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Home My WebLink AboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: rt(- 7jD Permit Number: 13 1 J I . IlriiYM Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1SS3 Fax: (772)462-lS78 Commercial Residential ... ....... .... ....... ......... ..... .. .... PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line s �PROPOSED WkCIVEI�kl\!T LOTION -:7 Address: p Legal Description: #4a P^'f I'X A- 4 Property Tax ID #: Lot No. T Site Plan Name: &4P, 41-A&0- Block No. Ljo Project Name: Setbacks Front Back: Right Side: Left Side: --- ------- DEiAii ED DES R1. N OF-vog'K., 12 k- 1.A21 Naeat 3 CONSTRWCT1O'N't�C''R�M'A,,T,tON S 'aurthis permit c ai- J�R oTecF' t a p Do yyrs Ll OHVAC Gas Tank F]Gas Piping Shutters L::::JWindows/DooLElectric [ISp6riklers I Generator Roof �oof pitch Plumbing Total Sq. Ft of Construction: So. Ft. of First Floor:., Height: MSeptic Cost of Construction: $ 14 9 7 Utilities: Sewer Building tOWAACTOR--, ,OWNERXESSK'Nan Peter A Cafaro,111Name Lowe's Home Centers, LLC Address: I c& Company: SL State: 4�(- Address: P.O.Box 781993 City: Por- i City: Orlando State: F ZipCode: 3496b Fax: _.---- Zip Code: 32378-1993 Fax: Phone No. . . ..... PhoneNo. E - Mail Fill in fee simple Title Holder on next page if different E -Mail: t2 i from the Owner listed above) State or County License, if' GC1508417 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 7- SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION , DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY: Not Applica 4e Name: Name: Address: Address: City: State: City: ..^State:; -- Zip: Phone: , Zip: Phone: FEE SIMPLE TITLE HOLDER: __ Not Applicable BONDING COMPANY:G Not Applica e Name: _...._� ; Name: Address: PLANS VEGETATION SEA TURTLE Address: City: COUNTER :City:_._---.-- _ Zip: Phone: REVIEW REVIEW REVIEW Zi 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 strutt re which is in conflict with any applicable Horne 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 addi~ions, 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 exult in your paying twice fp improvements to your property. A Notice of Commencement must be r ord d and p d on the jobsi e before the first inspection a intend to obtain financing, consult wi len r or alto 'ney before commencing work or re rdin your Notice of Commencement. I Signature of er/Le_< STATE OF L RIDA COUNT( F, ge The forgoi g in rur'�e,,n,t was acknowledged before me thisj�- ay a _..._____� 20 Zby Peter a Cafato 1�('. / (Name of person acknowledging J ignature o otary Public Sta e of Florida J Personally K own x OR Produced Identification _ Type of IdentificationroAfl%. r�cln,nlw�+'ww`.�/` Notary Public State of Fiond Commission No. gar+ M Soni My Com Iss FF 987647 -xpites 0512&2020 . ed Revised 07/15/2014 Signature o Contractor/License Holaer STATE 0 LORIDA COUNTY O Thefyyo�r�gni instrument was acknowledged before me this ia!Y"day of 20 Z- by Peter A Cafaro III (Name of personAcknowledgi ng ) c State r!f Florida } Personally Known x _ OR Produced Identification Type of Identification Produced--.— Commission roduced_—__...._______ Commission No. Y Notary 4 50 tate of Flo fca Kan NI Ricboni ,� :. X My C01-nmission FF 9816 0 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MAN ROVE EW COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVI DATE COMPLETE INITIALS