HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l Z_ -7--0 Permit Number:
� mrwr
Building Permit Application
Planning and Development Services
Building and Code Regulation Division y
2300 Virginia Avenue, Fort Pierce FI_ .34982 f<
Phone: (772) 462-1.553 Fax: (772) 462-1578 Commercial Residential __ "
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
_PROPOSED IMPROVEMENTes
LO
Address: 7 Z t-73`3 CS i +'b_A A w 4J
Legal Description:
Lot No.
Property Tax ID #: _ ---
Site Plan Name: _. Block Na.
Project Name: _—
Setbacks Front Back: Right Side: Left Side:
t:
DETAItEO I E I I= v
-------g x, ti _P1
-
TIE 5-2
Additio wor, to e e Orme un ertj �spermit-c Check a
❑HVAC E] Gas Tank FIGas Piping Shutters r ] Windows/Doors
j '� o� t� Roof
� Roof pitch
F]
Plumbing 1 Plumbing Sprinklers Generator
Total Sq. Ft of Construction: So. Ft. of First Floor:
Cast of Construction: $ t i� UtilitiesSewer Septic Building; Height:
Name—LZ
ame
Address:_^10 -
rr�� �
City:C� State:
Zi 'Code: '�.4 �,'''� Fax:..___.._..___---
Phone No. �{d `t a t "-
E -Mail: _____-
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Peter A Cafaro Ill —
Company: Lowe's Home Centers,LL.0
Address: P.0 Box 781993
City: OrlandoState: icL
Zip Code: 32878-1993 Fax: .
..�zZ 7-81. 8917-
Phone No. --�-•----•-�
E -Mail: ,r��. +row
State or County License: CGC 1508417
mencement ;s regwre .
if value of construction is $2500 or more, a RECORDED Native of Com
Sl1PL£�
DESIGNER/ENGINEER:
Name:
Address:
city _—
Zip: Phone: mm
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable ; MORTGAGE COMPANY: Not Applicable
Name:
State
of Applicable
Address:
City: State:
Zip: _ Phone:
BONDING COMPANY: Not Applicable
Name: —
Address:
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 or permit holder to build the subject struct r
which is in structure. Please conlict ith sult w with applicable
Hlome Owners Assoc Association andtion review v your deed or any restrictions whicovenants that may h�rr ay apply-
In
pply 'bit t
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 Fma esuItin your paying twice for
improvements to your property. A Notice of Commencement must be rd c and po dl on the jobsite
before the first inspection u intend to obtain financing, consult wind r or , atto ney before
commencing work or req6L6pAyour Notice of Commencement.
Signature oAFo
er/l4es
STATE OFRIDA
COUNTYnge
The forgoing in
nt for Owner
nt was acknowledged before me
ILi20 f(&by
Pete, a cafam I t. t
(Name of person acknowledging }
Yigna ure o otary Public Stafe of Florida )
Personally K own x OR Produced Identification _
Type of identification
ysr ►cam Notary Pubiic State of florid
x° Keri M=Oni
Commission Na. _.� My Co ,iso FF 881647
Expires 05/2812020
Revised 07/15/2014
REVIEWS I FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
Signature o Contractor/License Holder `
STATE O LORIDA
COUNTY a >�<
The faJr joir\nstrument was acknowledged before me
this 0 ",day of — 20 J.p..- by
Peter A Cafaca Si! � _ ---
(Name of personxknowiedging )
rig�nature of otary Pub io- State c Florida }
Personally Known _X OR Produced identification ! _
Type of ldentificatProduced__—..------n — (----
Commission No. �tazaytsSti��tateorFtxaa
r Kart N1 Riceaboni
My commission FF 981647
MANGRO
SUPERVISOR PLANT VEGETATION SEA TURTLE
REVIEW ; REVIEW REVIEW REVIEW REVIEW