HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Zt t t, ZA. 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 X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROtfEME �_ f
Address: 94% 5 S Oe-E...., :i
Legal Description:
Property Tax ID #: 35 3 r - 333 - OOJ t 'ZAc - t Lot No.
Site Plan Name: L.te,ec, Block No.
Project Name_
Setbacks Fr
❑HVAC
❑ Electric
Back:
I I Gas Tank
❑ Plumbing
Right Side:
Piping
Sprinklers
Left Side:
Shutters Windows/Doors
Generator ❑ Roof
Total Sq. Ft of Construction: Sal Ft. of First Floor:
Cost of Construction: $ - 2, 1 QQ 7-Utilities: []Sewer ❑Septic
Building Height:
Roof pitch
' OWNER/LESSEE:.
Name
Name.. PeterAcafaro III
Address: 9 44t S' S oce;P.+K*�-
u`" k
Company: Lowe's Home Centers .LLC
City: rK✓N L3EAH-.
Zip Code: V 1-7 Fax:
Phone No. �J f10 -
State: %
Address: P.O.Box781993
(
City: Orlando State: FL
Zip Code: 32878-1993 Fax:
Phone No. `71Z - '
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail:
State or County License: CGC150 17
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER _Not Applicable MORTGAGE COMPANY. Not Applicable
Name: Name:
Address: Address:
City: State: City State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name: _
Address:
City:
Zip:
Applicable I BONDING COMPANY:
Name: _
Address:
City:_
Zip: —
I certify that no work or installation has commenced prior to the issuance of a permit.
Applicable
ie
no
which is noconflict awlth any applicablelon HomeaOwners Asssocig a ationirules will authorize
by bylaws or and covenantss that may restrict osubject
prohibit such
structure. Please consult with your Home Owners Association, and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement ma esult in your paying twice for
Improvements to your property. A Notice of Commencement must be r ord d and po don the jobsite
before the first inspection/Ifiipu intend to obtain financing, consult wi len r ct alto ney before
commencing work or re rdin your Notice of Commencement
STATE OFIF L RIDA STATE
COUNTY OFo .9e
The fp of gin rurypnt was acknowledged before me The forLgoirWnstrument was acknowledged before me
this ( ayo �-G� 20 Eby this ��'sL-oay of - 20ZZ by
Peter a Cafaro i Peter A Cafaro III
(Name of person acknowledging) (Name of person acknowledging )
Iplgnature or otary Public- Stafe of Florida) " ($ignature of�Votary Public- State Florida )
Personally K own x OR Produced Identification Personally Known x OR Produced Identification _
Type of Identification Type of Identification Produced
hr_ Notary Public State of Florida
Commission No. +° `F Kan M l Commission No.
y;_ MY Co . FF 981647 Notary 45811a 6te of FW da
fia w� Expires 05r2&2C= ? Kan M Riceaboni
%r_ My Commission FF 981647
Revised 07/15/2014
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