HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICA%EIINFO.MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Y. SCANNED Per mit Number: I loi — z)(AY
BY
St. LU6ie COLIMY
02 W-1 INA a:,, R"�" RECEIVED
BUilding Permit Application
AUG,3 2017
Planning ondjDe�elopmentServiceS
Building and Code Regulation Division
2300 Virginid. A,6nue, Fort Pierce Ft 3498�
Phone: (77�)46.2-1553 Fax:(772)462-1578 commercial Residential
PERMIT APPLICATION FOR: T6 Select from dropbox, click arrow at the end of line
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Addreis:
Legal Descrip iion: &;7-70 /U
PropertyTaxib#: 2,, Lot No.
Site Plan,Name*� Block No.
Projec
Setbacks 11 ron t Back: Right Side: Left Side:
DET'Altt"
4 -o F
- ltcm Mz?
�"Mt#P I
3
Kk MXTLff
AdclitionalworKtOi3epertormed
1]HVAC1
unaertnisp
El Shutters Windows/Doors
GasTank Gas Piping
U Electric
I :oSprinklers Generator Roof
Plumbing i I
Total Sq. Ft
Cost of Cons'
I i Sq. Ft. of First Floor*
of Construction:
truction: $ L—k 3 Utilities: 05ewer �]_Seotic Building Height;
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%
'A -1 PA
Name
i,)b a,
KOL L -1, YA
Name: Peler A Cafar� III
Address:
I I a _t
4�
3(60 IU- _S_b I
Company: LOwes Home Centers, LLC
City:
—State:tL,
Address: P.0 Box 7,81993
City: Orlando State: FL
—
Zip Code:
Fax: 1.' 1
Phone No.
Zip Code: 328784P93 Fax:
E-Mail:
Phone No.
Fill In tee
simPle Title Holdler an next�page if different
E-Mail:
State or County License: CGC1508417
from the
I If, I' , �
Owner listed above)
if valueofcmistiuction is $2SOO or more , a RIECORDED Notice of Commencement is required.
I I f 4
Name: Name:
Address:t Adclres�__,
City: I Staw. City:
Zip: Phone: zip:
FEE SIMPLE TME HOLDER: Not Applicable BONDING COM
Name: I
Name:
Address*' Address:
City:
city: - .,
Zip: Phone: Zip:
I certify that now rk or installation has commenced prior to the Issuance of a permit.
I I . . �1 I
St. Lucie Ci kes no representation that is granting a permit will authorize the p
which is in -conflict I ith any applicable Horne�Owners Association rules, bylaws or and
structure. IPlease�c ) insult with your HomeOwnerS Association and review your deedlfc
I if 'I, I
In conside . ration,ci the granting of this requ . E�ted permit, I do hereby agree that I will,
, L tl! L
in accord6nce wi the approved plans, the Fl6rida Building Codes and St. ucleCouht,
The followingibOil Ing permit applications o�re exempt from undergoing a full concurre
ryi'str�&uf es, swimming pools, ferui�s, walls, signs, screen rooms and accessbr
accesso I
WARNING TO OVJ4ER: Yo uar fafru'rXiii Record i Notice of Commencement
t L I T
improvements -Yydpr prc poty. ATilotice of Commencement must be r
before -'the fi�s Ihspqction Xf you iW�fid to obtain financing, consulywit
STATE:00�1�1,1"f
IDA
STATE OFtF
0 or
COUNTY 00,
COUNTY
ment as knowledge . ore me
The 3ftoin�p 51
Jh3rgoin I S1.
this 6 do'
this
20 y
PEIERACAFARQ�1111
PETER A CAF10 III
(Narne f p I e , r , pon
acknowle'd',ing
Name of pierso : r I
;111 KC I
(4gnatureo�pi
(Slgnatu�di
Eary Public- State bf NMI 6--
Person y 116
1 X OR Produced.i'dentificatidn —
Personally Kno.m
0 �l �K ,
Type f Id ini� Ic
it�ion —Produced zi�
Type of Identifi(
Commission No
FF R1647
kiciril
Commission No
MR
:IJ
20
Re is-ed Q71
5/2014
Not Applicable
State:
Not Applicable
c, build the subject strut
t may restrict or prohlb�itftu`ch
Dns which may apply.
perform the work
S.
�om additions,
er non-residential use
i your pa In twice r
J post o he jobsite
an a me before
J
i er
was acknowledged b ore me
!-I , ; Lit y
Ono'
-State of FI rida
OR Produced Identification
iced
PAYII�- Notwy Pu Sta
rA Florida
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SUIPERVISOR
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COMPL"EUI!
INITIALS