HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: j �� �'�� Permit Number: v
56I
Building Permit Application NOVI8zo'o
Planning and Development Services permittin
Building and Code Regulation Division St. Luc eepartme
2300 Virginia Avenue, Fort Pierce FL 34982 Count), nt
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE:
PROPOSED'IMPROVEMENT LOCATION
Address: .5 ql b 39r uc1Q -1>(-I
Property Tax ID#: LAdQ,- (.,i Q - 014 22 D-C)5-02 Lot No.
Site Plan Name: Block No.
Project Name: G r-awV i
i
DETAILED DESCRIPTION OFUORK
CONSTROCTION,INFORMATI�ON:
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:
I
Cost of Construction:$ LAi W FO Utilities: —Sewer —Septic Building Height:
OWNER/LESSwEE: CONTRACTOR:` t
�� ""
Name q,-P ,-"1 5 Name:.Peter A Cafaro III
Address: " / c;¢ Company:Lowe's Home Centers
Address:PO
Cit t- ��c,2 �L. Box
State: 781993
Y: �C�I
Orlando" :.:, ::.. FL
Zip Code'; ��/C'i Fax...: City: State:.
Phone No: ..�"7o2==.a1.��O ( Zip Code: 32878 Fax, j
E-Mail: Phone No
772-281.89T2;.., ... .. -
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: YOURAEFOR
TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE B SITTHE FIRST INSPECTION. IF YOU INTEND BTAIN ANCING, CONSULT
WITH YOUR LEN E OR AEY BEFORE RECORDING YOUR NOTICE OF COM ENC E T."
Signature of Own r/Lessee/Contractor as Ag nt or Owner Signature of on or/License older
STATE OF FLO DA STATE OF FLOR A
COUNTY OF O ng COUNTY OF Oran
The forgoing ins ru ent was acknowledged before me The forgoing instr e t as acknowledged before me
this hL day o hsz 2019 by this Iq day of 20_4 by
Peter A Cafaro III Peter A Cafaro III
Name of person a ing 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
(Si natu of P I - t i ( gnature of 6?oa r L'�_ K
IicNo�ta ������!��Fhwida°kNotary Public State of FloridaNI Riccaboni
Commissi boni (Seal) Commission Nb yr mmissionFF�My Commission FF 981647 p of5/2812020
Expires 0512812020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.