HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
N'ry
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Haaress: V-/ ;;i<3 N4ZVc IC`j "Z'A,.J
Legal Description: � �'tr,,� p_ t k A_
Property Tax ID #: 1-k5o2- - 0Y�llo - exp - L4 Lot No.
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Block No.
CONSTRUCTION INFORMATION:
Additional work to be nej r orme under this permit — check a app y:
HVAC I1 Gas Tank OGas Piping 0 Shutters Windows/Doors
11 Electric ❑ Plumbing 11 Sprinklers E Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ L�O Y7 *2-
S�Ft.j of First Floor: _
Utilities: ]Sewer Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Wlc k <oj,+.
Name: PeterA Cafaro III
Address: tic c-%4rs 6%,jo
Company: Lowe's Home Centers, LLC
City: "'��,,yAja s_� State: ;PL
Zip Code:45-1 Fax:
Phone No. -117, r
Address: P.0 -Box 781993
City: Orlando State: FL
Zip Code: 32878-1993 Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail:
State or County License: CGC1508417
voUC o. wnbu uuwn a ?cavo or more, a ntcurcutu Notice or commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ER/ENG INEER:
Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
Not Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
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 sul in your paying twice for
improvements to your property. A Notice of Commencement must be reco ed a d posted on the jobsite
before the first inspectio . yo intend to obtain financing, consult with nder r an a orn before
commencing; we(k or re)eording y ur Notice of Commencement.
Signature of 0 ner/Lessee/Contractor as
STATE O FL RIDA
COUNTY For 9e
Owner Signature of
STATE OF
COUNTY 1
The forgoi g ins rument was acknowledged before me
this 7,3',i y of 20'CQby
Peter a Cafaro 111
(Name of person acknowledgin )
ure of)Notary Public- Statd of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. u= NO,. Notary Publiof Florida
Pj
K;rri M Ricc`d on
My Commission FF 981647
Revised 07/15
The forgoing
this Zi►rsday
ctor/License Holder
DA
was acknowledged before me
A. 4_ , 20 &Q by
Peter A Cafaro III
(Name of person acknowledging )
ature of1Jot3-rv`Pv15lic- State
Personally Kdown x OR Produced Identification
Type of Identification Produced
Commission No. < W II& Notary Public S45Calilorida
_Kari M Riccaboni
y , _ n My Commission FF 981647
s
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