HomeMy WebLinkAboutBuilding Permit ApplicationALL APPUCABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED
Date: Ito - Zt Permit Number.
-- -- . - Building Permit Application
Planning and.DevelopmentServices- _
Building and Code RegulgWn Dnrtsion
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of line
Address: v {pO1
Legal Description: 2E&Lq2&ts (Z. Vew—
ur,'k co '-J 'ft. .� 4� za-r z►t
Property Tax ID #: Lot No. 3'L-0Y
Site Plan Name: kk6,,4 Co1b)/ Block No. /Z
Project Name:
Setbacks Front Back: Right Side: Left Side:
i
AGG
rtiona wo to rmed under thispermrt— cneCK allaPP :
❑HVAC Gas Tank ❑Gas Piping _Shutterswindows/Doors
❑.Electric Q Plumbing OSprinkters Generator EIRoof Roof pitch
Total Sq. Ft of Construction: Sq�F�t} of First Floor:
Cost of Construction:.$ . Z Li { r Utilities: L=!Sewer _Septic Building Height -.
x�
Nari3:e- P99r ACataia-III
Name n A C : Y. Lows s Home Centers L.L .
Address: i ^"r �- i �T Com n _
Stater Address. P.O.Box781993'.
City �f {r��fate - State: FL
Fax: City_ oriatidor
Zlq�ode: 3K 32878-1993 Fax:
Phone No." Z7 Zip Code:
E-Mail: I Phone No. ?12
— 441�
Fil in fee simple Title -Holder on next page (if drfierent E-Mail: 'f IX CGC1508417
from the owner listed above) State or County License:
value of consa uction.is $25W ormore, a RECOSDED:Not" of Co required -
if
Name-
Address..,...-:.. -
City' State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
situ.
Zip: Phone: _
Applicable
MORTGAGE COMPANY: _, Not Applicable
Name:
Address:
City State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
Zip: Phone:
Applicable
I certify that no work or installation has commenced prior to the issuance of a permit..
St. Lucie County makes a representationplcbleomeOwnerstAs granting
Associationt will rules,
y bylaws or and covenants that r to may restrictild the or proct hibit such
re
which Is m con i consult
any applicable
structure. Please conwlt 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 Lude 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 in in your paying twice for
improvements to your property_ A Notice of Commencement must be r ordfit
and po d on the jobsitebefore the first inspection u intend to obtain financing, consult wi lenor atto ney before
rnmmpnrin2 work or re rdin your Notice of Commencement �T
Signature
STATE OF
COUNTY 1
this
Peter a cafaro IX✓ J
(Name of person
Type of
Commission No.
acknowledged before me
20 Eby
x OR Produced identification
Revised 07/15/2014
Signature o Cor
STATE O L(
COu O a
The f rgoI ns
this �tlay of
Peter A Cafam III
(Name c f perso
was acknowledged before me
AA-- ,20� by
Personally Known x OR Produced identification
Type of identification Produced
Notary Pubtto stam of rI0I10"a
Kzd� F 981647 Commission No_
of Aaida
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA REVIEW
MR�6 WVE
DATE
COMPLETE
INITIALS