HomeMy WebLinkAboutBuilding permit 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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED .IMPROVEMENT LOCATION:
Address: -7 3 SS C�cb4..�`�v 4- 3 t 6
^
Legal Description: %."& uJor(� / �,e 0 :1 ). t(^r IVo/k� 3f4 S t�•�.`d' 3 �y
Property Tax ID #: 3SZ2 - coo - ^ 00 (14 ' DOy ' Lot No.
Site Plan Name: ��� 5'r Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
0 oti
CONSTRUCT401tII F tM�ti
Additional work to be er orm�under this s permit - check a apply:
HVAC Gas Tank Gas Piping Shutters 49windows/Doors
❑ Electric Plumbing Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ Z 3 4 (a s�-
S Ft. of First Floor: _
—Sewer[Utilities Septic
Building Height:
OWNER/LESSEE: „ .
CONTRACTOR:
Nam
Name: PeterACafaro III
Address: SSA o
Company: Lowe's Home CenterS;.LLC
Cit '�4 Ulu gt•,c� Statea--
Y� �
Zip'Code :2_4(4 -"-7 Fax:
Phone No.
Address: P.O.Box 781993"
City: Orlando State: FL
Zip Code: 32878-1993 Fax:
Phone No. 772 -
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: J j2E w+•` '� �� "'
_ya
State or County License: CGC1506417
If value of construction is 5Z5oo or more, a KLUMMU Notice or Lvmmencernena n Icyuucu.
SUFPLt1AL £STUCTfi£3�#,L1tAiVCi�
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
of Applicable
BONDING COMPANY: t Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 ma esult in your paying twice for
improvements to your property. A Notice of Commencement must be r ord d and po d on the jobsite
before the first inspection u intend to obtain financing, consult wi lend r or atto ney before
commencing work or re rdinayour Notice of Commencement.
I
ctor bs Agent
STATE OF f L RIDA
COUNTY OF o nge
The forg of g in rument was acknowledged before me
this7,(::;" ayo �20-Actiby
Peter a Cafaro Ix1J
(Name of person acknowledging )
Iplgnature of v
Personally K ow
Type of Identifi(
Commission No
otary Public- State of Florida )
In x OR Produced Identification
Signature o Contractor
STATE O LORIDA
COUNTY O Orange
The forgoir)nstrument was acknowledged before me
this Os�day of (� 20?0 by
Peter A Cafaro III
(Name of person acknowledging )
gnature of�otary Public- State Of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
or out, Notary Public State of Homo u
: Kari Mr�om Commission No. r Notary 4dAd ate of Florida
My Co ass FF 981647 r Kan M Riccaboni
Expires 05128f2020 e� My Commission FF 981647
Revised 07/15/2014
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