HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICA7
Date: SGAM W
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Bull I
Planning and Development Services ding Per
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Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-2553 Fax: (772) 462-1578 COMME
PERMIT APPLICATION FOR: •
PROPOSED IMPItZUEMEIT
Address: _ 3 1 j /�,�� e
Legal Description: ( IU6 S LJ bQ
Property Tax ID #: I I—Jb2.�
Site Plan Name: E12- ((,R S tJ !�
Project Name:
Setbacks Front Back: Right Side:
uua I.Ci
1JHVAC Gas Tank ❑Ga;
Electric 0 Plumbing 0Spi
Total Sq. Ft of Construction:
Cost of Construction: $ ��6�o U
TO BE ACCEPTED
Permit Number: 1O� ' 0 3S
RECEIVED
it Application
APR 12 2010
Permitting Department
rcial Residential
St. Luc County
_
�t
Left Side:
mi — GnecK an Mutters
tly:
Piping
nklers E] Generator
S . Ft. of First Floor. _
Utilities: ewer Septic
Peter A Cafaro III
!6T
Lot No._rz_
Block No.
QWindows/Doors
ElRoof
Building Height:
Address: S V V Company Lower Home Centers, LLC
Cdy' t State: 'Address: F'.O Box 781993
Zip Code: �2 Fax: City. 0�0ando
Phone No._ , (L 310— rQy�� State: FL
Zip Code: 32878-1993 Fax:
E-Mail: Phone No. �il —7L 3 '0 (P 3
Fill in fee simple Title Holder on next page (if different E-Mail: I I �yyl
from the Owner listed above) State or County License: CGC1508417
If Yalue.of construction is $200 or more, a RECORDED Notice of commencement is required.
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SUPPLEME(�TAL Ca�l�MSJ` s �U► �.
k � �� �� {
i �:
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
city:
Zip: Phone:
Zip: Phone: !
I certify that no work or installation has commenced prior to th8 is I uanceof a permit.
St. Lucie Counter makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owner$ Association holes, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and rreview your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that 1 will, in all respects, perform.the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie -County Amencime
The following building permit applications are exempt from undergoing a full concurrency rev! : r om additions,
accessory structures, swimming pools, fences, walis,'signs, screen rtimm.encement
s and accessory uses o ano er non-residential use
WARNING TO O ER: Your u� to Recor4 a Notice of rra result your pa ing twice for
improvements t y r prop . A otice o f Commence ent must be rec rded a d post o. the jobsite
before the first ' sp Lion. you i end to obtain financ�ng, consult(with ender o an a me .before
_ Signature of
STATE OF F 11
COUNTY OF
The f oing i t
this V day -
PETER A CAFARO III
(Name of person
Lessee/Agent
20
Personally Known x OR Produced..
Type of Identification Produced
Commission No. FF 981847
u�
Revised 07/ 15/2014
of Fbdb
was
,TER AI CAFARO III
ame of person ac
aoge ore me
20 rby
ure o15Notary Public- State of Florida}
filly Known x OR Produced Identification
j Identification Produced
ssion No. FF 98 .,7Noths"ry !>R�
M I W Florlde
Vin aw Expkei 0=1=20
REVIEWS
FRONT
ZONING
SUQERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW.
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VIEW
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DATE
COMPLETE
INITIALS
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