HomeMy WebLinkAboutBuilding Permit Application A
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Zo 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
Address: e5 5 042:n
Legal Description: LA`44r_- L,, E C%*^A-ES PkpT No t LvT s
Property Tax ID#: 3`(2tn • Z03, Lot No. S
Site Plan Name: A^AA,-&T Block No.
Project Name.
Setbacks Front Back: Right Side: _Left Side:
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bona wor to e eduvnmu under t ispermit-check all i#h appli
I ❑HVAC Gas Tank ❑Gas Piping I _Shutters windows/Doors
❑Electric Q Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S FF�tjof First Floor:
Cost of Construction-$ n ( = Utilities:L=iSewer Septic Building Height:
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-Name Narne. P6terACafaro111
Address: g2Z�3 awns '++� C iv I Company: Lowe's Home Centers„LLC
1y State: I P.O Box 781993'
Cit Add Zin Code: •544 S Fax City: Orlando State:FL
Phone No. 5t!B - L(9$. 1{8L3 Zip Code: 32878-1993 Fax:
E-Mail: - Phone No. 772--- 3448- 316W
Fill in fee simple Title Holder on next page(if different E-Mail: "'rpG L.PAS JakQ a . ce 0%
from the Owner listed above) I State or County License: CGC150841
If value of construction.is$2500 or.-more,-a RECORDED Notice of Commencement is required.
A
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: of Applicable
Name: .., Name:
Address: Address:_
City' State: City:i State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: of Applicable I BONDING COMPANY: Not 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 esult in your paying twice for
improvements to your property.A Notice of Commencement must be r ord d and po d on the 1'obsite
before the first inspection u intend to obtain financing,consult wi len r or atto ney before
commencn work or re rdin our Notice of Commencement_
s
Signature of er/Lessee/Contractors ent for Owner Signature o Contractor/License Holder
STATE OF L RIDA STATE O LORIDA
COUNTY F 9a COUN O can
The forgo' gin rument was acknowledged before me The forgoi nstrument was acknowledged before me
this ay NUJ 20 Z&by I this&P�dayof t 64 20 ZO by
Petera Cafam! i Peter A Cafam 111
(Name of person acknowledging) ^ (Name of person,acknowledging)
1
ignature7K (ow
oiary Public-Sta a of Florida) i ignature of otary Public-State Florida)
Personally. n. x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of identification Produced
Notary Pobsc State of Florida
�° KanM i9at647 Commission No. = Nota da ate otFwnda
Commission No- t n
+s�- 0512d20� Kan M Rk=boru
oiA E '1te5 erg:_ My Commission FF981S47
CIA
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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