HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: L,(-LA I ZL 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) 462-1S78 Commercial Residential 7�
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: SSL'i l T*A ( 1 �E4
Legal Description: 67a%'Akr
Property Tax ID #: 33to4 So octet % • o00. B Lot No. 8
Site Plan Name: N� 0'gj50_ ubt Block No.
Proiect Name:
Setbacks Front Back: Right Side: Left Side:
d %1 b.3,. 'O wd.
❑Gas Piping
HVAC
Electric
Gas Tank
0 Plumbing
Sprinklers
_ShuttersWindows/Doors
Generator
11
Roof
=
Roof pitch
Total Sq. Ft of Construction:
s
Cost of Construction: $ ZS 0 0
Sq.
of First Floor: _
Utilities: Sewer E]Septic
Building Height:
OWNER/LESSEE:
Name t-U�--*JW 0 `ia. *-tl
Name: PeterACafaro III
Address: S'�Yr t 'rEK
Company: Lowe's Home Centers; LLC
city: 1�4- l�fEtieE State: r-L
—
Zip,Code:!ITT fL Fax:"
Phone No. 3oS'� ',S'$s3 • ?"f ?Ci
Address: P.0.5_ox781993
City: Odando ` State: FL
Zip Code: 32878-1993 Fax:
Phone No. 77Z- Lfitj- 3r�45
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: e._"; w'�s e �/skKw • ^ "`
State or County License: CGC1508417
If value of construction is $2500 or more, a RECORDED Notice or t.ommencement is requireu.
Si1PPLELUtEAE�A�
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MORTGAGE COMPANY: _
of Applicable
DESIGNER/ENGINEER: _ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: 4Not
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
improvements to your property. A Notice of Commencement must be r
before the first inspedioniif%u intend to obtain financing, consult wig
commencinia work or re(26rdin vour Notice of Commencement_
Signature
STATE OF
COUNTY
The gin in�trum�et�t was acknowledged before me
this ��^ ¢lay o s 20 b2 by
Peter a Cafaro Ikl
(Name of person acknowledging)
QSignature o otary Public -State of Florida )
Personally K own x OR Produced Identification
Type of Identification
Commission No.
Revised 07/ 15/2014
Notary Public State of Franc
Kan M I
EMY xpires OS FF 981647
Signature o Cor
STATE O LC
COUNTY O c
The forgoi ns
this !MA� day of
It in your paying twice for
and po d on the jobsite
or alto nev before
was acknowledged before me
I 20 ZZ by
Peter A Cafaro III
(Name of person acknowledging )
Personally Known x
Type of Identification
Commission No.
OR Produced Identification
Notary Rt Melatate of Florida
Kan M Riccaboni
My Commission FF 981647
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