HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 oL � Permit Number: 0
RECE7VEC
• _. JA N � � 2020
Building Permit Applicati n
Planning and Development Services
T. 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:
PROPOSED IM'PROVENIENT LOCATION.
Address: �9 p_7
Property Tax ID#: L4 10— o U Q 3 Lot No. 1 q
Site Plan Name: Block No.
Project Name: 1 r ncm� a
DETAILED DESCRIPTION•O'F WORK.
S� 2
000--'_VA � owl - tM m.ek
'-CONSTRUCT,ION.INFO�R'MATION:
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: $ ?e vl �� Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:. CONTRACTOR. ' `
Name` 06z'r--- r r PSD Name:Peter Cafaro III
Address: 5__(0_ FX�,� - Gtr Compan rLowesHomeCenters
City: �(�� �� ,I rC —F State:EL- Address:�FO Box 781993,,-:.,'
Zip Code: 3 "Fax: City: Orlando := r... State:FL
Phone No. 'lam �`U JJ a X2878.._ ;Fax:
'� � l`1•`_ Zip Code: �•._
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`CONSTRUCT ON.ILIEN LAW°INFORMOON
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 COMMENCE NT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROYEME O YOUR PROPERTY. A NOTICE OF COM
NJ N EMENT MUST BE RECORDED AND
POSTED ON T� B E BE ORE THE FIRST INSPECTION. IF YOU 1 #END TOO AI FINANCING, CONSULT
WITH YOPR L DE O ANA ORNEY BEFORE RECORDING YOUR NO CE EI
CO MENCE ENT."
Signature of 0 er/Lessee/Contractor s Agent for Owner Signature of ntractor/License Holder
STATE OF F O IDA STATE OF LORIDA
COUNTY O ora a COUNTY Orange
The forgoing i str ment was acknowledge before me The forgoing nstru ent was acknowledged before me
this day fe�p 20 2-0 by this ` da of Lem 20 7_0by
Peter A Cafaro I II I Peter A Cafaro III
Name of person king 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
41
Signature of e5a1y+ ( ignat of No
Notary Public State of Florida
D o�"Y 0q, °W Notary Public State of Florida
Commission Nd! Kari M Ricc,oDo
mission �8��47 Commission No. _ Kari M Riccabo eal)
+dor w Expires 0512812020c� y ommission FF 981647
Expires 05128/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19