HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Zd Permit Number:
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 TX�D,r'S
Address: _ (� Z.l 1 �`^ P �,rL✓,�/ .t-"�
Legal Description: LA%e1G
Property Tax ID #:
Site Plan Name:
J(z t0 - 'I0 3 - CA (O Li - 0 cxC,) —Z
r-+ 4*v.J0rre..1L
Project Name:
Setbacks Front Back: Right Side: Left Side:
❑ HVAC
OElectric
L _1 Shutters
❑ Plumbing Sprinklers Generator 01 Roof pitch
Lot No. I So
Block No.
Total Sq. Ft of Construction:
li 3 &t o -
Cost of construction:.$ —
SCI. Ft. of First Floor: —
Utilities: 0 Sewer F]Septic
Name Wi^+ H'Er.�prrcbG
Address:. i1 ? 2.•a b L� _
City: State:
Zi�'Code:3 �_ Fax:
Phone Nol'
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
XWindows/Doors
Roof
Building Height:
m
Na 'e.
Peter A Cafaro HI
Company: Lowe's Home Centers;:,LLC
Address: P.O.Box 781993'
City: Orlando ' ' State: FL
Zip Code: 32878-1993 Fax:
Phone No. 't iFJ 3(0 q
J�
E-Mail: -if-Q4-L-�Ocrrr'' .5
State or County License: CGC15084 7
If value of construction is $2S O or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name: -
Address: .
City
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
r i+v
Zip: Phone: _
DS,Not Applicable
State:
„ Not Applicable
MORTGAGE COMPANY:
Name:
Address:
('irv-
Zip; Phone:
BONDING COMPANY:
Name:
Address:
r itv
Zip: Phone:
5
_ of Applicable
State:
Applicable
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countfly makes no representation that is granting a permit will authorize the permit holder to build the subject structure
covenants that i
swhich is in tructure. Please consult w thpyolurHome Owners Association and review your deed for any restrictions wh which may aprestrict or ply. prohibit such
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 latto
on the jobsite
before the first inspection u intend to obtain financing, consult wi len r or ney before
commencing work or re6rdinayour Notice of Commencement.
Signature of er/Lessee/Contractor �s agent for Uwner
STATE OF L RIDA
COUNTY F o ,g-
The gin rumen was acknowledged before me
this ____ y o _ 20� by
Peter a Cafaro
(Name of person acknowledging)
ry Public- Stale of Florida )
Signature
STATE O LORIDA
COUNTY O o�,ge
The forgoi nstrument was acknowledged before me
this L day of _ `� ` 20ZQ_ by
Peter A Cafaro III
(Name of person,acknowledging )
0
s
)own x OR Produced Identification
Personally Known x OR Produced Identification
Personally
Type of Identification
Type of identification
-Produced-KarlM i
Commission No. Y
NomYdte°frtonda
Commission No.
CortWF 981647
r
Kan M RiccaboN
40;
Expires ps►gE12020
.y ;,
My Commission FF 981647
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Revised 07/15/2014
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