HomeMy WebLinkAboutBuilding Permit App - KnagALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 Z 3 Permit Number:
NOR!
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 X
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:
A,4,4.o«. 1 0 Z S N A✓ A t o A✓e-
Legal ` Description: K'11 L t., + 5 0, ) K
Property Tax ID #:
9 R % Q -
1540 - O f 9 Z • 000 - (o
Lot No.
Site Plan Name:
Block No. 148
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
ZkA % k L'i „Q AGE} vim) ► U oov�,$
CONSTRUCTION INFORMATION:
Additional work to be oertbrmed under this permit -check all
j apply:
_ HVAC Gas Tank Gas Piping LJ Shutters X Windows/Doors
❑ Electric Plumbing Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $
�e
S Ft. of First Floor: _
UtilitiesInSewer 11 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name I % E
Name: Peter A Cafaro III
Address: 10Z t4K.-.41, . A ✓£
Company: Lowe's Home Centers; LLC
_e,
City: State: Pt-
Zip Code: 3 4q 33 Fax:
Phone No'1712- %yam- 3 �t55
Address: P.O.B.ox 781993'
City: Orlando State: FL
Zip Code: 32878-1993 Fax:
Phone No. 77Z- Nt 4-3(e4 S
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: ��i�".w,� 14C m 1lrAhp�
State or County License: CGC1508417
If value of construction is $2500 or more, a RECORDED Notice of commencement is requires.
SUPPLEMENTAL CONSTRUCT
N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _
of Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: r4l
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 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 and po d on the jobsite
before the first inspection/rfWu intend to obtain financing, consult wi lend r or atto ney before
commencing work or reg6rdinAyour Notice of Commencement.
Signature of er/Lessee/Contractors /gent for Owner
STATE OF�FL RIDA \�/►
COUNTY 0Foange
The forgoiay g in rument was acknowledged before me
is tho20Z� by
Peter a Cafaro IXr -J
(Name of person acknowledging )
otary Public- Stafe of Florida )
Personally Kiown x OR Produced Identification _
Type of Identification
�v • Notary public State Ot Florid
Commission No. _� Kan? nt
a , My Com issi FF 9816fi7
+?a h —Expires 0512812OU
r -
Revised 07/ 15/2014
Signature o Contractor/License Holder
STATE O LORIDA
COUNTY; Orange
The forgoi*nstrument was acknowledged before me
this'Z3'V day of 20 'Zk by
Peter A Cafaro III
(Name of person acknowledging )
re of�4otary Public- State OF Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
I
Commission No. • Notary 4&ffialytateofFlorida
,�KaaM Riccaboni --
y -_ 'y Commission 1647
aw
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICABLE INFO MUSt BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
® ti�e
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:
Legal Description:
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work to je oer orme under this permit — check a apply:
❑HVAC lJ Gas Tank Gas Piping Shutters ❑ Windows/Doors
❑ Electric ❑ Plumbing ❑ Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ _
SgFt.j of First Floor: _
Utilities: L_ISewer ❑Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name: PeterA Cafaro III
Address:
Company: Lowe's Home Centers, LLC
City: State: _
Zip Code: Fax:
Phone No.
Address: P.O.Box 781993'
City: Orlando State: FL
Zip Code: 32878-1993 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:
State or County License: CGC1508417
If value of construction is 52500 or more, a RECORDED Notice of Commencement is requires.