HomeMy WebLinkAbout2349 Jackson appALL APPUCABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: v Permit Number:
ON..Binding Permit Application
Planning and.Deve(dpmerrt Services
Building and' ad, egulgffori Division
23oo 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 'pc3oic
Address:.
Legal Description:
Property Tax ID #: �� 2� ZOO - csOb�-(^ Lic7 ^ 1 _ Lot No.
Block No.
Site Plan Name:
Project Name:
Setbacks Front__ Back: Right Side: _T! Left Side:
r — _— ►mea unaerThis peTmiL—uicc-�.c�. rr•7
it{ana 4V0'tU
❑HVAC Gas Tank Gas Piping _
Shutters Windows/Doors
j� Roof Roof pitch
0. Electric ED Plumbing OSprinklers L=1 Generator
Total Sq. Ft of Construction: Sq. Ft of First Floor:jj�'� - .
util'itiesc Q Seaver [ISepticBuilding Height:
Cost of Construction:.$
Name ((�-. - A(/•�
AddtesS.
State: F
Ci rode:
ZiFax:
R f
Phone No.
E-Mail:
Fill in fee simple Title -Holder on next. page (if different
from the Owner fisted above)
Alan: Peter A Cafaio HI
Corzipany:. Lowes.Fiorne Centers;-t=G
Address: P.O.Box?81993..
City:
_ State: FL
Zip Code: 32878-1993 Fax:
Phone Nci_ 7 7 t- t( t r, 3��—�—
&Mail:
CGC15W17
State, or County license:
If value of construct+°°. 5
ormore,-a REMRDWNome of Cwim is -required.
Name ._
Address:
City: State:
Zip: :.. Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address
City:
Zip: Phone:
MORTGAGE COMPANY: lot Applicable
Name:
Address: State:
City:
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 St
bjec ruu
prohibit
sch
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may
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
twice for
WARNING TO OWNER: Your failure to Record a Notice of Commencement ma esult in your paying
onn the jobsite .
improvements to your property. A Notice of Commencement must be r ord and po
before the first inspection u intend to obtain financing, consult w! 1en r or atto ey before
commencing work or re rdin our Notice of Commencement.
Signature
STATE OF L RIDA
COUNTY F
The
this
Peter a cafaro IX:'/
(Name of person
was acknowledged before me
rr G. — 1 20 ZLbY
Public-Stafe of
Personally. Jown . x OR Produced Identification _
Type of Identification oryStMOfFWW
: Kan- Mn9e.�7
Commission No. My
44
Revised 07/15/2014
REVIEWS I FRONT I ZONING
COUNTER REVIEW
Signature
STATE
The forgoiWnstrument was acknowledged before me
this''�c 1 Iay of _ \AI�+�r. J 20 ?k. by
Peter A Cadm III
(Name of personAcknowledging )
Personally Known
x OR Produced Identification
Type of, ldentification Produced _
- - - - t,y ]�e oP Ronda
Commission No. r Kan M
4 C FF M647
SUPERVISOR PLANS VEGETATION
SEA REVIEW TURTLE n/IREVIEWVE
REVIEW REVIEW
COMPLETE_
INITIALS