HomeMy WebLinkAboutBaker appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: JQ 7 Permit Number:
---- — as Building Permit Application
Planning and -Development Services
Building and bode ReguJgrW i Dfvisidn
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial 3 Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address:
Legal Description:
Property Tax ID #:
Site Plan Name: _
Lk�%a- RZ.a
doo- L4
Project Name:
Setbacks Front Back: Right Side: Left Side:
❑ HVAC
:Electric
" Shutters
0•PlumbingSprinklers Generator Roof pitch
1�bL�r�UL,.
Lot No._
Block No.
QWindows/Doors
Roof
Total Sq.. Ft of Construction:
CIG
Cost of Const -ruction..$ ZWI�
S Ft. of First Fnloor:
Utiliities:�Sewer L ]Septic
Address: ► �+�' �
�1eM'c•:is'++;eJState:
City: — .. -
ZiRCode`�` Fax:': -
w
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( If deferent
from the Owner fisted above)
Name: Peter A Cafato HI
Building, Height:
Company: Lowe`s.i tome Centers; LLG
Address: P.O.Box 78189
City -
Zip
.... State: FL
Zip Code: 32878-1993 Fax:
Phone No. -
E -Mail: 1.. ptrs+ i S L1 VAh�. 001-1
-State or County License: CGC1508417
ff value of construction. its $25W or. -more, -a RECORDED Notice of Commencement is required.
ild
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 authorizebylaws
s or and covenarmit nts that lder to may restridboe prohibit such
which is in conflict with any applicable Home Owners Association rules, y
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
for
WARNING TO OWNER: Your failure to Record a Notice of Commencement
furl a
improvements to your property. A Notice of Commencement must be r
before the first inspectionu intend to obtain financing, consult wig
commencing work or re rdin our Notice of Commencement_ /
Owner
STATE OF L RI DA
COUNTY Fo ange
The for o' g in rument was acknowledged before me
this ayo �rT , 20W—by
Peter a Cafafo 1
(Name of person acknowledging )
of Florida )
Personally. K own . x OR Produced Identification _
Type of Identification Notary Public State of F,oria
2°`� 'y Kan
M t
Commission No. MY a�F 981647
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
Signature
STATE
ult in your paying �c
I and po d on the jobsite
r or Wf atto ney before
The forgoiWnstrument was acknowledged before me
this't-k, day of /oQt 20 * by
Peter A Cafaro 111
(Name of person,acknowledging }
ry Pu iclb - State & Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No.
SUPERVISOR I PLANS I VEGETATION
REVIEW REVIEW I REVIEW
Notary 441W thate of Florida
Kari M Riccaboni
My Commiss±ort FF 981647
SEA TURTLE I MANGROVE
REVIEW REVIEW
-
DESIGNER/ENGINEER/: _ Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name'5415f-t"'ts,i�"' 'aL`�
Name:
Address", 7-00i '''� �aO�
Address:
City:
State:
State:
City:'
Zip: Phone:
Zip: 3S4,% -L.._ Phone:.
FEE SIMPLE TITLEHOLDER: Not Applicable
BONDING COMPANY:
—40 Applicable
Name:
Name:
Address:
Address:
City:
Zip: Phone:
City:
Zip: phone:
ild
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 authorizebylaws
s or and covenarmit nts that lder to may restridboe prohibit such
which is in conflict with any applicable Home Owners Association rules, y
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
for
WARNING TO OWNER: Your failure to Record a Notice of Commencement
furl a
improvements to your property. A Notice of Commencement must be r
before the first inspectionu intend to obtain financing, consult wig
commencing work or re rdin our Notice of Commencement_ /
Owner
STATE OF L RI DA
COUNTY Fo ange
The for o' g in rument was acknowledged before me
this ayo �rT , 20W—by
Peter a Cafafo 1
(Name of person acknowledging )
of Florida )
Personally. K own . x OR Produced Identification _
Type of Identification Notary Public State of F,oria
2°`� 'y Kan
M t
Commission No. MY a�F 981647
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
Signature
STATE
ult in your paying �c
I and po d on the jobsite
r or Wf atto ney before
The forgoiWnstrument was acknowledged before me
this't-k, day of /oQt 20 * by
Peter A Cafaro 111
(Name of person,acknowledging }
ry Pu iclb - State & Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No.
SUPERVISOR I PLANS I VEGETATION
REVIEW REVIEW I REVIEW
Notary 441W thate of Florida
Kari M Riccaboni
My Commiss±ort FF 981647
SEA TURTLE I MANGROVE
REVIEW REVIEW