HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:4?1! - � Permit Number:
0 RECEIVED
Building Permit Applicat on DEC 19 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce.FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERM IT TYPE:
PROPOSED INIPROVEIVIENT OCATION. '
Address: I h l•e,S V�
Property Tax ID#: L-iJ G v2- 5_0 I- IN II -CCC-0 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK
I nsWkat \,y n o4� Hu.mcA.ne, d.n 5kAtf5 00 ' o, lysq 5;
CO'NSTR U CTI Q N`'I N FO RMATI O N
Additional work to be performed under this permit-check all that a%h`utters
:
_Mechanical _Gas Tank Gas Piping _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ ;� I g'to3 . Utilities: —Sewer _Septic Building Height:
OWNER%LESSEE CQNTRACTOR :w
Name- l� '} Name:PeterA Cafaro III
Address:.-AA Company:Lowe's Home'Centers
City: ���rn�'P%ir'i`: ; �2;��ch'' ,.: State: (7-L— Address:
Zip Code: 3�� - 'J'. ' Fax'. City: Orlando r :,�,!; c;.,:. ` State:FL
Phone N'o. ,. ?� '. r ��� Zip Code: 3878 Fax:,._
E-Mail: Phone No It—
2-281'-'891
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.
SUPP,LEMENTAL.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 IMPR ENTS OUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON TH JOB ITE FO E THE FIRST INSPECTION. IF YOU IN D TO 9"N FINANCING, CONSULT
WITH YOU LE ER O AN TTO EY BEFORE RECORDING YOU NOT CE COMMEN MENTI'
y V A V A
Signature of Own r Lessee/Contractor as A e t for Owner Signature oftnttor/License Holde
STATE OF FLO I STATE OFDA
COUNTY OF or nge COUNTY OThe forgoing inst ume t was acknowledged before me The forgoing =wasacknedged before me
this�day of 20[� by this da20_ft by
Peter ACafaro III PelerA 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 t Produced
c
(Si ature o N tar)i Public-S a e of,,I �f.aporijf
' ( gnature of N - l a
v►Y h.� Notary Public State of Florida
r Pry Notary Public State :° `4Commissio N� N.0 Riscaboni SeaCommission No. Kari or Ricsion Fk._'.,II11
+� xM Commission FF 981647 mission FKK 96A7
pires 05/2812020 Expires 05126/2020
vvvvvvv--.S
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19