PROPOSED I M PROVE M,ENT'LOCATION!'
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Address:
Property Tax ID#: ���i�o— i�)� OQ3�'� f Lot No.
Site Plan Name: \\ Block No.
Project Name�OrSo�'N) I_
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DETAILED DESCRIPTION OF WORK: ; "-
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CONSTRUCTION INFORMATION:
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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
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Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ �, (7 s~7 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:' 1CO.NTRACT,OR:
_ . .
Name J� Ovf-�n '�O5I�P_J16 Name:Peter ACafaroIII
Address: 3���aJVV P�'� ¢,t- �� Company-:-Lpwes_HomeCenters
City: State:!R_ Address:PO Box 781993: j
Zip ode, 3`I'oi Fax: City: Orlando ..State:FL
Phone No. `ia) -y31�1� 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 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:
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 COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS UR PROPERTY. A NOTICE OF COMM EMEN M ST BE RECORDED AND
POSTED ON THE SITE EFOR THE FIRST INSPECTION. IF YO IN7ND TO BTAI FINANCING, CONSULT
WITH YOUR LEN R R A ATTOR EY BEFORE RECORDING YOUR T CE O C MENC MENTI"
T V 1� y Z�
Signature of O4neContractor as AV
for Owner Signature of tractor/License Hold r
STATE OF FLSTATE OF L RIDA
COUNTY OFCOUNTY Fo ngeThe forgoing ins acknowledged before me The forgoing ins ru ent w s acknowledged before me
this _dayo20 by this 3 day of ,20 by
Peter A Cafaro III Peter Cafaro III
Name of person ma ' g 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
Signature of Not ( ignature ofotary P.ml* I
",A,(A Notary Public State of Florida
s° ^ Kari M Ricc 1 ;� °+►w""&o Notary Public State of Florida
Commission No. 1981647 Commission No. p = 4'� Kari M Ric vwl
r1f, My ommissi
ti ' My Commission FF 981647
Ex fres 0512812020
''raf a° p Expires 05/28/2020
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