HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED rr __
Cos4
Date:�'1. 6 Permit Number: • O l
® RECEIVED
Building Permit Applicatic n
MAR 18 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: r
PROPOSED IMPROVEMENT LOCA ION �`
Address: y5c5- \1ik4e-
Property Tax ID#: 3q0q- &3--•OCDON'-C3Ud"'�T Lot No. "(
Site Plan Name: Block No.
Project Name: Cav(n p A C'_
DETAILED.DESCRIPTION OF WORK
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: $ ?� �-/�y Utilities: —Sewer —Septic Building,Height:
OWNER" /LES.SEf:.
CONTRACTOR: '
Name 610-r%Z'_ C4�_ Name:Pet erA Cafaro III
Address: 1 S V��!tom_-��r.� 1,-n Company:��-Oes,Home Centers
City: c�r��-�,�'w rc�� State'
Address:PO Boz 78,1:903--
City:
Zip Code:?»�iA 2 t" Fax: City: Orlando" State:FL
Phone'No. T7 = 7 '-C3t9t�� .,'.t. Zip C06: .32878
r:'" ' "�
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! 1IEN LAW INFORMATION:
DESIGNER/ENGINEER: V 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'4or-k 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 RE ULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMS MENT US BE RECORDED AND
POSTED ON THE JOB SI ORE THE FIRST INSPECTION. IF YOU INT D 0 O THIN NANCING, CONSULT
WITH Y R LENDER OR ANA RNEY BEFORE RECORDING YOU NOT/ OF O MENCEM NT."
� ry / V
Signature of Own r/Lessee/Contractor a A ent for Owner Signature of tractor/License Holder
STATE OF FL O IDA STATE OF F RIDA
COUNTY OF o n e COUNTY O range
The forgoing ins r e t was ckncwledged before me The for oing i ru�},ent was acknowledged before me
this J , day of c. 20 by this / day ((/LdwC�. 20 by
Peter A Cafaro I I I Peter A Cafaro III
Name of person 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 roduced
( ignature of Not I - t t 1 r1 ) Signature of No 3 tc
aoV►�� Notary Public State of Florida VAY by Nota Pu
Commission No. KariMRiccakoni =o_ Notary blicStateofFlorida
ommissi&)9011�81647 Commission No. Kari M Riccabof5eaI)
+'�orao Expires 05/2812020 c y ommission FF 981647
y'Foi Ao* Expires 05/28/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19