HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 � '`�0 ' tg SCANNED Permit Number: I D
t
BY
- -- St. Lucie County RECEIVED
o _
Building Permit Application OCT 3 0 20*18
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
PROPOSED IMPROVEMENT LOCATION:
9
Legal Description: OG N-TL� S l0•+cc TJ LL- A— 5c73
Property Tax ID#: -'5'5 -102.-c,o3t41- CK-�-Li Lot No.
Site Plan Name: lxl AU A. % �11..SC.HVr+A Nu Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: `
CONSTRUCTION INFORMATION: --
Additional work to a erorme un ert ispermit=c ec a apply..
❑HVAC ff Gas Tank ❑Gas Piping _ Shutters � Windows/Doors
❑ Electric ❑ Plumbing []Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1 k Z g 7
S Ft. of First Floor: _
Utilities: Sewer ❑ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
N a m e W r � �AN•� 1�-Jcax�•..-rWawi �
_Nam` e: Peter'A'Cafaro'IiI
Address: Z'T3(o `,�w �Egtr�%gw tki
Company. Lowe's Home Centers, LLC
City: Rqlm State:
Zip�code: 3490 Fax"'
Phone No.:J i2, LBfo- Q 7q-7
Address: P.O.Bok 781993
City: Orlando" ' State: FL
Zip Code: 32878-1993 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail:
State or County License: CGC1508417
If value of construction is $2500 or more, a RECORDED•Notice of Commencement is required.
SUPPLEMENTAL` CONSTRUCTIONLIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: '11 f/ 6"If 1Chrlssira LAV1E✓ Name:
Address: JZ90 f4 116/4tltlwv di46 Address:
City: !'!a s ,(ly,e,,t ° State: K' City: State:
Zip: 33 492 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Applicable
St. Lucie County makes no representation that is granting a permit will authorize the perrnit 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 property. A Notice of Commencement must be reAorded and posted on the jobsite
before the first ins ection ' u intend to obtain financing, consult wnder r a attorney before
commencine work r reaOrclinizXvour.Notice of Commencement.
STATE OF
COUNTY(
was acknowleZge6before me
0R by
Peter a Cafaro 1111
(Name of person
re of Notary Public- State
Personally Kno&f x OR Produced Identification
Type of Identification Pr
Commission No.
Revised 07/15/2014
STATE Op FLgRIDA
COUNTYIDjFc 9e
The forgoin in rument was acknowledged before me
this�Ii ria f C�CT 20 113 by
Peter A Cafaro III
(Name of person acknowledging )
2—LwLk—
(SJgnatWe o Notary Pu lic- State clf Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
MyrCd1fii§T,an FF 981647 Commission No. arT° Notary P(&0aii)ate of Florida
Expires 05128/2020 Kan M IccabOnl
yr- 1 My Commission FF 981647
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