HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: \ � �?,� a,, Permit Number:
RECEIVED
Building Permit Application
JAN 13 2020 .
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
PERMITTYPE:
PROPOSED IIVIPROVEMENT.LOCATI'ON_.;'
Address: -77, bb-r' V_
Property Tax ID#:g5711-.So® •-O0G-7-0-00—'3 Lot No. �3
Site Plan Name: Block No.
Project Name: 7 (A ,n
DE TAILED°DESCRIPTION OF WORK. "
CQNSTRUCTION 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: $ 112q 8, Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: :` CONTRACTOR a&
NameyG,neZSr e7�10P, Name:Peter Cafaro III
Address: -7 F- N (5L- (O Com pa_" 0'We's'Home,Centers ._
r5i PO Sox 781993
City:�� yir� y State:( Address: _
Zip Code:g 5� . Fax: City: ,Orlando , "' ` State:FL
Phone No.Z05--; �' yy—'oi'I'_7 Zip Code: 32878
E-Mail: , . Y 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.
SUPPLEMENTAIL,CONST RUCTION LIEN LAW INFORMATION '
DESIGNER/ENGINEER: ',6L Not Applicable MORTGAGE COMPANY: 4S 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 F RE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMEN TO YOUR PROPERTY. A NOTICE OF COMMEN TNTBE RECORDED AND
POSTED ON THE JOB SI BEFO E THE FIRST INSPECTION. IF YOU INTE d TO OB NANCING, CONSULT
WITH YOU LE OR AN ATTO NEY BEFORE RECORDING YOUR NOTICE FCO NREM4NT."
V /V� V I
Signature of Own r/Lessee/Contractor as a for Owner Signature of Cont ctor/License Holder
STATE OF FLO DA STATE OF FLO DA
COUNTY OF Or ng COUNTY OF o ng
The forgoing ins ru nt was acknowledged before me The forgoing ins ru nt was acknowledged before me
thisL6 day of 20� L-by this day of d 20;�6 by
Peter A Cafaro III Peter A Cafaro III
Name of person m ing statement. Name of person m ing statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE'
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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