HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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,.e. „yY c!. R� t o O •H..' ,
SCANNED
BY
St. Lucie County
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 t/
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X
RECE VED
MAY I' U Y0'
Per'mlttin9 Depa eat
st• Lucle County
Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 00,0 0, I
I PROPOSED IMPROVEMENT LOCATION: I
Address: (� ^n( s2 S O c try 7✓ s<< II
Legal Description: Ck IP ( J
PropertyTaxlDt#: q,50Z •803-0039 -cmFoo'3 Lot No.
Site Plan Name: V'e,-% .SA.a.V0C-r5 Block No.
Proiect Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:.
6ach-
'CONSTRUCTION INFORMATION:
lditional work to be nertormecl under tnis permit—cr
�HVAC Gas Tank Gas Piping
Electric Plumbing []Sprinklers
Total Sq. Ft of Construction:.
5Z
Cost of Construction: $ Z3Z�
0Shutters Windows/Doors
11 Generator 0 Roof = Roof pitch
S�Ft.( of First Floor: _
Utilities: LJSewer Septic
Building Height:.
OWNER/LESSEE:
CONTRACTOR:
Name 2-.�' rS- lip
Name: Pete�A'Cafafo'lll
Address: to I'5z S N i $f f 13
Company: Lowe's Home Centers, LLC, `
City:+J ^ - - State: _
Zip Code:3r•t4 %7" • •' Fax: •
Phone No. 95 y- 2.Z7 1p l L7
Address: P O.Box 7.81993
City: Orlando ` ' " '- State: FL
Zip Code: 32878-1993 Fax:
Phone No. 'I72—�i1 » 3LQ9 S
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: �PV. L �f�r+•� yo fvo• �o -�
State or County License: CGC1508417
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea.
SUPPLEMENTAL;CON STRUCTION LIEMLAW INFORMATION
.
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name: CLWi4TA,,1aL_A�Tw.y
Name:
_j�,/
Address: NFt06coa t
ZA%n
Address:
City: (3"'
acu/
State:
City:
State:
Zip: -534 3Z- Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
_j24ot Applicable
Name: r
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 conflict 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 County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to you rope Notice of Commencement must be peRrded and posted on the jobsite
before the first insp ct on. If ou in end to obtain financing, consult Oth le der oya0 attorney before
Signature of Owne /L ssee/Contractor as Age ¢t f¢r Owner
STATE OF FL I ID \�/I
COUNTY OFo use
The rgoing in rume t was acknowledged before me
thi ay of 20 Lty
Peter a Ware III �
(Name of person acknowledging )/ / /
i(Signatrrfe— of Ngtary Public -Stater of Florida)
Personally Known x OR Produced Identification
Type of Identific
Commission No.
Revised 07/15/2014
The f oing i strument was acknowledged before me
this rbay f / 20 t& by
Peter A CaiaroIII
Name of person acknowledging)
State'of
Personally Known x OR Produced Identification
Type of Identification Prod e
�x'r Nota(S�XPuQQl�ic Stateo1Florida
Commission No. :° Kadlrt Gabon! .
yr_ v My Commission FF 981647
'?,,,.,d� Expires 051282020
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