HomeMy WebLinkAboutBahl appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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:.
r
Address: 80 H 1-1 611_ k-
Description: 4&SC-AWC
Legal
#: 3321 ' Sc�3 ' �O 38 ^��� Lot No.
Property Tax ID
Site Plan Name: �711 G 5'� 3a h� Block No.
Project Name:
Setbacks Front Back: Right Side: — Left Side:
DETAILED DESCRIPTION OF WORK:
3kye•l,( � ",,b1 is 17 � cam. .�- �-{�h.t a�.r. .,.✓..-+o � .►� � e� L
CONSTRUCTION INFORMATION:
r orme un er this permitc- ec a. a app y:
Additional worK to flGasTank Shutters K Windows/Doors
❑_ HVAC Gas Piping
Roof
Electric Plumbing Sprinklers Generator Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
L( b Height:
Cost of Construction: $ S3�� Utilities: _ Sewer Septic Building
OWNER/LESSEE:
CONTRACTOR:
ti V►ES �1 V1 Name: Peter A Cafaro III
Name
ibo�Address: L � r��cN ��,.�..� Company: Lowe's Home Centers, LLC
�. City: -54- L,,.a: k State: � Address: P.O.Box 781993
o�
City: Orlando State: FL
Zip Code: 3�'Ib� Fax: y
Zip Code: 32878-1993 Fax:
Phone No.
Phone No. 3(° 4�
E-Mail:
Fill in fee simple Title Holder on next page ( if different E-Mail: �p 4 ����e VA�- O
from the Owner listed above) i State or County License: CGC1508417
-
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPP(iALS.CT� TUFF
DESIGNER/ENGINEER:
Name:
— Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: Not Applicable
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 alto ney before
commencing work or reg6rdindyour Notice of Commencement.
Signature of er/Les
STATE OF L RIDA
COUNTY F O nge
nt for Owner I Signature
The f of in rument was acknowledged before me
pg g
this / ay o 20Zby
Peter a Cafaro Ik1
(Name of person acknowledging )
J, (i j
ignature o otary Public- Sta e of Florida )
Personally K own x OR Produced Identification _
Type of Identification
r Notary Public State of Flonc
Commission No. _� M M�°ni
My Co Iss FF 981647
Expires 05/2812020
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Revised 07/ 15/2014
REVIEWS
DATE
COMPLETE
INITIALS
STATE Of LORIDA
nU [NTY OF Orange
The forgoik)nstrument was acknowledged before me
thisf�day of !:51�— 20 20 by
Peter A Cafaro III
(Name cf person acknowledging )
otary Public- State Jf Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. ar Notary 95aaa )tate of Florida
? , Kan M Riccaboni
a g My Commission FF 981647
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