HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �"�(—(_$ Permit Number:
T SCANNED P—
BY a ��
s�
St. Lucie County
Building Permit Application P°60
Planning and Development Services
Building and Code Regulation Division �e
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: CI ioo 5 OCC&A + _j r J (pa8
Legal Description: UCtA . )(-/5 Cmi. l� uv.tk (pUt;
Property Tax ID #:
Site Plan Name:
—7oZ- 60W7 - 00o-
Project Name:
Setbacks Front Back: Right Side:' Left Side:
DETAILED DESCRIPTION OF WORK:
-a-"Ac,�k k
Lot No.
Block No.
CONSTRUCTION INFORMATION:
mono worK to a erorme under tispermit—c ec a apply:
E]HVAC fi Gas Tank Gas Piping _Shutters ® Windows/Doors
11 Electric ElPlumbing ❑Sprinklers 1:1Generator Roof = Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ f `J Z So Sz utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: L
Nam
Name: Peter Cafaro IH
Address: ALtrno "5 .0 c- .,..
1� r., (f�oS6
Company: Lowe°s Home Centers,LLC
City:
Zip Code: 3 19 ? Fax:,
Phone No. •'aOT - Sq
State: FI—
-
Address: P.O.Box781993
CityaOrlando State: FL
Zip Code: 32878-1993 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder an 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 CONSTRUCTION LIEN 'LAW INFORMATION.
:. . .
DESIGNER/ENGINEER:
Name: Em-w
_ Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address: Mc0- a Zeo&wa
...,f 2cx
Address:
City: 1pep' CL4- ..r
Zip: 35't32 Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
V 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 failure to Record a Notice of Commencement result in your paying twice for
improvements to your pr erty. A Notice of Commencement must be r cor ed and posted on the jobsite
before the first ii Spec ' n. I ou intend to obtain financing, consult th len er or attorney before
commencine or or ecorl vour Notice of Commencement. / 1
STATE OI
COUNTY
The
was acknowledged before me
1 20 —1aby
STATE
The
Omnge
acknowledged before me
20 LL by
Peter a Cafaro 1111 Peter A Cafam III
(Name of person acknowledging) (Name of person acknowledging) /
Signa e o Not ry Public- State f Florida) (Si nature of N Lary Public- State f Florida )
Personally Kno n x OR Produced Identification Personally nown x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Notary Pu�Ral�ie of Florida Commission No. o^"' Notary Pu�up�yte or Florida
Kari M R{c'EdBNni
Kad M Riccaboni r. My Commission FF 987847
y
My Commission FF 981647 yi. if' ncnmmnvn
Revised 07/
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