HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
6W1,
Building Permit Application
plonnitig and DeveloPment Services
Building and COdc Regulation Division
-, Fort Pierce FL 34982
2300 Virginia Aveflu, -1578 Commercial Residential-_
Phone: (772) 462-1553 Fax: (772) 462
. ... ...
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOC AT11'
Address:
legal Description:
X
Lrr 4q
Lot No
0
- roperty Tax ID Block No.
Site Plan Name:
project Name:
Setbacks Front__ Back
CONSTRUCTION, INWKMAJ
�fl�
wiu—it, 0 —naTw-R-3 �rRffo _bneniecy
D-HVAC _ Gas Tank
Electric LJ1 Plumbing
Right Side: I -eft Side:
CE-e-c-k a a p p y:
EGas Diping Shutters
O.Sprilriklers Generator
Total Sq. Ft of'Construction:
Cost of Cc)nstruction: $ __ _. 59(0 40:5
ILOWNER/LESSEE-
Narne
Addre55;,_qn5
1+6 —1-,
City:
Fax:
Zip. Code:
Phone
jj Fill in fee simple Title Holder on next page (if
from the owner listed above)
21Windows/Doors
Roof Roof Pitch
Sq. Ft. of First Floor: "' —,
utilities. OseweroSepbc
0
Building Height:
CONTRACTOR:
Peter A C afi'311`0 10
Love's Home LLC
Company:
Address, p.O.J�9x 781993'
F�.
City:Orlando State:
Zip Code, 328'78-1993 Fax,
. . ..... ...... .
Phone
E-Mail-.
CGC1508417
State or County License:
uired.
value of construction is $2500 or more, a RECORD Notice of Commencement i req
SUPPLEMENTAL CONSTRUCTfQ'N
DESIGNER/ENGINEER:
Name:
Not Applicz
ble
MORTGAGE COMPANY: Not Applicable
i Name:
i Address:
i City: state:
' Zip: Phone:
Address:
City: stat
Zip: Phone:
FEE SIMPLE TITLE HOLDER:'
Name:
_ __ of Applicable
BONDING COMPANY: _ �ot Applicable
Name:
Address
City:
Zi Phone:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced p for to the issuance of a permit.
St. Lucie Count 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 4sociation 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 perm t, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Buil ing 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, sig ns, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Reco Notice of Commencement ma esult in your paying twice for
improvements to your property. A Notice of mmencement must be r ord d and p don the jobsite
before the first inspection u intend to ob n financing, consult wi lender or atto nay before
cornmencin� work or re rdin your Notice o C mencement. I
re of QWber/Lessee/Contractor tis Agent
STATE OF, LgRIDA
COUNTY OF o -ge
The IRRrgo g inrument Was acknowledged before m
this VV ay ol N) a it 20U by
Peter a cafaro I� /
(Name of person acknowledging)
I J , ( 1 166�4
( ignaTure o Notary Public- State of Florida } "'
Personally K own _x _ __... OR Produced Identification
Type of Identificationr'oyol
NoterVPubiic State qFlo
Commission No. f` ' Kari M i�E�oni
— z My Com t I FF S81&
e Exp+res 0512812CU
Revised 01 / 15/2014
er I Sit nature ofIConfractor/License Holder
STATE OF FLORIDA
The forgoi*nstrument was acknowledged before me
this trg day'of t004 , 20 V by
Peter A Cafaro III
{Name crf person,acknowledging }
atureofllotary Public- State df Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission NO. r Ngory Hai W b6te Of'lortae
%�.-iCarl M R�boii*
My-Gomnnssion FF 4,8t847
s
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
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E
INITIALS