HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date' ,'e�l lZf Permit Number:`
AV
Bufld n'g Permit Application
Planning an&Development5ervices;--
Building and Code Regulption Divis(on
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential Vl
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
a � � .•,.'^ -.5-.n-+ .a-'-ys� �.x' w. r 4rr"*wskgt"� "^"�"'..�.,�YE'' 'j'��r.+.C7 s� 5r `�h i�t...�:C� w -_ .��.�mh�#
-
� -
Address:. Rtoco .oc&.0,0. 7D e o2
Legal Description: tub.* J Cad u.,4* 1ky 2-
Property Tax ID#: ota Lot No.
Site Plan Name: KIr4"J 15vn A Block No.
Project Name,-
Setbacks Front Back: .Right Side: Left Side:
' ,::wk 7�Kq,.rY 3w*nr",'S°t°.t�•+,�'...F:Fi .,..',�'°'�*.^�'�t£ix�,ry•'�'''+ s � ,tr .•��r- e C:.�� '�-�'' 3xa, av ' <rrx.�- u5 +r. �,'�u t..' ;-
}}�T, � :� � _,,���, � � �� ,-'�`- r�*,� 2�``'t�a ��' ��.�3.4�`���' h��,%�.'��c.��pr � ��;"'SCx���c'�-s"Y"„r:=�.s-��'�.��',"^°•'��a'-��1,
.,c•..w �- ?.r�..�.:�'�-x'.��.-�rva»_r-k`:�ftk..._ a.., 3 ,..ac'�?X>,�c s� >�..�.�.r"•„'Z..c_.�"�'e,c„L'"�=a�-�y.....-. -3t:�+�t. :�;f,�-':»5".�'; .�..a�...'�r,: .�v - -
Tucsc,� &wAwf
..:�'; x. .es�s t,.24.... f Tx '« Y'z":2a4 ..,grM">"7�"4=f -.., .rru: .� >•+e;r . .•+ 'ti•,wY,xvF,i' - 'i� -7`4+k 'r yf•" '�•y^r.S F•'' -r"'7�i''� "c�.s .s!'�,ri ,i... �,,.
.� .�,.x• Y '�' .-a�..;
Y Y � � 4'�x,�s r s s- ���'�+=r °3�.vd err•- �Z� +.�_� �5,,
itiona wor to e e orme un er t is permit—c ec a apply:
aHVAC Gas Tank Gas Piping _Shutters IgNindows/Doors
Electric 0'Plumbing Sprinklers Generator D Roof Roof pitch
Total Sq. Ft cf Construction: S Ft.of First Floor:
struction:-. �P Utilities:�Sewer Septic Building Height:.
Cost of Con $ ru
..,....,, s. Wrx _�U„yt '�i3:�',-c�' •�. `�'{ �`°*vr`-�',�.�:r-a.� - .r r�x ..,� i 7�;'� irxmC�����+x sF.wr.^�.�.._��y,�'� �,� *t
,�.t
.nLL.a'�-ts!�=r 0
_r..,:tl�.+.... ..:.„e�'.'s�' ...;hc,t .-'.�_�a..S?'aa?C•u�k:.,<.�.i�vb��5�;
Name V-PL64 .4--sk"At Srukw-^ Name. PeterACafaro III
Ad&ess: (oar' S'ytilao���✓ (K� Company: Lowe's,Nome Centers LLC
City: '�basEN g�ero� State,
Address: P G Box 781993'.
7..; .. 'Orlalidb" .•.. .. State:FL
ZiR--Code: 3`fQ`S' Fax:: City:
;ne "�1��:.5 ... .S' 32878-1993
Phone No. 3to2 Zip Code: Fax:
E-Mail: Phone No. 17Z- 1(t 8-35PaS
Fill in fee simple Title Holder on next page(if different E-Mail: L dt.+• m"►
from the Owner listed above) State or County License: CGC150 417
If value of construction.is$2500 or:more,'a RECORDED Notice of Commencement is required..
City of Port St. Lucie Building Department
121 SW Port St. Lucie•BIVd Miscellaneous
Port St. Lucie FL 34984
'" Permit Application
772-871-5132 • Web Site: http://www.cityofpsl.com
To Schedule Inspections http://pandapublicweb.cityofpsi.com
Construction under this permit will be done in accordance with the FBC 6th Edition (?917)
PERMIT# CONFIRMATION# ❑Affordable Housing - Federal
PROPERTY ADDRESS'::,.;
LEGAL SECTION BLOCK LOT ParceIID#
DESCR
OWNER MAIL ADDRESS ZIP PHONE
CELL
CONTRACTOR MAIL ADDRESS ZIP STATE LIC.#CGC 1508417
Lowes Home Centers Inc. PO Box 7.81993 Orlando FL 32878 PSL COMP# 8231
CONTRACTOR E-mail Address PHONE FAX# CELL
TPG LPERMITS@ yahoo.com 772-418-3695
ARCHITECT/ENGINEER MAIL ADDRESS PHONE LIC#
w N/A E-MAIL ADDRESS
w Commercial: ❑ Residential: ❑✓
W
a
0
Describe the proposed work in detail:
Detailed location of proposed work:
Valuation: Applied;Date: Rec'd By: Reviewed by/Date PERMIT FEE:
THIS PERMIT BECOMES NULL,AND VOID-IF CONSTRUCTION OR WORK AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS;OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 6 MONTHS AT ANY TIME AFTER WORK IS COMMENCED.
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installation has commenced prior to the issuance of a permit and that all work
will be performed to meet the standards of aIl.Iaws regulating construction in this jurisdiction:.)understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,
SIGNS,WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS AND AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT: I certify that all the forgoing1nformati6rt is accurate and that all work will be done in compliance with all applicable laws regulating to construction and zoning.
WARNING TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMME CEM T MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.
IF YOU IN TO TAIN FI ANCING,CONSULT WITH YOUR LENDER OR.AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMME CEME T.
Sign r of Contractor Date Signature of Owner(if Owner Builder) Date
P er C_afaro -
Pri Nan e -
=or►tN otary Pu c of FloridP N e =
Kari M ccaboni
`a y Commission FF 8164 No ry re /28/2 —_
As Co nerorAgent: _
Stat of lorida
Coun Orange
Sworn before me on this day of 2p Permit Validation: Chk. M.O. Cash
Personal) known -.: Produced ID Type of ID Batch# Item# Check#
a .`-2'T �`z rz-:s �C.:?� r�:n'C.[i,��.s.- -ro 5..�-•t 'rxi-� .x µr`?r�' v�y��4.:'-'T �-_a,.� *'.:�:s;".,.,_,� xa �a:���.,,:�+�.�„ts't�c+4Y-� ?�2'r.,��-tnN„,�aTa�r�.�.}�, ar s.
t:i.,'c'"4,S,u....�...~z,•.>��`-E.:�`;`�'€,'`,�rx s.W b. s# .,k';��:u2 „?��akx�>� .�x,k 2 n,.%�'^£'`,'"�.'�`i"� ?h�v�z ��vsf 1'n. ��4 j. wa-� �� iX
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Narne:��,Yt✓r�o������ 1��- Name:
Address!"Ju
w-: Ptico�.�.� �1 Zoe Address:
City:w '( cVo, y State: City: State:
Zip: :` 11! L . - 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 commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a perrnit 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 don the jobsite .
before the first inspection u intend to obtain financing,consult wi lend r or atto I before
commencing work or reg6rdinAyour Notice of Commencement.
s
Sign4Cafarol
er/Lessee/Contractors gent for Owner Signature o Contractor/License Holder
STARIDA STATE O LORIDA
COnge COUNTY O orange
Therument was acknowledged before me The f of nstrume�ntt�w"as�acknowledged before me
this � 20�by this of Yv wr•cF� 20 by
Peter Peter A Cafaro Ill
(Name of person acknowledging) (Name of person acknowledging)
ur ignateJKown.
otary Public-State of Florida) ( ignature of otary Public-State Florida)
Personally. X . OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification Produced
usr Notary Pu;s.onn
c Stare of Florida
Commission No. ?° Karl M R Commission No. Y 1 uMy Comr FF 981647 = Notary 4.V51&ate of Florida
'�oJa Expires 0528/2021. Kari M Ricc2boni
My Commission FF 981647
aw -
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
'COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS