HomeMy WebLinkAboutBuilding Permit Application i
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q�
li Date: p mit Number: M �
PerV"
RECENeD
Building Permit Applicatip�
UCT.0 8 201
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Planning and Development ment5ervices
Building and Code Regulation Division Permitting Departm,r, I
2300 Virginia Avenue, Fort Pierce FL 34982 sr Lucieoar
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED'IMPROVEMENT LOCATION
Address: -7JL �-
Property Tax ID#: 1443 1—")D-Z,- C) ZO-030-- Lot No.
Site Plan Name:1:Z1C0.-c GY-) Block No.3
Project Name:
DETAILED DESCRIPTION OF,WORK
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—3 QPM1 4S -6 vAF .
CONSTRUCTION INFORMATION`:
Additional work to be performed underthis permit-check all that appl
_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:$ -12�( Utilities: —Sewer —Septic Building Height:
.QWNER/LESSEE: :':CONTRACTQR:
Name Nr— (3J1e n 60,J. zn Name:Peter Cafaro III
Address.:. —7�� (, jJC�Ne. p.Ve, Company:Lowe's.Home Centers....,;:.
City:�0-r �L_ Address:PO Box781993.
Cit }:. i, c�, _State:
Zip Code: 3LI°Iq • Fax:. City: Orlando State:FL
Phone No;,. W07—`��fA-�j 11 Zip Cod b.-%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.
i
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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 IMPROVEME TO YOUR PROPERTY. A NOTICE OF COMMENCE MUST BE RECORDED AND
POSTED ON THE JOB TE B FORE THE FIRST INSPECTION. IF YOU END O OB AIN FINANCING, CONSULT
WITH YOUR DER ANA ORNEY BEFORE RECORDING YO R TIC OF COMM CEMENT."
ry V V V J�
Signature of ner/Lessee/ContractA as Aigent for Owner Signature Contractor/License H der
STATE OF L RIDA STATE F FLORIDA
COUNTY F,)-ng- COUN Foranse
The forgo. in
n tru ent was acknowledged before me The forg in instrum t as acknowledged before me
this `L da o c 20_1S by this d y of �' 204 by
Peter A Cafaro IIIPeter A Ca r 111
Name of pers 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 Produc d
( gnatu of a e o orgda) i nature f 9
�vY Ow Notary Public tate of Florida g
COmmISSIOn No. 0 4: Kari M Riccaboni `y ot9YOP# Notary Public State of Florida
ommissio(>�393�1647 Commission NA.? Kari M Riccaboni (Seal)
of Expires 0512812020 y y:_ y CoFnmission FF 981647
0
,'n4,A Expires 05/28/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19