HomeMy WebLinkAboutSAPUTA APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:WINDOW -
PROPOSED IMPROVEMENT LOCATION:
AririrP,s. 407 POPLAR AVE
Property Tax ID #: 3419-510-0133-00-2
Site Plan Name:
Project Name: SAPUTA
DETAILED DESCRIPTION OF WORK:
REPLACMENT (13) IMPACT WINDOWS - FL16804.3 & FL16804.5 - ALL SIDES
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
Mechanical Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 17,800 Utilities: _ Sewer _ Septic
Lot No. 15
Block No, 14
Windows/Doors
Roof Pitch
Building Height:
OWNER/ LESSEE: CONTRACTOR:
Name RICK SAPUTA
Name: PETER A CAFARO III
Address:407 POPLAR AVE
Company:LOWE'S HOME CENTERS LLC
City: PORT ST LUCIE State: _
Zip Code: 34952 Fax:
Phone No.423-504-4800
Address: PO BOX 781993
City: ORLANDO State: FL
Zip Code: 32878 Fax:
Phone No772-281-8912
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailREBECCA@PERMITGROUPFL.COM
State or County LicenseCGC 1508417
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requrrea.
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
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 RESULT IN YOUR PAYING
TWICE FO IMPROVEMENT O YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED THROB SIT BEFO E THE FIRST INSPECTION. IF YOU INTENQ TO OBT N ANCING, CONSULT
WITH YOU L D OR N ATTORNEY BEFORE RECORDING YOUR NOTIC F OM NCEME T."
Rev.
Signature of 0. er/ Lessee/Contractor as g t for Owner
Signature of C tractor/License Holder
STATE OF F IDA
STATE OF F RIDA
COUNTY O or 9e
COUNTY O o �9e
The forgoing Inst ment was acknowledged before me
The forgoin ins ument was acknowledged before me
this Z day of �I C- 20<5 by
this , 2 da of �' .+r 20_ft1by
Peter A Cafaro III
Peter A Cafaro III
Name of persaking statement.
Name of pers making statement.
Personally Know x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(S' nature of I
7
gnature c
Jar Aw Notary Public State of Florida
� Kari M RiccaboniCQ''
., A
o�►r` o. Notary Public State of Florida
Commission o; isson FF(IJW)7
Commission ,' Kari M Riccaboni (Seal)
"144 Expires 05/2812020
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