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ALL APPLICABLE INFO.MUST BE CO PLETEQ FOR'APPLI( ON.TO BE ACCEPTEQ
Date: nZ.� 7 Permit Number:
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RECEIV. EQ.
Building Permit Application MAR 1 201�
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34 82
Phone:(772)462-1553 Fax:(772) 62-1578 .. Commercial Residential
PERMIT APPLICATION FOR' To Select from dropbox, click arrow at the end of line
PROPOSED IMP,RQa1/�MEhl�TL
Address: ea .1 (,LA_
0TU Legal Description: Qu e-O S Co er "" Wit f Z 8 UC__ L 0(x
Property Tax 1D#: `( +: Z P 6 0 d r Odd Lot No.
Site Plan Name: LL Block No.
Project Name:
Setbacks. Front Back: Right Side: Left Side:
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DETAILEDERPd0/ e� ♦ ;rs .k ��s� s t r r
ai.:$..i-..L f.'iYa1. ^ >• , a)�•hxi U"n;d5..�.:Ai'b�.t.�h`����5•v:P.-, {..} ii CF.._�f..1T. t, F .
r - - Y•7A'n� {�ri+l:f:•- E:'!•� .�' H,..-..�tf}�tatyf "6' "�,S_• -. i- i -
,CONSTRUafUO II
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Additional work o be,-nerformed ui ider this perms c ec, :a.: apply:
(JHVAC Gas Tank Gas Piping Shutters a Windows/Doors
JEElectric mbbiing Sprinklers �-Generator Q Roof
Total Sq.Ft of.Construction: -(�P ��r S. .Ft.of First:Floor:
Cost of Construction:$ d Utilities'13 Sewer Septic Building Height:
U C.+0 f-6 11#3 to
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Name 1 Name: Peter Cafaro ill
Address: 2,,,, II-Ji inz. 7 , Company: Lowes Home-Centers, LLC
City: - I �� State:_ Address: P•O Box 781993
Zip Code: 3 DI Fax: City: Orlando" State:FL
Phone No. ( Zip Code: 32878-1993 Fax:
E-Mail: Phone.No..' II 32(—2 3 063
Fill in fee simple Title Holder on nextpage(If different E-Mail:- rty S o-h ct L/ (\�e m+ ( o f�+a��.C%c� ►1
from the Owner listed above) State or County License: CGC1508417 -
If value of construction is$2500 or mor ,a RECORDEDWotice of Commencement,is required.
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DESIGNER/ENGINEER:u Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address: '
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable', BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: city:
Zip: Phone: Zip: Phone:
I certify that no work or installation has i ommenced prior to the issuance of a permit.
St.Lucie County makes no representatio that is granting•a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable H me Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Hom Owners Association and review your deed for any restrictions which may apply.
In consideration of.the granting of this re uested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the.approved plans,t ie Florida Building Codes and St.Lucie County Amendm s. .
The following building permit applications are exempt from undergoing a full concurrency rev! :r om additions,
accessory structures,swimming pools,fe ices,walls,signs,screen rooms and accessory uses o ano er non-residential use
WARNING TOO ER:Younu
o Record a Notice of Commencement ma result your pa, ing<twice for
improvements t. y r propotice of Commencement must•be rec rded a d post o the jobsite
before the-first:' sp ion. end to obtain financing,consul ith ender o an a me before
commenci w rk o rec dNotice of:Commencement.
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_Signature of _ ner/Lessee/Agent Signature of C tractor/License Hold'
er
STATE OF FL :. IDA. STATEOF.F -.RIDA
COUNTY OF GE. COUNTY O � 1
The f ing i t me t was ac n wled a efore me The f oin i st ent w acknowledgggd before me
this day 2. �by this da . f 20(�by
PETER A CAFARO III PETER A_CAF .0 III
(Na a of person acknow ,dging:) (Name of person acknowledge_ )
Xy,
( gnat of otar—Public--State 'f`FI ida) ( gnatu e o ,otary Public-State of Fl rlda
Personally Known ;X. OR Produced.Identification . Personally Known x OR Produced Identification
Type of identifitat!6r!Produced Type of Identification Produced.
Commission No. FF 981547 Commission No. FF ss .
R. hIC 81ata of Rotkla Rotary Pub fl:S of RNIft
1 M Rit:catboni ; Kmi M Rlxebonl
erw EK*n.0 1 20
Revised 07/15/2014
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