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BUILDING PERMIT APPLICATION
ALL APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) 6l f� Date: 05(� v Permit Number: �,,.(, 4unoo eionj -is 03$NV0s JUL 2 ] 2011 Building ermit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34981 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 INIPlko'ye VIENT LQC'ATIO,I�I ; < Address: Legal Description: VIS 1 0AJ S liiJ I T 1162, ,l— coJ 0/t/i 7T Property Tax ID#: ��062L—O()U—(o Site Plan Name: W () Lot Blockk No. Project Name: 1A a(i Setbacks Front Back: Right Side: Left Side: DETAILED©ESC �P>>+TIpNOFzWORK - . .1� gCt` See "Po- a ujo;lr(: _,"v -4►) t �d t=Rih�CQNSTRUCsI'1�N•,�,&�t 'ona war o r 7,*IM [JHVAC Windows/Doors Electric Sprinklers Generator Roof r Total Sq. Ft of Construction: 2 J S Ft. of First Floor: Cost of Construction: 5SS Sig ❑septic $ - O Utilities:Sewer Building Height: OWNER LESSEE r u" rin'tary :.., r L, c,<-m <; Name Kzb Name: Peter A cetera III Address: Q A I T6 Company: Lowes Home Centers, LLC City: T. .erce State: Address: P.0Box;781993 Zip Co le:3 Fax: City: Orlando State: FL Phone No. %72. Z Z "' I Zip Code: 32878-1993 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: CGC16OB417 df-value o 'cd6—li ctian is:$2500 or moret,a;RECORDED'Notic of Commencement�is regwred,�/ LA AJ ,t Name: - Address City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City. State: Zip Phone: _Not Applicable Name: Address: City: Zip: Phone: BONDING 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 convict 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 CountyAresult s. The following building permit applications are exempt from undergoing a full concurreom additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessoryer non-residential use WARNING TOO ER: Your ur to Record a Notice of Commencement your pa ing twice for improvements t y r prop . A otce of Commencement must be repost o thejobsite beforethefirst ' sp tion. f you in end to obtain financing, consultfwithan a me before _ Signature of ner/ Lessee/Agent Signature of C tractor/License Ho der STATE OFF IDA STATE OF F ORIDA COUNTY OF cE COUNTY O oRAROE The ing i this day t a knowledg d fore me 20Jby The Von i strum w c nowledge ore me this da f , 20 by PETER A CAFAROIII PETER A CAFAXO III (Nar7of person ff—acknow edging ) (Name of person _ a State Personally Known x OR Produced Identification _ Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. FF 011147 ' Commission No. FF stab of Flaitl� of Fbdds Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE a�Al COMPLETE INITIALS