HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �T't_ Permit Number:
•
. Building Permit Application
Planning and.Development services
Building and Cade Regulpiion Division
2300 virginia Avenue, Fort Pierce FL 34k
Phone: (772) 462-1553 Fax: (772) 462-1S78 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: [)� 2 Q 2 K4PCtP^4_
Legal Description: i.AW4-, LoCS pt'ry LoT 67?
Property Tax ID #: 1'i Z (o 70 3 ' 0 0 -13 ' OC) -7 Lot No. 514
Site Plan Name: V\A L � 1 + 1 I to Block No.
Project Name:
Setbacks Front Back: Right Side: T_ Left Side:
.. -1t1ana wor to bige_2grtormecl unaertnis permtL-1-a
❑HVAC _ Gas Tank Gas Piping
Electric O Plumbing oSprinkiers
dvply.
Shutters Windows/Doors
Generator o Roo€ = Roof pitch
Total Sq. Ft of Construction: S�Ft.{ of First Floor:
Fl
Construction:.$ to
Cost of � Z Utilities: L�_
Sewer 1 =1Septic
—� r
Name
Address:. L
State:
Gty
Ziq{_ode*
Phone No. �� Z - 42
E-Mail: -
Fill in fee simple Title -Holder on next page (if different
from the Owner listed above)
Name: Peter A Cafaro HI
Building Height
Company:. Lowe's kiame Centem,..
Address: p-O•Box
.. State: FL
City. Oriatidd
Zip Code: 32878-1993 Fax:
Phone Ne- 11
E-Mail: I .� t.m• �^^
CG 508417
State or County License: - —
If value of construction. is $25t>0 or morDED
e, a RECOR: Notice of Cortnnencernent is required.
DESIGNER/ENGINEER: —A Not Applicable
Name:. -
Addr-ess'
City-, State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State: —
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
i Not Applicable
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counttyy 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 renew 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 len r or alto ney before
commencing work or re rdin our Notice of Commencement_
Signature of er/Lessee/Contractors �gerit for Owner
STATE OF L RIDA \�l�
COUNTY F o nge
The fo^rgo' gin rum t was acknowledged before me
this7_11A ay o 20Z j _by
Peter a Cafaro 11L l
(Name of person acknowledging)
Personally vow
Type of Identific.
Commission No.
of Florida )
x OR Produced Identification
Revised 07/15/2014
�Y
REVIEWS I FRONT
COUNTER
DATE
COMPLETE
INITIALS
Signature
STATE O LORIDA
COUN O o-,-
The forgoiwnstrument was acknowledged before me
this�i+�'day of ,//jam,, J 20 by
Peter A Cafaro tll
(Name of person,acknowledging )
Pubes- StState A Florida )
Personally Known x OR Produced identification
Type of Identification Produced
Notary Putt State of Flawa v
KanC��'� Mf� ' Commission No.
'My omui�Fr t
ExPrces .. 4:,
ZONING SUPERVISOR I PLANS VEGETATION
REVIEW REVIEW REVIEW REVIEW
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SEA TURTLE I MANGROVE
REVIEW REVIEW