HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ct 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
FAR
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line WO'l (-Do.r—
PROPOSED IMPROVEMENT LOCATION:
Address: -1 ? k 0 e(--Yc"E lir I= E 14, 7 �
Legal Description: S LT Z�
Property Tax ID #: 3322 ' COO % , oy OCR Lot No. Z�
Site Plan Name: �'E'L C 01,-j O r"1 S Block No.
Prniart NamP-
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
5 I : c w� toss �o s , 614-fax Zoe rC
CA l 1
CONSTRUCTION INFORMATION: —
rtiona worktoBeer orme un er t is perms = cc ec al Shutters
hu yy
❑HVAC � Gas Tank Gas Piping) Shutters ZWindows/Doors
u Electric ❑ Plumbing OSprinkiers FIGenerator Roof ❑❑ Roof pitch
Total Sq. Ft of Construction:
�Of� �a
Cost of Construction: $ �i�, —
S Ft. of First Floor: _—
Utilities:nSewer 17Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Co
Name: Peter ACafaro M
Company: Lowe's Home Centers; LLC
Name
Address: i31 C7 ��t Grp �'�
Address: P.O.Box 781993
City: Sk- �*r- State:
Y�
Zip Code: �9 S 40 Fax: _
City: Orlando State: FL
Zip Cede: 32878-1993 Fax:
Phone No. ____
I Phone No.
E Mail: —
5a�Fill
E-Mai,:from
Ifj77tMCGC1508417
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in fee simple Title Holder on next page (if different
the Owner listed above)State
or Co
If value of construction is >znuu or more, d
SUPPI.I=MEN�AL:CQNSTREICT.10 i 1 NLAW 4
,_.,
DESIGNER/ENGINEER: -L>C Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City.
Zip: Phone: _
of Applicable
BONDING COMPANY:
Name:
Address:
city -
Zip: _ Phone:
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
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 roorns and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement ma esuIt in your paying twice for
improvements to your property. A Notice of Commencement must be r ord d and p9—sled on the jobsite
before the first inspection u intend to obtain financing, consult wi lend r Zatto ney before
commencing work or re rdin our Notice of Commencement.
ture of 0,4ffier/Lessee/Contractor
STATE OF
COUNTY I
Owner I Signature
The forg of g in rument was acknowledged before me
this Y o SE,t�k" 2000-by
Peter a Cafaro Ills
(Name of person acknowledging )
ignature7Kown
otary Public Sta e of Florida )
Personally x OR Produced Identification _
Type of Identification —
�,r Notary Public State Of Floric
Commission No. _' Kari M�igoni
My Co �rss FF 981647
Ap Expires 0512812020
Revised 07/ 15/2014
STATE O
COUNTY
ctor/License Holder
ORIDA
Orange
The forgoir)nstrument was acknowledged before me
thisZday of f" 20 & by
Peter A Cafaro III
(Name of person acknowledging )
otary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. * Notary gr-&a6teofFlorida
? Kari M Riccaboni
My Commission FF 981647
OF w
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