HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Q Zed Permit Number:
.J.1 --I 3_
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
Fort Pierce FL 34982
2300 Virginia Avenue, ,k
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:
Address: I Z Z L'( e 4-55 —A, -T -f.X
Legal Description:
Property Tax ID #: HUH • 6a 1 - Ooo I o ff. S Lot No.
Site Plan Name: �� Aimt5 Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
r orme un er t is permit — cnec a � app y:
Additional worK to b fi [?�Windows/Doors
❑HVAC _ Shutters
Gas Tank ❑Gas Piping
❑ Electric ❑ Plumbing Sprinklers LJ Generator a Roof Roof pitch
Total Sq. Ft of Construction: ___ SGFt.. of First Floor:
Z [-
-7 0 Building Height:
S� _ Utilities: Sewer Septic
Cost of Construction: $ ?�P
OWNER/LESSEE:
CONTRACTOR:
Name Name: Peter A Cafaro III
Address: �Zz--144 ls5Sr-4 T6� Company: Lowe's Home Centers; LLC
City: �r or� .5� L �J►C . State:fe-- Address: P.O.Box 781993'
City: L
II Zip'Code: 3�9.=3� Fax: � Y� Orlando State: F
Phone No.i72--41 8' 12Zi( Zip Code: 32878-1993 Fax:
E-Mail: _ I Phone No.
Fill in fee simple Title Holder on next page ( if different i E-Mail:
from the Owner listed above) State or County License: CGC1508417
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
S U P PLE Ili ENTAL CONS'
YE-
SIGNER/ENGINEER-Name:
Address:
city -
Zip: Phone:.
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
State:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
tate:
Not Applicable BONDING COMPANY: &Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in structure. Please consult w with applicable
Owners Owners Association
land review your deed bylaws or anor any covenrestrictions nts which restrict
ap. prohibit such
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 ma esult in your paying twice for
improvements to your property. A Notice of Commencement must be r ord d a�Fn
on the jobsite
before the first inspection u intend to obtain financing, consult wi lend r oney before
commencing work or re6rdipAyour Notice of Commencement.
Signature of er/Lessee/Contractors agent for Owner
STATE OF L RIDA \�JI
COUNTY F o ,g-
Thet
1 g in ru ent was acknowledged before me
thiay o 20by
Peter a Cafaro Ix1J
(Name of person acknowledging )
ignature o otary Public- State of Florida )
Personally K own x OR Produced Identification _
Type of Identification
�r Notary Public State of Florid
:° K9ri M fltioni
Commission No. My Comrlii�ssiT6bhn FF 98f647
1. Expires 0512W2020
Revised 07/15/2014
I
REVIEWS
FRONT
ZONING
COUNTER
REVIEW
DATE
COMPLETE
INITIALS
s
ature o Contractor/License Holder
STATE Of LORIDA
COLINTY10F Orange
The for o4ristrument was acknowledged before me
this'!Xclay of �_L V 20 ZO by
Peter A Cafaro III
(Name of person acknowledging )
ure of otary Public- State df Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. rV--L--
Notary 46*1a&te of Florida
Kan M Riccaboni
My Commission FF 981647
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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