HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE, NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Li �7 SCANNED Permit Number: �7 O ✓ J�
Date:
BY
St. Lucie County REU
0
- Building Permit Application SEP 14 2017
Planning ondiDevelopment Services
Building and Code Regulation Division
23ooVirginid Avenue, Fort Pierce FL 34982
Phone: (772 1 ) 462-1553 Fax: (772)462.1578 Commercial Residential, D;
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSE--0, IPROUEfVIENTL'QCAT�ON,,F', _ °•-
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Address: 56 $9 � l • 3 I
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l C'O., WCA. 6 (LbIAI g u/JIT 0'4
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LegalDescrlpltlon: IU
Property Tax
ID fl: -' (00 `' Q0 3—Q )D--7 Lot No.
Site Plan Name::
O�'6LVI, S Block No. -
Project Name:
I
2ySdbt
Setbacks, Front
Back:.. Right Side: Left Side:
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DETAILED}DESGRIPTION,OF
WORK
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7%0EA/ �P�t+nddL%1
CONSTRIJt"fION
INFORMATION
ItionQ
wor, to be e e orme un,.er Is perm) —C eC d1l appy.
'D(SasPiping
HVACf
Gas Tank j _Shutters Windows/Doors
ectrlic
LIiLumbing ;1;._ISprinklers EGenerator Roof
Total Sq. Ft
of Construction: F-r s F�tf of First Floor:
Cost of C'on
n(ZA
tr6ction: $ 1� 7 LL ao l Utilities: L�Sewer ❑septic Building Height:
aOWNER
IE$E T=� t�.,
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illi� a
y
Name fl�✓
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t... �d'J%� 641 S
Name: PeterA Cafaro III
-
Address: Sb 5 j{w /1 dig
Company: Lowes Home Centers, LLC
Address: P•O Box 7,81993
City: ��� I i State: L
City: Orlando State: FL
Zip Code: PJ q c Fax:
Phone No. 7S19 - 3V'(09 7 6 1
Zip Code: 32878-1993 Fa
E-Mail: 1, �_
Phone No. W C 3u-
FIII In fee simple Title Holder on neat?page (if different
E-Mail: b 1 /
cc)
- State or County License: CGC1508417
�w I' 1 I
from the Owner listed above) ji
if value, of. construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
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IVI
SUPPLEMENT
DESIGNER/ENGINEER:
'3 i i
AL CONSTRUCTIONYLIENRLrAaUI� INFORMAL
_ Not Applicable
r
10{N�
MORTGAGE COMPANY:
_ Not Applicable
Name: I
Address:. f
City:
Zip: ! I
Name:
Address:
City:
Zip:
State: _
Phone: `I
State:
Phone:
i
FEE SIMPLE TIT
E HOLDER: Not Applicable
BONDING COM
ANY: Not Applicable
L l
sAddress:
Name:
City:
Zip:
= i
Phone:
(Phone:
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I certify that rioiw rkor installation has
St. Lucie Coun fIn kes no representatic
which is idconictl ith any applicable1,
structureiPlease,d nsultwit hyour Horn
In.consideratlon�.o the granting of this r
-in accordance wit the approved plans,
The followmgI16il ing permit applicatio
accessoryistrucfurl s, swimming pools, ff
WARNING TO OWAIER:YourfAfru
— - li
STATEIQ
COUNT)
Thef4a
Type
Revised
Lessee/Agent
enced prior to the issuance of a permit.
is granting a ppermit will authorize the: pp
lwners Asssociabon rules, bylaws or and
ers Association and review your deedlfc
ed permit, I'do hereby agree that I will,
Oda Building Codes and St. Lude:Count
exempt from undergoing a full concurrc
walls, signs, screen rooms and accessor
tecord a Notice of Commencement
ice of Commencement must be r
d'to obtain financing, consult( 'it
me
STATE 0'
COUNTY
The f9rTf
this Jac
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o build the subject structure
it may restrict or prohibit'such
ons which may apply.
, perform the work I
S.
Cm additions, I
er non-residential use '
n your pa Ing twice fo'r
d post o the jobsite
an a me before
i
I
Harder
acknowledged a ore me I
,20y t
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x OR Produced Udntification _ Personally Known X, OR Produced Identification
n Produced 'I I Type of IdentiftI.:. n,P,ioduced
r Commission No. r r" 1
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REVIEWS I;
FRONT
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SUPERVISOR
PLANS
VEIETATION
SEA TURTLE
MANGROVE
RENEW j
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COUNTER
REVIEW
REVIEW
REVIEW
RVIEW
REVIEW
..
DATE
COMPLETE(,
INITIALS
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