HomeMy WebLinkAboutBuilding Permit Application All APPLICA7 INFO
/�MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED )n/) 0 / 7�
Date: -/' ��')� Permit Number %(/
R E C E I V"Em D
® SEP -12 2019
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Building Permit Application
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:
PROPOSED IMPROVE MmENT'LOCATION,�
Address: o rel ►n;,h�r
Property Tax ID#:szLot No.
Site Plan Name: Block No.
Project Name:
, :
DETAIL'ED,DESCRIPTIOWOF WORK ;
CONSTRUCTION,INFORMATION; s
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:$ "7 OL�.� Utilities: —Sewer '—Septic Building Height:
OWNER/LESSEE. CONTRACTOR:
Name 1 � `l� f Name:
Peter A Cafaro III
Address: 'FO _ lr`l(l.�Q _ I (�� Company:Lowe.s.,Home Centers r
L.,. _ . PO=Box 78-1993:. ...
City: � State:� Address�:
Zip Code: .-,,Fax: City: Orlando, :State:FL
Phone No..', Zip Code: 3287- 8_ ,. 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.
i
SUPPLEMENTAL- CONSTRUCTP LIEN LAIN 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: OUR FAI RE O RECORD A NOTICE OF COMMENCEMENT MAY SULT IN YOUR PAYING
TWICE FOR IMPR E ENTS O YO R PROPERTY. A NOTICE OF COMM EME MU T BE RECORDED AND
POSTED ON THE JOB ITE EFORE HE FIRST INSPECTION. IF OU INTEND TO OBTAIN INANCING, CONSULT
WITH YOUR LE ER O A ATTORN Y BEFORE RECORDING YOU NOTI E O C IM
BE
/ V
Signature of Owne /L ssee/Contractor as Ag n for Owner Signature of tractor/License Holder
STATE OF FLO ID A i — STATE OF F ORIDA
COUNTY OF ora ge COUNTY O Orange
The forgoing inst um nt was acknowledged before me The forgoing i strum nt was acknowledged before me
this�day of 20 1'i by this�day f 20 1 er by
Peter A Cafaro III PeterA Cafaro III
Name of person making 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
(S gnature of N I (q nature of.
"a'r►Gy Notary Public State of Florida
�' =0 4n Kari M Riccab I � ao 0-y' Notary
Notary Public State of Florida
Commission No. mission?4aAr347 Commission fro. Kari M Riccaboni (Seal)
y 8 y•_ o ssion FF 981647
moo- Expires 0512812020 ��OF'��a Expires 05/2612020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.