HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONY
ALL APPUCABL INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number: L—as
)unoo aionj ';S
Building Permit Application AS
Planning and Development Services a3NNVOS
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 Lb:,OATI01=
Address: 3200 TW I l,% I.p.irLe) (•eN1/(,t(�[,e Q
/
Legal Description: 1:11 //C S I-e id bt � C✓Q j r'LQ s e
U01i 16
Property Tax ID q: Z-7 — 70
Lot No.
Site Plan Name: U WS
Block No.
Project Name: jJ197Js
Setbacks Front Back: Right Side: Left Side:
DETAIUMDESGRIPTIQN1 Pffi'1�U®RjKa `
'—nowt Pavel at� e
CONSTRU r [ON It�FOFp(/t *K
O.:.r�.ai4j??°J
jjd�mona wor o e e orme under is perm) check a apIJ
CJHVAC. ff Gas Tank ❑Gas Piping _ Shutters ❑ Wmdows/Doors
Electric Plumbing
Sprinklers Generator, Roof
Total Sq. Ft of Construction: 0 U Sq. Ft. of First Floor:
Cost Construction: S�Ir� Cj 0Septic
of $ (d , ti Utilities:Sewer Building Height:
Name UNLS
Name: Peter A Cafaro
111
l ' I
Address: 3 L6 D � ✓�.ke& ✓
Company: Lowes Home Centers, LLC
P V�
OOww
City: -T, StateY�.
Address: P.0 Box;781993
Zip Code: 3 CIl�_oFaax:
City: Orlando State: FL
Phone No. 1% %' J t l Q
Zip Code: 32876•t993 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on nerd page ( If different
E-Mail:
from the Owner listed above)
State or County License: CGC1508417
If value of construction is $2500 or more,a RECORDED Notice of Commencement is required
Name: _ rr
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name -
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING
Name:
Address:
ZIP: - Phone:
I certify that no work or installation has commenced prior to the issuance of a permit
_Not
which is inoconnimawith any applicablelHome Owners Pssociation� rules, bylaws or and covenants that build
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 AmenJoan
.
The following building permit applications are exempt from undergoing a full concurrency revam additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses er non-residential use
WARNING TO O ER: Your ur to Record a Notice of Commencement ma reyour paving twice for
improvements t y r prop . A otce of Commencement must be rec rdepost o the jobsite
before the first' sp tion. f you in end to obtain financing, consul ith enda me before
commenci w rk o rec din o Notice of Commencement.
_Signature of
ner/ Lessee/Agent
Va12or/License H der
STATE OFF
IDA
ORIDA
COUNTY OF
CE
oa xiThe
ing i t
thi da
m nt was cknowled a fare me
2y
strumentwa acknowled d before me
fgY
20�by
Tpersof
PETERACAFARO111
111
(Na a of person acknow edging)
(Name of person(Name of Person acknowledge
Personally Known x OR Produced Identification _
Type of Identification Produced
Commission No.
Revised 07/ 15/2014
State of
Personally Known x OR Produced Identification
Type of Identification Produced
of FbrWa Commission No. FF
of Fbdda
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