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HomeMy WebLinkAbout2349 Sarah Wells appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �O'Z�112� Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 160 G A, -A A -A 'bv Legal Description: e',le, Property Tax ID #: L3H 19 - S� - 0d� 8 - ��`�' , � Lot No. Site Plan Name: �--A" SJ'rAk -- Block No. 13 25' PrniPrt Name' Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Additional work to b ertormed under this permit- check aTFtUt— apply: ❑HVAC IL-�_ Gas Tank Gas Piping Shutters Windows/Doors Electric 0 Plumbing Sprinklers Generator _ Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ `{(o S Ft. of First Floor: _ Utilities:0Sewer Septic Building Height: OWNERjLESSEE: CONTRACTOR: Name A1'� �E << 5 Name: Peter Cafaro III Address: (SC7 moo*.-+�A� 2" Company: Lowe's Home Centers;.LLC City: (j),k State: r- Zip Code: 3`i�'�2 Fax: Phone No. ,541 - Zdo-7' It(,.4' b. Address: P.O.$.Px 781993' City: Orlando State. FL Zip Code: 32878-1993 Fax: Phone No. •?1"L- - E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: -�w q L .0 5 */ -.oe. caen State or County License: CGC1508417 If value of construction is $Z500 or more, a KtCUK1Jt1J Notice oT Lommencement 15 reyuueu. SUPPLEMENTAL CONSTRUCTION LIEN LAW 1111�` DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable 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 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 ma es It in your paying twice for improvements to your property. A Notice of Commencement must be r ord d a7�� on the jobsite before the first inspection u intend to obtain financing, consult wi lend r oney before commencing work or reg6rdinayour Notice of Commencement. Signature of er/Lessee/Contractors /gent for Owner STATE OF L RIDA \�JI COUNTY OF a ange The forgoi g in*rument was acknowledged before me this ay o 6�lc n' , 20 ZLby Peter a Cafaro I (Name of person acknowledging ) ignature7K(own otary Public- Sta e of Florida ) Personally X OR Produced Identification _ Type of Identifica!t`_1 �+br + W.— Florida Commission No._� 81647 ; ? ei a,. - Revised 07/ 15/2014 Signature o Contractor/License Holder STATE O LORIDA COUNTY O Orange The forgoir{- Instrument was acknowledged before me this day of l7CT 20 2_( by Peter A Cafaro III (Name of person acknowledging ) ure of�Votary Public- State dF Florida ) Personally Known X OR Produced Identification Type of Identification Produced uu� Commission No. Notary 95&11 )tate of Florid ? Kari M Rjoeaboni rypy ComtStission FF 98164t , s REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS