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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Z ' Permit Number:
Building Permit Application
Planning and.Development Services
Building and Code RegulaEion Division -
2300Virginia Avenue, Fort Pierce FL 34982�- - �(
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential ✓
ac�or�
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line051
Moog
_ _
Address:. 6 ✓5 z+_-f" -,:: w. t.-F.`E(o C'r 'Y E
Legal Description: (?YO✓C (ss�o �Ee 1 (Anik JNZ6
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Property Tax ID#: -?54ta- .6-0'7. 0(9'9-- 060'- _ Lot No.
Site Plan Name: LFwsS[ys .:j�j//.r b Block No.
Project Name'
I
Setbacks Front Back: Right Side: Left Side:
i
•Y` _ f
- NO
_ J.
f -itiiona worK to be rme un r this permit -.neck —fa 1 apply.
EIHVAC Tank []Gas Piping M(Shutters Windows/Doors
Gas
LElectric E Plumbing Sprinklers ElGenerator 0 Roof Roof pitch
Total Sq. Ft of Construction: Sq, Ft. First Floor:
Iof
Cost of Construction:.$ Z.t 9 S Utilities: ! �tSewer 17 �Septic Building Height
�'N e
Name._ A Cafaro HI
Comoany: Lowe s Home Centers,LG
Name G
Address: St4Z K✓fit lm 79 E I
Address. P-O.Box781993
i
�.," State: �
-
City: Cklanda ` state: FL
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Gty 4
�(�F� Fax:
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Phone No. '� �3 ,15ko _
Zip Code: 32878 1993 Fax:
Phone No. I1 a -
E-Mail:
E-Mali:
Fill in fee simple Title on next page (if different
.Holder
from the Owner listed above)
State or County License: CGC1 17
if value of construction is $2500 ormore, a RECORDED Notice of commencement is required.
Name:. _. •
Address: o_ N
City' & State:
4�1—
Zip; SpU9 t . Phone:
FEE SIMPLE TITLEHOLDER: V — Not Applicable
Name: _
Address:
City: —
Zip:
MORTGAGE COMPANY: ,'Not Applicable
Name:
Aririro«'
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
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
improvements to your property. A Notice of Commencement must be r
before the first inspection/ff-�yu intend to obtain financing, consult wP
STATE OF
COUNTY`
The �ff rgo gin rurpent was acknowled ed before me
thislK ay o �•g 29C. —by
Peter a Cafaro Rom/
(Name of person
of
OR Produced Identification
Type of
e`er
Commission No.
Revised 07/15/2014
STATE
The
It in your paying twice for
and po d on the jobsite
or ad alto ney before
acknowledged before me
zoZI. by
Peter A Cafaro III
(Name of personacknowledging
Personally Known x OR Produced Identification
Type of Identification Produced
987847 < I Commission No.
Nobry d 6=e of Florida
Karl M RioCabohi
REVIEWS
FRONT
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SUPERVISOR
PLANSA[VEGETAT�10:NSEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEWREVIEW
REVIEW
DATE
COMPLETE
INITIALS