HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPUCABLEi1NF0 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u
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Date: SCANNED Permit Number: M_.
BY
_ - _- St. Lucie County � l E
�I ED
Building Permit Application DEC 0 7 2017
Planning.andDevelapment Services
Building,ondode Regulation Division PERMITTING
Virglni .Avenue, Fart Pierce FL 34982 St. L County, FL
Phone; (772i) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR:
PROPOSEdIIVIPROVEN1ENTrLQI
Address: V 0 7
�ra-ce 3(f9S
,rr
Legal Description: r e V L'b 51 UILJr
Property TaxIID
N: 73 13 —,To SCO 1" flOZ/"O — 1 Lot No.
Site PlanNarpe.j
Block No.
Project Name:
6 N 6 5 C—� '
Setbacksr Front
Backe.; - Right Side: Left Side:
DETA ILED�DESCRIP
IONkOFxWORK
I
3 9�r, w % rMPrii
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CONSTRUCTION
INFORMATION
_
",_,t; '' in o-, ' i . _•'
, ,,I'
Additional
e performed under;ihis
wo a o
pew rm - C eC a app y: am�,,
' windows/Doors
C�HVAC�
Gas Tank I'
Gas Piping _� Shutters 2I ,
Electric
QPlumbing, ` I!
JSprinklers E]Generator Roof
Total.Sq. Ft
i
of Construction.'.? '
SqI FFtt.I of First Floor:'
Cost of Con
truction: $ J3j 7
utilities: hlSewer L]Septic Building Height:
OWNER/IES'SEE.,
J'lif u�
1�,lif�
,`'��1CONTR`ACTOR i
t
£?,
Nam
LXM t A c a. .-0'
. e
Name: Peter Acafar'o III
�._ Z
(T&
I
Company: Lowes Home Centers, LLC
Address:
V II T Sta etjL
Address: P.O Box 7,81993
Cit Y
Zip Code.
� I
� '5_1 Fax: ! i
City: Orlando State: FL
Phone No.!
Zip Code: 32878-1993 Fax:
E-Mail:
Phone No.
Title Holder on next;page{ If different
E-Mail:
Fill in fee simple
State or County License: CGC1508417
from the Olwnerlisted
j i
above) i�
If value of;constiuctlon
Iss$2500 ormore; a RECORDED
Notice of Commencement is required.
1. {. I
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SUPPLE„E�VT
'LICONSTRUCTIOfVjLIEN
Al
if
;
DESIGNER/ENG'INFER:
_ Not Applicable MORTGAGE COryIPANY:
Not Applicable
Name:
Name:
Address:.
! Address:
City: I
II State: ; City:
_State: _
Zip: !
Phone: Zip:
Phone:
FEE SIMPLE TIT
E HOLDER: _ Not Applicable BONDING COM
ANY: _Not Applicable
Name: 11
Name:
Address..
'1 Address:
City:
! City:
!
Zip:
Phone: Zip:
Phone:
I certify that no'w�
rk or installation has comjnenced prior to the issuance of a permit.
i
St. Lucie Countcyy
which is In cc, flat[
kes no representation that is granting permit will authorize the permit
ith any applicable Home:Owners Association rules, bylaws or and covenants
holder to build the subject structure
that may restrict or prohibit such
structure.!Please..
nsult with your Home,Ov{ners Association and review your deed:.fod
any restrictions which may apply.
In consideration'o
the granting of this requested: permit, I do hereby agree that I will, i
all respects, perform the work
in accordance wit
the approved plans theFloridaBuilding Codes and St Lucle County�Amendme
s.
i
The.following bull I
ing permit applications are exempt from undergoing a full concurrency
rooms and accessbr�
revf` : r om additions,
uses o ario eanon-residential use
accessorylstruf[u I
s, swimming pools, fencel i; walls, signs, screen
of Cornmencement
�a result your pa In g twice for
WARNING TU '
improvt" ent'
ER: Your ur to Record a"Notice
y rprop . A otice of Commencement must be, rec
rded a d post o
the jobsite
before the fir3t
.
sp tion. f you in end to obtain financing, consul
Witd
ender o an a me
before
commenci
I
rk o rec din o' , Notice of Commencement.
j
j
1
s !
Signature of
Lessee/Agent ISignature
of C.
tractor/License
Holder
_
STATOFI
finer/
IDA
STATE OF
�'RI
A
COUNfOF
GE I
oPAN
E
TFieforgoii•., st
ant was acknowledged fore me
The forgom 13trutn
f
[was acknowledged before me
20 Y
this. 4day'
20,L,by
this ,2da
1.
PETER ACAFARO�Iill
(Na a of pars:
'
I i
cknow edging) ,- I
I
PETER A CAP 0111
(Name of person aFfknowledgl
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1
,
( gnat of.j
oII
aryPublic- state bf FI nda)
( gnature o ota
Public -State of FI .. 1.
Personally K IovJn
x OR Produced Idlentification
Personally Known
I x!. OR Produced Identification
Type.of i liri
IJ
Ic
_
tion Produced
Type of ldentificatii
n Produced
Commission, 0
PP serenr -
N meslwdfloda�
Commission No PF99
T. NSta florke
,
,� ! I
AP Kell M Rkcaboill
Karl FA RCciab"I
I :� .Kan M FUxabonl 1 I
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_aM1 EX" 06IitlID.0
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an EzPkn ll5Rel40M �.
Revised 07/15/2014
11
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REVIEWS;
FRONT ZONINGI
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE MANGROVE
REVIEW'
!'ij
COUNTER REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
.DATE I" I
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COMPLETE ;
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INITIALS 'i l
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