HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: aOO N '�� Lk I
�. #_ ..
RECEIVED
JAN 0 9 '.'31.2
Building Permit Appli ation
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
PERMIT TYPE:
PROPOSED IMPROVEMENTIOCATION':
Address: eSc1G we'A(ad-IX
Property Tax ID#: -3415----701-Con—Cieo-fG Lot No.
Site Plan Name: Block No.
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Project Name: 4"'ib
DETAILED DES�CRI�PTION OF WORK
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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: $- i 9 I q6-( Utilities: —Sewer —Septic Building Height:
O•VUN. ER/LESSEE. .. .CONTRACTOR:" r...
Name Name:Peter Cafaro III
Address: t Company:Lowe's'Home.Genters;.,,.,
City: _lorlk"-S _LIUL;� ' " State:PL— Address:PO Box 781'993 `
Zip Code: � � ; Fax: City: Orlando State::FL,
Phone Ngo. Zip Code:' n 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.
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 S O YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOBS E BE ORE THE FIRST INSPECTION. IF YOU 1 TOO FINANCING, CONSULT
WITH YOUR LE R O ANA ORNEY BEFORE RECORDING YOUR NO ICE Or CO ENCE ENT."
V 4� V Z11--k
Signature of 0 ner/Lessee/Contractor s A ent for Owner Signature of ntractor/License older
STATE OF F RIDA STATE O F ORIDA
COUNTY ange COUNTY FOrange
The forgoing ns u int was acknowledged before me The forgoi g i strum t was acknowledged before me
this�day of 20�by this�d y f 20�by
Peter A Cafaro III Peter A Cafaro
Name of perso aking 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 nat b ic- tggre F ' a) (Onature of otary PWc-State o Florida)
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