HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MIJST BE COMPLETED FOR APPLICATION TO. BE ACCEPTED
Date: laz_ ' Nr)\v'MM� Permit Number:1112 MAI
Building Permit Application DEC 0 7 201?
Planning and Developmeynt Services
Building and Code Regulation Division pLHMi7ii ,r
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie C nt FL
Phone: (772) 462-1559 Fax: (772) 462-1578 Commercial T� Residential _
PERMIT APPLICATION FOR:
PROPOSEQIMFR01/1tl�t?:>..,�'.�rx.'..: ��Fx
� y
Address: J O ��J_ 5(,L (e_yie?Op �e
Legal Description: l �P.�iI0d � �4/k ti� T- I fJ L� Z 7i
Property Tax ID #: l 3 0 ^` & d) j —Coo o — % Lot No. 2—
Site Plan Name: n Block No.
Project Name:y +` \
Setbacks Front Back: Right Side: Left Side:
DETAILE�?�p
'� Ts! . WY 4 �.. .gyp •:
Acclitional work o 139'_ 0'rformecl un er tols perm - crieCK a apply:
❑HVAC Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors
(�
L� E-lectric aPiarribing O Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
r_ I
Cost of Construction: $ ��? - Utilities: Sewer �SepticBuilding Height:
0WNER/L�S3EE,Jr }5�r i
t9 i Iry d
t Y
Name 0
Name: Peter A Cafaro III
Address: 63 W &yV?<,
Company: Lowes Home] Centers, LLC
City: State:
Address: P-O Box, 781993
ZipCode: �' Fax:
City; Orlando State: FL
Phone No.
Zip Code: 32878-1993 i Fax:
E-Mail:
Phone No.
Fill in fee simple Title Holder -on next page (if different
E-Mail:
from the Owner listed above)
State or County License;: CGC1608417
it value or construction is 5z5uu or more, a RECORUEU Notice of Commencement is required.
�l� s e- wl�►_ &.L. 3 z- ( - 743' - cyo 3
SUPPL€J1AEN� C 3
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L.
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: ' Not Applicable
Name:
Name:
Address: i
Address
City:
State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
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
whit is in conflict with arty applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult V Ith 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 Amendm s.
The following building perimit applications.are exempt from undergoing a full concurrency revi r om additions,
accessory structures, swir}iming pools, fences, walls, signs, screen rooms and accessoryuses o ano er non-residential use
WARNING TO O ER: Your u to Record a Notice of Commencement m resuit your pa ing twice for
improvements t y Ir prop A otice of Commencement must be. rec rded a d post o the jobsite
before the first sp , ion. f you i end to obtain financing, consulywith ender o an a me before
_ Signature of ner/ Le�see/Agent Signature of-71
actor
STATE OF F IDA STATE OCOUNTY OF re i COUNTY The f rgoing i m t was acknowledgedbgfore me The fo oithis day. 20 by this d
PETER A CAFAROJII ; PETER A CAFARO III
(Na a of person acknow dging )' (Name of person ac
i — - . r e _ -
Personally Known
Type of identifical
Commission No.
Revised 07/ 15/2014
acknowledg fore me
. 20 by
State of
OR Produced. identification I Personally Known x OR Produced Identification
Iced Type of Identification Prodbced
of FW& CommissionNo. OFF
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