HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 2� Permit Number:
�3:" —
•
Bui ding Permit Application
Planning and-Deve%prnettServices
Building and Cade Regulpi?an 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:. 2 (P 5 CA r 100(O tAct h C-t
Legal Description: 5 Q A-', ( 3 ?LO ( A r-v%c &V_-&-W✓& f -R orev4h T'iAr
Property Tax ID #: 33 22~ 5a3 —1 Lot No. ( Z
Site Plan Name: a f i S ""� ``' Block No.
Project Name:
Setbacks Front Back: Right Side: �_ Left Side:
HVAC
Electric
0-Plumbing USprinklers
L _1 Shutters
0- Generator
Total Sq. Ft of Construction: Sq. Ft_ of First Floor:
Cost of Construction:.$ Z_L3 4 1 — Utiliities:0 Sewer OSeptic
cTYPGG' goo-. .•A.41 as/J�►t
C Irk-�-+ State:
+ty
zia�Code: 1 Fax ;
Phone No. 3
1'0 6 7
E-Mail:
Fill in fee simple rule -Holder on next page (if different
from the Owner listed above)
25Windows/Doors
0—Roof Roof pitch
Building Height .
Nane: Peter A Cafato HI
Company:, Lowe's Home, Centers,) -LC
Address: P O Box 781993
Orlando' - State: FL
city:
Zip Code: 32878-1993 Fax:
Phone No_ 2 - Kl 3 4 5 -
E-Mail:
State or County License: CGC150841
If value 0f construction`m
. is $25W or -a REC0j_M Notice of Commencement is required.
DESIGNER/ENGINEER:
-
Address' r
City:
Zip:. Phone. =
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
--N—Not Applicable
State:
��ot Applicable
MORTGAGE COMPANY:
Name:
Address:
city- .
Zip: Phone:
BONDING COMPANY:
Name:
Address:
ri+„•
Zip: Phone:
OCNot Applicable
State:
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 wait 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 alto ney before
commencing work or rep2rdin our Notice of Commencement.
Signature of er/Lessee/Contractors �gerit for Owner
STATE OF L RIDA \VI
COUNTY Fo ge
The f go_ g in ru en_ Zn _ tw�cknowledgoe�bfore me
this � _ aY o V
Peter a Cafaro Il 1 J
(Name of person acknowledging )
Personally
Type of Idi
blic- Stale of Florida )
x OR Produced Identification
-- ----
Commission No.
Revised 07/15/2014
REVIEWS FRONT
COUNTER
DATE
COMPLETE
INITIALS
Signature
STATE 0
COUNTY
s
The forgoiWnstrument was acknowledged before me
this3,,,day of rlk-1— 20 by
Peter A Cafaro III
(Name of person,acknowledging )
Personally Known x OR Produced Identification
ion
Type of IdentificatProduced - -
Nqtary Public State of Flcrtaa -
Kanim i Commission No_
MY �F 961647 r ,
ZONING SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW REVIEW
Notary 4.5W ire of FWiaa
Karl M`Rlaaboni
My Comm _ _ It 96464_
SEA TURTLE I MANGROVE
REVIEW I REVIEW