HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I g1ac� Permit Number: ��
11 Building Permit Applicat on
R D+
Planning and Development Services JAN
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial ReSI e - --_�--_-
PERMIT TYPE: WdVs
PROPOSED IMPROVEMENT LOCATION",,
Address:
Property Tax ID#: 5_7,,3N_ 7C(D" Lot No. qq
Site Plan Name: Block No.
Project Name:
DETAILED..,DESC RIPTI 0N OF'WORK. n p °
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:
Cost of Construction: $ Utilities: —Sewer —Septic Building Height:
.OWNER/LESSEE r . r `' .CONTRACTOR
Name I Name:Peter Cafaro III
Address: Alz ���5� R-c�_ Company:;Low•es..H.ome-Centers
City: ate:(` Address:PO Box 781993: . .
Zip Code: Fax: City: Orlando State:FL
Phone No. 0�� ClS G,— ?��` Zip Code: .8• Fax:
E-Mail: �j lam,," ` " ` '` ' " 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 CONSTRUqPN 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 IMPROVEMEnNA
YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SORE THE FIRST INSPECTION. IF YOU IN TO OBT,A N INANCING, CONSULT
WITH YOU LEN ORORNEY BEFORE RECORDING YOUR NOT(CE OIF COM NCE ENT."
V v A--, V V "Ti ),
Signature of Own Lessee/Contractor a Ag nt for Owner Signature of ontractor/License Holder
STATE OF FLO I A STATE OF F ORIDA
COUNTY OF ora ge COUNTY Orange
The forgoing instr4nt was acknowledged before me The foI i g i strun nt was acknowledged before me
this day of 202 by this ay f -t'� 20 by
Peter A Cafaro III Peter A Cafaro III
Name of person making statement. Name of pe making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
YJ
(S' nature-o ' n a ( gnature f Notary Public-State of Florida
�sY Pcy Notary Public State of F arida rJ I'
Commission 7 =� KariMRiccaboni +►ry Notary PublicStateofFlori
fission FF« �7 Commisspbnd b. ea
Expires 0512812020 ? rt tmmiee8bOni
y 8� ME.pkeS 1";19812020
y Commission FF 981647
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REVIEWS FRONT ZONING SUPERVISOR PLANS E I SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19