HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Z ZZ Permit Number:
,A - —!
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: _ SOLD k-5E"`rr-'o'a
Legal Description:_ K ��C'v� 3t�"D L.rt Z3
Property Tax ID #:
?-4(37
- Q(3%' 09 SZ- 05007 3
Lot No. �3
Site Plan Name:
60,,jktM
YWr l(&K
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
(1 a- -C= • ..... A L.4-11 ., 0 w A
CONSTRUCTION TRUCTION INFORMATION: "
to e er orme un er t is permit— c ec a a1 y:
itiona wor
❑HVAC fi Gas Tank Gas Piping Shutters Windows/Doors
1-1 Electric 1:1 Plumbing U Sprinklers 1:1 Generator E]Roof Roof pitch
Total Sq. Ft of Construction:
Cnst of Construction: $ _- 4 3 3
S Ft. of First Floor:
Utilities:0Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
L
Name: Peter A Cafaro III
com Lowe's Home Centers; LLC
an
company:
� r
Address: 3�(0 {�lYc"�-"oo� �
Address: P"O"B.ox 781993'
City: Pr �� State: �
Zip Code 3i'<<% �7 Fax:
Phone No.
City: Orlando State -.-FL
Zip Code: 32878-1993 Fax:
Phone No. -TiL- L4 - 3(a 9 S
E Mail:
E-Mail: ��1���.�.. ks Q V0�m . run eon
State or County License: CGC1508417
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is aZ5uu or more, d n« unv I--
--••----- --
SUPPLEMENTAL CO ' -
DESIGNER/ENGINEER: Not Applicable 0. MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Y Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
State:
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 esult in your paying twice for
improvements to your property. A Notice of Commencement must be r ord d and pg-stpd on the jobsite
before the first inspection u intend to obtain financing, consult wi lend r or atto ney before
commencing work or re rdin your Notice of Commencement.
Signature oiF
er/Lessee/Contractor ps p,gent for Owner
STATE OF RIDA \�J�
COUNTYo age
The fo'rgoi g in rum
I t was acknowledged before me
this {a ay o 20 =by
Peter a Cafaro lx�'J
(Name of person acknowledging )
(Jignature 7Kown
otary Public- Stafe of Florida ) —'
Personally x OR Produced Identification
Type of Identification
Signature o Contractor/License Holder
STATE O LORIDA
COUNTY O Orange
The forgoivnstrument was acknowledged before me
this 114h-ay of ' w , 20 ZC by
Peter A Cafaro III
(Name of person acknowledging )
(Signature ofl4otary Public- State dF Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Jrx fty_ Notary Public State of Honda
Commission No. _� My Co iss F i 981647 Commission No.
+r� �' Expires 05/28/20U
�_._
Revised 07/15/2014
Y Notary 494 Mate of Florida
= Kan M Riccaboni
y : _ g My Commission FF 981647
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