HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^� �D 0
Date: (O /� �9 SCANNED Permit Num y Oj l�
Lucie IVE®
St. Lucie Count.
Building Permit Applicatio JUN 12 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County 2300 Virginia Avenue, Fort Pierce FL 34982 ` / r FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial N Resl t:1 11.101
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION
Address: 1 5 L„ye Wa-,P, —Cr
Legal Description: 54-A '6k LA_E. 191#1 1s uni-Y ZOI
Property Tax ID #: 3 4Z2 - you
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.
Block No.
a �sasse�tl -7
CONSTRUCTION INFORMATION:.
Additional work to ba er orme ' under this permit_ check all apply:
E1HVAC Gas Tank Gas Piping _ Shutters Windows/Doors
11 Electric Plumbing Sprinklers Generator 11 Roof = Roof pitch
Total Sq. Ft of Construction: SqI —F�t. of First Floor:
Cost of Construction: $ ,� �& ~ Utilities:CnSewer D Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name' Peterkcafa'to'III• ..
Address: 15 "w-c ✓f•m Tv I
Company: Lowe's Home Cenfers,•LLC
City: State:
Zip Code;' 3*14 SZ. Fax.
Phone No. %i2 g9R— Q2yR
Address: P.O.Boz 7,81993
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.
SUPRLEIVIENTAL CONSTRUCTION`,LIEN I_AW'INFORMATION`
DESIGNER/ENGINEER
Name: .Gl5, tnl5
_i: Not Applicable
.'- > t'
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: I�,o Nf�
zto
Address:
City::44_�r a.
Zip: 3 3K3Z'- -Phone:
State: k.
City:
Zip: Phone:
State:
FEE SIMPLE'TITI E+HOLDER:
Name: ' ,i ' '`
` � 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-anyrestrictionswhich 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 dfull concurrenc"y review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your fdru-N to Record a Notice of Commencement ay result in your paying twice for
improvements to your pro rty. A otice of Commencement must b ec rded a osted on the jobsite
before the first inspectio . If you in end to obtain financing, consult It
I nder r a attorney before
commencing wockwr re rdine vo r Notice of Commencement.
Signature of 0
ner/Lessee/Contractor as A ent for Owner
Signature
Contractor/License Hold r -
STATE OF F
RIDA
STATE F
FLORIDA
COUNTY
range
COON
Foaoye
The fo goi i
thisIA-d y
strument was acknowledged before me
f �._.s 20 �by
The fo in
this I
instrument was acknowledged before me
yof _N16"C 20 fg by
Peter a Cafaro III -
(Name of person acknowledging )
(SignaTure of otary Public- State of Florida I
Personally nown x OR Produced Identification
Type of Identificati
a,�s��r.Notary Public State of Florida
Commission No. + �`� Karl M Rlq aDAni
.�—�alv Comml ion F981847
Revised 07/15/2014
Peter A Cafam III
(Name of person acknowledging )
( ignature of N taryb i Puc- State of Florida )
Personally I� own x OR Produced Identification
Type of Identification Produced
Commission No. *. Public StabSea$nda
Karl M Rico3boni
y,. • My Commission FF991647
� fxphes 65fYal3aia ,.
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