HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �a\r c'� \� Permit Number:
L: . ... RECEIVED
Building Permit Application DEC ® 3`9
Planning and Development Services ST. 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: -yrs
PROPOSED IM PROVE MENT.LOCATIO.N'.; : :°
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Address: Q•q-1 WO PAQA('+SCStt 5-�
Property Tax ID#: v-y 19 -5 70 -U0(b-7-C-WJ-6—1-f Lot No. )
Site Plan Name: Block No. —79
Project Name: y 0-NI.R-In✓.end"
DETAILED.DESCRIPTION O:F,WORK
j
CONSTRUCTION-INFORMATION
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: r
Cost of Construction:$-41X-7 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE.' Y =CONTRACTOR:
Name Name:PeterA Cafaro III
Address: -7-Lh 1,,1 L Mwin So-d Sk, Cgrnp:a.n..y;Lowe's Home Centers
City:�l State:LL_ Address:F,Q._,,ox 781,993 "
' Orlando"`�' FL
Zip Code: y'r13:.` - :Fax, Cly: a State:
Phone`•No. Zip, 32878'
32878 Faz'.'
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'CONSTROCTION 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 IMPROVEMENT�ATTOR
OUR PROPERTY. A NOTICE OF COMMENCEMENT M TBE RECORDED AND
POSTED ON THE SITEOR THE FIRST INSPECTION. IF YOU INTE O OB IN INANCING, CONSULT
WITH YOU EN ER A EY BEFORE RECORDING YOUR NOTIC OF OM NCEM NT."
V V t � / V Z_k
Signature of Owner Lessee Contractor as A n for Owner Signature of Co actor License Ho der
STATE OF FLOII A STATE OF FLO IDA
COUNTY OF Ora ge COUNTY OF or e
The forgoing instr mLntwas acknowledged before me The fo�oing Inst ent was acknowledged before me
this day ofC� 20� by this S day of 20A by
Peter A Cafaro III Peter A Cafaro III
Name of person mak �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
( ; nature ofo ry u!li - Signa ure otary Public-State of Florida)
"0 psi* Notary Public State of Florida y
Commission No. a° `1� Kari M 5i.w4bom Commission No. �"Y"�. Notary Public 45iFlorida
My Commission FF 981647 ari M Riccaboni
ly�or ,oda Expires 0512812020 S y:. P� My Commission FF.981647
or n
REVIEWS FRONT ZONING SUPERVISOR PLANS V E G E T Af r0lVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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DATE
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