HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: Vl.'
ONS. F �n
0 roQ 1 O
a Building Permit Application 1,�d��
Planning and Development Services `DSR
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:
�PRO'ROSED IMPROVEMENT LOCATION'-" ,ai. �
Address: CiI-I II (j f')4
Property Tax ID#: Lot No.
Site Plan Name: p Block No.
Project Name: AXa�
DETAILED'DESCRIPTION OF WORK
Cu:4v wur hc,,3 x(5bn 11'e"I
u � P ealT1%o5- =71 _
CONSTRUCTION,INFORMATION:
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Additional work to be performed under this permit-check all that apply: /Windows/Doors Mechanical GasTank Gas Piping _Shutters
_Electric _Plumbing _:Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 1'4)0'3-7 Utilities: —Sewer —Septic Building Height:
OWN ER/LESSEE CONTRACTOR`.
Name rc, \ e. r iName:Peter Cafaro III
Address:..9y 11 5 Compa.ny,:,Lovye's Home,Centers.
9
City: .` r es/� .ew(�: State:�-'_� Address:PO Box 781993
Zip Code: Fax: City: Orlando `r. State:FL
X2878_ Fax:, ..
Phone IVo..��-2�5����� , Zip
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 the permit 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 SULT IN YOUR PAYING
TWICE FOR IMPROVEME TO YOUR PROPERTY. A NOTICE OF COM CEME M ST BE RECORDED AND
POSTED ON THE JOB TE B ORE THE FIRST INSPECTION. IF YOU 1 E TO BTAI FINANCING, CONSULT
WITH YOUR DER ANA ORNEY BEFORE RECORDING YOUR NO CE F C MMENC MENT."
P� / V /T�
Signature of ner/Lessee/Contractor a A nt for Owner Signature ontractor/License Hold r
STATE OF L RIDA STATE OF LORIDA
COUNTY OF range COUNTY FOrange
The for oing ins rum was acknowledged before me The forgoi g nstrt ryas acknowledged before me
this da of -�Clb 202 by third yOf���1� 20 W,
Peter A Cafaro III Peter A Cafaro
Name of perso 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 Produced
( gnatuNo ( ignature f Not
o r A&,& Notary Public State of Florida y It,* Notary Public State of Florida
Commission No. ? Kari M Riccab�>1i Commission No. _� If:
Kari M Riccabo/�eBI
mmissio 1647 ,' a` y Cpmmission P 981647
Expires 0512812020 7 y�or Expires 05!28/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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