HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulption 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 L6eg,
Address: -7 3,1'," 0 5 t-7)c40---N (,A^i k Rt Q
Legal Description: W (.%%4- �-
1.V44 q IQ
Property Tax ID #: 3`57-2- (oal "71 _ Lot No.
Site Plan Name:- .��+<<� •-'e- e6jhJC _ Block No.
Project Name:
Setbacks Front Back: Right Side:. Left Side:
❑ HVAC
1 Electric
D Plumbing
12�Winclows/Doors
0— Roof L�
Total Sq. Ft of Construction: SQ. Ft. of First Floor:
Cost of Construction:.$
t° Z Utilities: oSewerE]Septic Building Height:
Name �+
Addresses ^ S c��ey�� 1019
Fi-
City: --rt ��-;�_� °' _State:
x
ZiRCode: 3x4` Fax:
1
Phone No
3 A,,."
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Narrie: peterACafaro HI
Company: Lowes Home Centers.LLC
Address: P•O.Box 781993'
City: Orlando ` State: FL
Zip Code: 32878-1993 Fax:
Phone No. -1- - J41 S - 4 S
TDB—Z Wt✓m i s" if VW7-00- CO'
'^-Mail: 4^
State or County License: CGC1508417
If value of construction is 52500 or more, a RECORDED Notice 0f Commencement is required.
- 0
N
MIN
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE
COMPANY:
Not Applicable
Name:&—si S�ArtS (yvis'��heV
ZA-v�V
Name:
-..t
Address' J z.00N�i�
..+� �
,rtv
Address:
City:
State:
City:'�db, State: q—
Zip: 334:1 2 Phone:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY:
Jgot Applicable
Name:
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 es It 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 len r or atto ney before
commencing work or reg6rdin our Notice of Commencement.
STATE OF
COUNTY I
The gotg intrument was acknowledged before me
this ,(� ay o 20W by
Peter a Cafaro I)(' /
(Name of person acknowledging)
igna ure 7K�o�wn
otary Public- Sta e of Florida )
Personally x OR Produced Identification _
Type of Identification
* Notary Public State of Florid
Commission No- _ Kari M t
Co I FF 981647
V4 _ Expires OSI2812020
Revised 07/ 15/2014
Signature olcontractor/License Holder
STATE O
The forgoi*nstrument was acknowledged before me
this 7Lk day of toCT— 20 ZV by
Peter A Cafaro III
(Name of person,acknowledging )
re of�otary public- State df Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No. * ft. Notal-y 4591a 6tateOfFlorida
? Kari M Riccaboni
K;. My Commission FF 981647
L1
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW_�_REVIEW
REVIEW
REVIEW
DATE
COMPLETE
_
INITIALS