HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONo5
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 'a 4 SCANNED Permit Number: Lq 0 5 ;n �lS
BY
•
` t. Lucie County RECEIVED
Building Permit Application MAY 2 9 'L01$
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential !"
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line wilNoo W+ >
PROPOSED IMPROVEMENT10CATION:.`
Address: I LA L o. 0-STA T✓ 1 Z� I
Legal Description: Vr`dCA 5T LJ►c:Ll
PropertyTaxlDN: 3ff2Z•Soa' oiclo- 000:D -
Site Plan Name: S0v%"a 0Z;,-1%1W+A-1i.-%
Project Name:
Setbacks Fr
Back: Right Side: Left Side:
('DETAILED DESCRIPTION OF WORK:
L CONSTRUCTION INFORMATION:.
iaaionai worK co oe errormeu unuer cnis perrnn- a
11HVAC , _ Gas Tank Gas Piping
11 Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $�.�i9
3
Lot No.
Block No.
Shutters Windows/Doors
Generator 11 Roof = Roof pitch
S Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:,
Name Ati
Name:' Peter.=A-Cafaro III r .
Address:ILI L_rw.0 A_ZAn t
City: Stater-
Zip Coder 3'-lS 2 Fax:
Phone No. 'S1 S LSD 3 Q( 1>q
Company: Lowe'sHome Center's, LLC
Address: P•O.Boz 781993
City: Orlando,-. State: FL
Zip Code: 32878-1993 Fax:
Phone No. 112- 1-418- 3G9 �C
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:
State or County License: CGC1508411
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUP,PLEMENTALCONSTRUCTION LIEN LAVILINFORMATION
DESIGNER/ENGINEER:
Name: (Ijlr t, "),t Lr,:,
_ Not Applicable
P V
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: I �6 N comb r
.4w4 -Al
Address:
City: 4f-p .a
Zip: 3'jy 3 +- Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
VCNot Applicable
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 your pro rty. Notice of Commencement must b re orded osted on the jobsite
before the first i ectio . If you ntend to obtain financing, consul ith end r or a attorney before
commencingw rk re ordin ur Notice of Commencement.
s
Signature ofJr/Lessee/Contractor as g ntforOwner
Signature f ntractor/LicenseHold rSTATE
OF F
STATE F F ORIDA
COUNTY O
COLIN O oaegaThe
forgoingwas acknowledged before me
The forgo g i strument was acknowledged before me
this20IL°+ by
this iSK day of r/ , 20 Chi by
Peter a Cafaro I II L
Reter A Cafaro III
(Name of person acknowledging)
ame of person acknopledging )
ignature of Nota y Pu Ic- State of lorida
('g ature o tary Pu IZ-' State of Plorida )
Personally Know x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identifi tion Pr
Type of Identification Prod
#P ry Notary Public State of Florida
c M.. Notery Public State of Florida
-X
Commission No. k Karl NSIBIrptioni
Commission No. _ Kar(SeQcaboni
- • My Commission FF 981647
20
«� '' Exp res mimi 20211981847
«� Expires 05128/20
_
Revised 07/15/2014
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