HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -7 Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 x
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line +'Do00-
PROPOSED IMPROVEMENT LOCATION:
Address: Z03 (o
Legal Description: "
S arj l ,.,, C>
owc Skc
Property Tax ID #: l-l'So L - 'SDI - ��3� - b Oc - 3 Lot No._
Site Plan Name: Block No.
0 ort Alnmo'-
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: �
Z1iZcn
CONSTRUCTION INFORMATION: _
Additional worK to e e orme under t Is permit — check call h ap yp
❑HVAC n Gas Tank DGas Piping Shutters 6windows/Doors
0 Electric EiPlumbing Sprinklers L=J Generator Roof C� Roof pitch
Total Sq. Ft of Construction: SQ. Ft. of First Floor:
Cost of Construction: $ 4000.,6-1 Utilities: 0Sewer n Septic Building Height:
ouuNERf Ess E: — -- -_.
ON TFACTOR:
Name ..>'opq MAO uS%
Name: PeterACafaro III
Company: Lowe's Home Centers;,LLC
Address: 'Aa,_ •.ohe .cam.
ll� State: O
Address: P.O.Box 781993'
Cit Orlando State: FL
Y _
City-� fy� �'
ZiIZ'Code: Fax:
Phone No. 32 - Kai 5155
I Zip Code: 32$7$-1993 Fax:
Phone No.2 - �f[$t%I
E -Mail: I ��^'_'ti P 44'-%°dfrom
E -Mail:
Fill in fee simple Title Holder on next page ( if different
the Owner listed above)
State or County y License: CGC1508417
if value of construction Is acDw Of MOI:, d nL..WnW�� •���•�_ �• _ -
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone: _
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
State
of Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone: _
BONDING COMPANY:
Name:
Address:
City:
Zip: _ Phone: _
of Applicable
State:
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
structis in ure. with
w thpyolurHlome Owners Association lon and review
yyour deed for any rest rnts estrictions onhat s wh crestrict
rmay aor . 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 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 rdin your Notice of Commencement.
Signature of er/Lessee/Contractors agent for Owner
STATE OF L RIDA \�ll
COUNTY F o nge
The forgoi gin rument was acknowledged before me
this ay o `�..,�i 20?.a-by
Peter a Cafaro Ill
(Name of person acknowledging)
ignature o otary Public- Stafe of Florida )
Personally K own X OR Produced Identification _
Type of Identification
Notary Public State of Floric
Commission No. _° `E' Kari MrcMoni
'j; Co Iss FF 981647
+1► _ . _ d� pires 0512812020
Revised 07/15/2014
Signature 4CO)
Contractor License Holder
STATE OORIDA
rniIINTYorange
The forgoil instrument was acknowledged before me
this?(S'v-day of N—k y 20 Z o by
Peter A Cafaro III
(Name cf person acknowledging )
( ignature of otary Public- State df Florida) v
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No.Nota y 4,%JQ tate of Flonda
? Kari M Riccaboni
K n� My Commission FF 981647
s
REVIEWS I COUONTER I ROEVIEW I S REVIEWUPERVISOR I REVIEW I PLANSVREVI WON I S REVIEW EGETATIIATURTLE I MREVI WVE
DATE
COMPLETE
INITIALS