HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: LDI t2(18 SCANNED Permit Number: 4o�5'
BY RECEIVE
--- _ St. Lucie County
OCT 1:9 2018
Building Permit Application ninln
Planning and Development Services St. Lucie �Urt€Pent
Building and Code Regulation Division
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
PROPOSED IMPROVEMENT LOCATION:
Address: 151 R Z Ivb55 C_�r eO 7 a
Legal Description: !'r0.r E &�3 +O �EL t w„� 73
Property Tax ID It: 3'L - Sa-7 , O a Zco ^ d'�y
' Z
Lot No.
l(1�310
Site Plan Name: KA A& 1 __\o,a tS
Block No.
Project Name:
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTIOWOF WORK:
,
CONSTRUCTION INFORMATION;
AClaitional worK to De pertormed under tispermit-checka
❑ HVAC Gas Tank []Gas Piping
apply:
_ Shutters
Windows/Doors
❑Electric ❑Plumbing []Sprinklers
❑Generator
❑Roof
❑ Roof pitch
Total Sq. Ft of Construction: S
Ft. of First Floor:
Ft
5e
Cost of Construction: $ 9 � Utilities.
❑Septic,
-Building Height:
OWNER/LESSEE: :',
CONTRACTOR: '
- Name L" tS
Name-' PeterA Cafaro.11l...
Address: 571 Z Woes C-7- ed `7 6
Company: Lowe's Home Centers' 4C;, .
City: 457T P%Er-_@ State: u
Zip Code: 3*4g az Fax: '
Phone No. -1tv 7 - 234 - -119o0
Address: P.O.Box.781993
City: Orlando ; ..-•_.. State: FL
Zip Code: 32878-1993 Fax:
Phone No. 7-2 2,. 2 81- J9 f Z
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: ✓e bete-,, W ®6Rwvis� p�/, won
State or County License: CGC1508417
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL:CONSTRUCTION LIEN LAW] NFORMATION
-'
-
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
eL- Not Applicable
BONDING COMPANY:
Name:
Not 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 ilure to Record a Notice of Commencement may result in your paying twice for
improvements to r pr artA Notice of Commencement must be r o dad and posted on the jobsite
before the first i sp ctio . If yo intend to obtain financing, consult ' h 'elder ci ayr5t�orney before
commencine w rk o r cordine v ur Notice of Commencement.
as
STATE OF FggRIDA
COUNTY Offljo nge
The forgoing rument was acknowledged before me
n
this L�M�day CXir . 20 IQ; by
Petera Cafaro IIIl
(Name of person
Personally Kno n x OR Produced Identification
Type of Identification Produced
COmml$$IOn NO. p`ITI -( Notary Public State of Flonda
ri M Ri:6568"i
;'V& : My Commission FF 981647
w �' Exoves 0512812020
Revised 07/1
STATE OF FLORIDA
The forgohyinstrument was acknowledged before me
this "day of Od r 20 119 by
Peter A Cafaro III
(Name of person acknowledging )
Personally Mown x OR Produced Identification
Type of Identification Prod
,.ar Ndaryppublic State of Florida
Commission No. :' Kari Af`�i�boni
p My Commission FF 981647
V—� E,Pires OS/2812020
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