HomeMy WebLinkAboutGeiger appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Z I Z-I Zk Permit Number:
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Bu�ld�r�g Permit pp i Application
_ .
Planning and.Deve'lopmentServices
Building and Cade Regulpffori Division
2300 Virginia Avenue, Fort -Pierce FL 34982 x
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of fine 'Daoe-
Address:----
Legal Description: L1IP—J5-' L-'T Z3
Property Tax ID #: .5 3 2T —'1 1 I — C� 3 c7.7t7 - Lot No. Z 3
Site Plan Name:-�'�'� �t ""� Block No.
Project Name:
Setbacks Front Back: Right Side:J Left Side:
$,i ss� \ &-" • -0,no s..
itianaiworKtoDe osuieu uwlucs u� ,,,,� �,•-�
�HVAC Gas Tank Gas Piping
��
_ Shutters
FA Windows/Doors
_
.Electric-Plumbing
E]Sprinklers
ElGenerator
Roof Roof pitch
Total Sq. Ft of Construction:
. Ft. of First Floor:
Height..
Cost of Construction' �',5L(-7
4� utilities- Sewer[DSeptic
Building
_-
Name�-�ec
—
Addresss____`_
State:=-
Uty
Zip Code 3iFax
t
Phone No.
E-Mail:
Fill in fee simple Tiitle.Holder on next page if different
fr the owner listed above)
Name: peter A Cafato H1
Company: Lowe,s Name Cebters;�LLC
Address: F' C SOX 781993'...
City -
Orlando State: FL
Zip Code: 32878-1993 Fax:
Phone No.� �(c8 3 rO9 �
E-Mail: -�
—,+% 9Q lNa. eOw+
State or County License:
CGC1508417
om
If value 0f construction. is $25W or.`more, a RECORDED' Notes of Commences is -regtiired.
Not
Name:.
Address: '
CState:
it
Y.°
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City -
Zip: Phone:
BONDING COMPANY:
Name:
Address:
ri+.,-
Zip: Phone:
,Not Applicable
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 jobsite
before the first inspection u intend to obtain financing, consult wi ten r or alto ney before
commencing work or re rdin our Notice of Commencement.
Signature of er/Lessee/Contractors .gent for Owner
STATE OF L RIDA \v'
COUNTY F o 9-
The f rgo' g in rumept was acknowledged before me
this ay o P, b 20 by
Peter a Cafaro I _/
(Name of person acknowledging)
Personally V.ow
Type of Identific
Commission No.
_I c- stale of Florida)
x OR Produced Identification
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JyY
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Revised 07/ 15/2014
REVIEWS
DATE
COMPLETE
INITIALS
FRONT
COUNTER
Signature olContractor/License
STATE Of I LORIDA
s
The forgoiWnstrumeenpnt��w�as acknowledged before me
this / A-{ day of 12*b 20 u by
Peter A Cafaro I I I
(Name of person,acknowledging )
Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Notary Public State of Ftonoa
Kan M i Commission No.
* C�F 981647 ? i
ev". 'S
ZONING SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW REVIEW
Notary new i�ate of Florida
Kan M Ricc2boru
my Commission FF 981647
SEA TURTLE I MANGROVE
REVIEW REVIEW